Syracuse, N.Y.-based St. Joseph's Hospital Health Center will go out of network with UnitedHealthcare if the two sides are unable to reach a new contract before July 1.
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There are major changes afoot for Medicare Advantage plans in 2024 and when they are required to cover inpatient services in hospitals for their members. The changes are likely to present challenges for hospitals and how physicians document inpatient care.
A former Highmark Health employee is facing criminal charges for allegedly attempting to or withdrawing nearly $90,000 from eight member's health savings accounts, the Pittsburgh Tribune-Review reported June 26.
UPMC Health Plan has launched its Health Access Initiative for Recovery program, which will provide mental health services to Medicaid enrollees in barbershops and hair salons.
Humana said it will wind down its commercial group insurance over the next 18 to 24 months, and it shuttered its SeniorCare clinics in the first half of 2023.
Colorado will ensure providers are paid for Friday Health Plans' members' care, the state's department of insurance said.
Pennsylvania has appointed Michael Humphreys as the state's next insurance commissioner.
Medicare Advantage enrollees with more chronic conditions are not more likely to switch to fee-for-service Medicare, a study published June 26 in JAMA found.
UnitedHealthcare executives recently warned of rising healthcare utilization rates as they saw a higher-than-expected number of hip replacements, knee surgeries and other elective procedures. Analysts from UBS Group AG are suggesting that pickleball could be one factor driving the higher…
The majority of health plans surveyed in a report by the Pharmaceutical Strategies Group said they are "very concerned" about off-label use of medications for weight loss.