Payer Issues Archives - Page 131 of 164 - Becker's Payer Issues

Houston Methodist ad: UnitedHealth members still have 'out-of-network benefits' | 50 states of healthcare affordability | Ind. health system accused of Medicare fraud | BCBS of Minn. CEO: Look to incumbents for reinvention

Payer Issues E-Newsletter January 9, 2020 1. Feds accuse Indianapolis health system of Medicare billing fraud Full story 2. Houston Methodist says UnitedHealth members can still use 'out-of-network benefits' Full story 3. BCBS of Minnesota CEO Dr. Craig…

CMS proposes risk adjustment updates to Medicare Advantage | 2 Calif. physicians settle billing fraud allegations | Oscar Health drops Walgreens from network | Steward Health sells health plan | Molina to acquire Ill. Medicaid plan for $50M

Payer Issues E-Newsletter January 7, 2020 1. CMS proposes risk adjustment updates to Medicare Advantage: 5 things to know Full story 2. 2 San Diego physicians pay $949K to settle billing fraud allegations Full story 3. 'No guarantee…

UnitedHealth-Houston Memorial split affects 100,000 | Healthcare exec sentenced for role in $450M billing scheme | UnitedHealth shares worth 10 times more today than in 2010 | Hospital acquisitions may hurt patient experience

Payer Issues E-Newsletter January 2, 2020 1. UnitedHealth shares worth 10 times what they were in 2010 Full story 2. Houston Methodist, UnitedHealthcare split affects 100,000 Full story 3. Hospital chain files for bankruptcy Full story 4. How…

BCBS of Tenn. specialty drug change prompts backlash | UnitedHealth stock gets year-end boost, but what's ahead? | AHA largely silent on suing patients for unpaid bills | The decade in healthcare: 12 milestones

Payer Issues E-Newsletter December 31, 2019 1. UnitedHealth stock saved by year-end boost. What does 2020 hold? Full story 2. Physician charged with murder sues Ohio hospital for defamation Full story 3. BCBS of Tennessee specialty drug change brings physician backlash Full story 4. How…

HCSC issues layoffs | TeamHealth's ER billing scrutinized at Nashville General | Aetna, Cigna, BCBS fined over improper denials | 100 hospitals with great orthopedic programs

Payer Issues E-Newsletter December 24, 2019 1. HCSC to lay off dozens of employees after exec exits Full story 2. Aetna, Cigna and BCBS hit with fines over improper denials in California Full story 3. TeamHealth's ER billing scrutinized…

Cigna sells group insurance unit for $6.3B | Ex-UnitedHealth CEO's startup tops $1B in funding | ACA mandate ruled unconstitutional | Nonprofit health plans sue Texas over $10B Medicaid contracts

Payer Issues E-Newsletter December 19, 2019 1. Cigna sells group insurance unit for $6.3B Full story 2. ACA mandate ruled unconstitutional Full story 3. 12 payer exec moves Full story 4. Your A/R system needs a reality check.…

NY physician sentenced in $30M billing scheme | HHS appeals termination of hospital outpatient pay cut | Memorial Hermann, Cigna to end contract | ACA taxes face repeal in $1.3T spending deal

Payer Issues E-Newsletter December 17, 2019 1. New York physician sentenced to prison for role in $30M billing scheme Full story 2. Congress unveils $1.3T spending deal: 5 healthcare takeaways Full story 3. Memorial Hermann, Cigna to end…

UnitedHealth: 50 states, ranked by health | BCBS of Mass. integrates with PillPack | Why Anthem doesn't want to own physician practices | Best places to work in healthcare: Glassdoor

Payer Issues E-Newsletter December 12, 2019 1. America's Health Rankings: How all 50 states fared Full story 2. Cigna in talks to sell $6B group insurance unit to New York Life Full story 3. BCBS of Massachusetts integrates…

UnitedHealth to buy pharmacy | Humana execs offload shares | $12B ACA case before SCOTUS | Dignity, Cigna hit contract gridlock | BCBS of RI debuts 1st outpatient joint bundles

Payer Issues E-Newsletter December 10, 2019 1. UnitedHealth to acquire struggling specialty pharmacy Full story 2. Supreme Court to hear $12B ACA payment case Full story 3. Humana accidentally auto-billed 25,000 members for 100 times their owed fees…

Anthem payments can't keep up with costs, Ky. hospital CEO says | 4 things to know about Optum's 'city by city' strategy | BCBS: Tenn. hospital used 'suspicious' billing tactics | Hospitals sue to block price transparency rule

Payer Issues E-Newsletter December 5, 2019 1. Optum's 'city by city' healthcare strategy: 4 things to know Full story 2. Hospital groups sue HHS to block price transparency rule Full story 3. Kentucky hospital CEO: Revenue from Anthem…