Payer Issues Archives - Page 148 of 168 - Becker's Payer Issues

Nev. hospital doesn't contract with payers | Sutter to resolve upcoding allegations for $30M | UPMC, Pa. AG head to state's highest court over Highmark spat | HHS hit with suit over suspended Medicare payments

‌ ‌ ‌ ‌ April 15, 2019 TODAY’S TOP STORIES 1. Sutter Health enters $30M settlement over upcoding allegations Full story 2. Managed care organizations see stocks fall due to political uncertainty Full story 3. How many members the biggest…

Centene, WellCare deal raises antitrust questions | Boston Children's sues Saudi prince over $3.5M bill | 7 found guilty in $40M Texas hospital kickback case | Trump officials appeal Medicaid work requirement ruling

‌ ‌ ‌ ‌ April 11, 2019 TODAY’S TOP STORIES 1. Centene, WellCare deal raises antitrust questions Full story 2. 6 must-reads on payer-provider relations Full story 3. 7 found guilty in $40M Texas hospital kickback case Full story 4.…

The top insurers all have PBMs: Here's who they are | Feds charge 24 in $1.2B telemedicine fraud scheme | 17 healthcare CEOs make list of overpaid execs | UnitedHealth expands bundled payment program

‌ ‌ ‌ ‌ April 10, 2019 TODAY’S TOP STORIES 1. UnitedHealth expands bundled payment program: 3 things to know Full story 2. The top insurers all have PBMs: Here’s who they are Full story 3. Feds charge 24 in…

Ohio insurer drops CVS Caremark | OptumRx: 5 costly drugs to watch | Hear 215+ execs speak at Becker's Health IT + Revenue Cycle conference | McConnell to AHA: 'Medicare for All' is bad for your hospitals

‌ ‌ ‌ ‌ April 9, 2019 TODAY’S TOP STORIES 1. Ohio insurer drops CVS Caremark for Express Scripts Full story 2. Texas Health Resources, AbbVie top Fortune’s ‘Best Places to Work in Healthcare and Biopharma’ Full story 3. PBMs…

BCBS to open clinics | Healthcare exec convicted in $1.3B fraud case | Pa. woman denied coverage for sepsis-related foot amputation | Judge to hear critics of CVS-Aetna settlement

‌ ‌ ‌ ‌ April 8, 2019 TODAY’S TOP STORIES 1. Florida healthcare exec convicted in $1.3B fraud case Full story 2. BCBS of Texas to open primary care clinics: 5 things to know Full story 3. 105-year-old Ohio hospital…

Duke Health, BCBS of NC launch insurer | Cigna-Express Scripts cap out-of-pocket insulin costs | Optum-owned pharmacy to close Houston sites | Average prices higher for outpatient healthcare, study finds

‌ ‌ ‌ ‌ April 3, 2019 TODAY’S TOP STORIES 1. Duke Health, BCBS of North Carolina launch insurance company Full story 2. Former hospital exec sues Tenet, claims retaliation for reporting unnecessary surgeries Full story 3. Bundled billing not…

UnitedHealth: Quality payments not to blame for Iowa Medicaid split | CMS finalizes Medicare Advantage, Part D rules | Lawsuit alleges Calif. hospital secretly recorded 1,800 patients | 10 most stressed states

‌ ‌ ‌ ‌ April 2, 2019 TODAY’S TOP STORIES 1. CMS finalizes Medicare Advantage, Part D payment policies: 4 things to know Full story 2. UnitedHealthcare denies quality payments spurred Iowa Medicaid split Full story 3. CHS to sell…

UnitedHealth abruptly exits Iowa's Medicaid program | 8 states with most, least surprise out-of-network bills | Webinar: Identify the weak points in your regional communication system | Ill. sues to reverse $145M in Medicaid repayments

‌ ‌ ‌ ‌ April 1, 2019 TODAY’S TOP STORIES 1. Missouri hospital struggles to regain Medicare contract due to two-night rule Full story 2. Judge blocks Trump’s association health plan rule: 5 things to know Full story 3. UnitedHealthcare…

Medicaid work requirements struck down | CVS, Humana could lose out in Centene-WellCare deal | Insurer Clover Health to cut 140 tech jobs | 6 updates on payer-provider relations

‌ ‌ ‌ ‌ March 28, 2019 TODAY’S TOP STORIES 1. Judge strikes down Medicaid work requirements: 5 things to know Full story 2. New York hospital ousts interim CEO after 7 months Full story 3. Pennsylvania hospitals join UPMC…

Centene to buy WellCare | Detroit hospital's Medicare funding in jeopardy | UnitedHealth invests $400M+ in housing | Medical billing could be ripe opportunity for Apple

‌ ‌ ‌ ‌ March 27, 2019 TODAY’S TOP STORIES 1. UnitedHealth invests $400M+ in affordable housing Full story 2. Centene to buy WellCare in deal valued at $17.3B Full story 3. Physicians sue Tenet, Detroit Medical Center, allege cost-cutting…