Payer Issues Archives - Page 140 of 168 - Becker's Payer Issues

Healthcare exec accused of falsely billing BCBS | 10 updates on UnitedHealth | Anthem restores autism therapy rates after controversy | Optum leads $24M funding for startup aligning payers, providers

September 10, 2019 1. Illinois healthcare exec accused of falsely billing BCBS Full story 2. Telemedicine company CEO pleads guilty in $424M fraud scheme Full story 3. 10 updates on UnitedHealth Group Full story 4. How to improve collections and keep patient…

UnitedHealth to insurers: Move specialty drugs out of hospital, save $4B | CMS issues Medicare fraud rule | Tenn. hospital employees lose Florida Blue insurance | Cigna, claims processor settle chiropractor lawsuits for $20M

September 9, 2019 1. Insurers could save $4B by switching where patients take specialty drugs, United Health says Full story 2. Kaiser must disclose more financial, insurer data under new California law Full story 3. Tennessee hospital employees lose insurance Full story…

Miami hospital to repay $412M in Medicaid payments | Patient dies after visit from suspicious man at Phoenix hospital | CVS-Aetna deal official | Humana expands primary care network

September 5, 2019 1. Miami's Jackson Memorial to repay $412M in Medicaid payments Full story 2. Patient dies after visit from suspicious man at Phoenix hospital Full story 3. Medicare spends more on post-hospital care than private insurers Full story 4. 33% of…

United-TeamHealth spat may have industrywide effects: Moody's | 'CMS pulled the rug out from under us,' Idaho lawmakers say after waiver rejected | Providence Health Plan warns 122,000 members of data breach | 24 healthcare leaders named 'most innovative'

September 4, 2019 1. United-TeamHealth snafu may have industrywide effects: Moody's Full story 2. Rural hospital had staff making trips to Dollar General, former nurse says Full story 3. Former UnitedHealth, Best Buy exec becomes Bright Health president as startup's founder departs…

Horizon BCBS sues physician advocacy group over 'smear campaign' | CMS wants to change rules for maintaining Medicare billing privileges | BCBS Association's CMO resigns months after CEO announces retirement | 2 Mich. health plans to merge

September 3, 2019 1. CMS pitches sweeping changes to rules for maintaining Medicare billing privileges Full story 2. Horizon BCBS sues physician advocacy group over 'smear campaign' Full story 3. MaineHealth's ACO president talks new Medicare Advantage plan with Anthem Full…

2 Fla. hospitals fight for Medicaid funding | Ex-Molina CEO named dean of med school | UNC Hospitals placed on probation by Joint Commission | Blue Shield of Calif. CTO Dr. Karen Xie on her technology philosophy

August 28, 2019 1. UNC Hospitals placed on probation by Joint Commission Full story 2. 2 Florida hospitals stripped of Medicaid funds fight state budget provision Full story 3. Medicare wasting millions by paying for hospice drugs twice, inspector general finds…

Tenn. prepares Medicaid block grant plan | Ohio hospital's Medicare contract jeopardized | Americans trust payers, hospitals less than physician offices with their data: poll | 26 hospital exec moves

August 27, 2019 1. Ohio hospital's Medicare contract in jeopardy Full story 2. Mystery group spent $13M on surprise-billing ads: 7 things to know Full story 3. Harvard/Politico: Americans trust physician offices more than hospitals, payers with their data Full story…

Aetna changes Kan. leadership with Medicaid contract in jeopardy | Kaiser to court: Stop Hawaii health system from balance-billing our members | DOJ seeks dismissal of UnitedHealth suit | 5 payers expanding their 2020 products

August 26, 2019 1. Aetna ushers in new Kansas leadership with Medicaid contract in jeopardy Full story 2. Citing court costs, US seeks dismissal of 7-year whistleblower suit against UnitedHealth Group unit Full story 3. 5 payers expanding their 2020 offerings Full…

'Medicare for All' would force Colo. hospital to close, CFO says | AHIP CEO rejects Biden's healthcare plan | Why a Ky. hospital lost its Medicare funding | Aetna, Centene protest losing bids to manage Medicaid in La.

August 22, 2019 1. 'Medicare for All' would force Colorado hospital to close, CFO says Full story 2. Apple health leaders leaving amid disagreements over department's future Full story 3. Why a Kentucky hospital lost its Medicare funding Full story 4. How…

Providence to partner with largest Ore. Medicaid plan | Cigna exploring sale of $6B group insurance unit | UHS execs, directors escape billing lawsuit | Health insurance becoming unaffordable for employees, too

August 21, 2019 1. Providence to partner with Oregon's largest Medicaid health plan Full story 2. Cigna may sell $6B group insurance unit Full story 3. Health insurance becoming unaffordable for employees, too Full story 4. University of Arkansas for Medical Sciences, the…