August 14, 2019 1. Tufts Health Plan, Harvard Pilgrim to merge 8 years after failed deal Full story 2. Anthem mistakenly tells patients Virginia provider is out of network: 'It can create a panic,' physician says Full story 3. Aetna in hot…
Payer Issues
August 13, 2019 1. Kentucky health system to reduce million-dollar 'shock claims' up to 45% under Anthem deal Full story 2. Humana sues Mallinckrodt over '97,500%' increase in gel price Full story 3. Texas hospital closes after 70 years Full story 4. 33%…
August 12, 2019 1. Senate leader calls Centene 'callous' after meeting with insurer's CEO Full story 2. Hospital prices for inpatient care climbed 19% over 5 years, UnitedHealth Group says Full story 3. Republicans ready to revive ACA repeal talks Full story 4. Large…
August 8, 2019 1. Highmark Health posts $629M net income, sees dip in revenue in first half of 2019 Full story 2. Texas health system beats $61.8M billing fraud case Full story 3. Trump to unveil healthcare overhaul in September speech Full story 4. How consumerism…
August 7, 2019 1. Kansas threatens termination of Aetna's Medicaid contract Full story 2. Illinois hospital files for bankruptcy Full story 3. Cigna plans major expansion of Medicare Advantage business Full story 4. The patient financial experience needs a reboot: Here's what hospitals can do about…
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August 6, 2019 1. WellStar says Anthem Blue made false representations to customers Full story 2. 6 recent hospital, health system executive resignations Full story 3. Humana secures Louisiana Medicaid contract Full story 4. The new patient financial engagement tools that yield more revenue and…
August 5, 2019 1. CMS' final inpatient payment rule for 2020: 8 things to know Full story 2. 20 payer exec moves in July Full story 3. WSJ: Trump administration working on alternative to 'Medicare for All' Full story 4. How simplifying eligibility and…
August 1, 2019 5 top healthcare takeaways from night 2 of the 2nd Democratic debate Full story BCBS of Michigan hit with $40M lawsuit over provider payments Full story Humana beefs up employee bonuses after $940M profit in…
July 31, 2019 Big payers, tech, hospitals collaborate on medical claims standards Full story Humana's Q2 profit soars 387% as individual MA growth highest in decade Full story White House racing to craft healthcare measures ahead of election…
July 30, 2019 CMS pitches 3 sweeping payment rules for 2020: 10 things to know Full story US News' Best Hospitals 2019-20 Honor Roll Full story Aetna joins UnitedHealth in reversing denial of $2.1M drug Full story …