Payer Issues Archives - Page 154 of 161 - Becker's Payer Issues

UnitedHealth wins dismissal in Medicare Advantage fraud lawsuit | Opinion: Don't rule out an Anthem-Humana merger | Mayo Clinic attempts to block IRS from questioning CEO | Judge: BCBS plans can appeal lawsuit claiming automatic antitrust violation

‌ ‌ ‌ ‌ ‌ June 14, 2018 TODAY’S TOP STORIES 1. Harvard Pilgrim Health Care CEO resigns citing behavior ‘inconsistent’ with company values Full story 2. Shares of CVS Health, Aetna, Cigna, Express Scripts spike after AT&T-Time Warner decision…

Blue Cross accuses NC hospital of overbilling by $76M | UnitedHealth to acquire 63k-member insurer | Kan. hospital loses Medicare billing privileges | Boeing, Cisco, Intel and Walmart are bypassing insurers to drive down healthcare costs

‌ ‌ ‌ ‌ ‌ June 12, 2018 TODAY’S TOP STORIES 1. Kansas hospital loses Medicare billing privileges, may be forced to close Full story 2. University Hospitals launches bundled payment program with Walmart Full story 3. Blue Cross accuses…

Wis. hospital Medicare contract in jeopardy | Optum part of $2.2B deal to acquire physician firm | Second body found at San Francisco hospital in 1 week | Anthem sues Calif. hospital over alleged toxicology lab fraud

‌ ‌ ‌ ‌ ‌ June 7, 2018 TODAY’S TOP STORIES 1. CVS Health selects Aetna exec to serve as CFO of combined company: 6 things to know Full story 2. Second body found at San Francisco hospital in 1…

Anthem's new imaging rule likely to hit hospitals' profits | RN wages by state | Hear Peyton Manning, Venus Williams at Becker's 4th Annual Health IT + Revenue Cycle Conference | BCBS of Texas delays contested ER policy

‌ ‌ ‌ ‌ ‌ June 5, 2018 TODAY’S TOP STORIES 1. BCBS of Texas delays controversial ER policy: 6 things to know Full story 2. 2 in 3 Americans are stressed about the cost of health insurance Full story…

Aetna, newborn physician firms embroiled in lawsuits over payments | Why airlines hope physicians aren't on board during medical emergencies | Humana sues government to keep details of $45B Tricare deal under lock | Former Optum exec fills CEO role at 3-hospital system

‌ ‌ ‌ ‌ ‌ May 31, 2018 TODAY’S TOP STORIES 1. Aetna, newborn physician firms embroiled in legal battle over payments Full story 2. Why airlines hope physicians aren’t on board during medical emergencies Full story 3. Virginia legislature…

NYC Health + Hospitals: UnitedHealthcare owes $11.5M in wrongful denials | Texas man receives $7,924 surprise bill after going to in-network ER | Nurse awarded $28M in retaliation suit against Brigham and Women's Hospital | 5 things to know about Kaiser's health plan

‌ ‌ ‌ ‌ ‌ May 29, 2018 TODAY’S TOP STORIES 1. NYC Health + Hospitals: UnitedHealthcare owes $11.5M in wrongful denials Full story 2. Cigna, claims processor hit with 2nd cost-shifting lawsuit in 2 months Full story 3. Nurse…

Ex-Anthem fraud investigator charged in $20M billing scheme | Mayo sells health plan set to close | Tenet hospital's Medicare contract in jeopardy | Join 78 hospital CEOs at Becker's CEO + CFO Roundtable | Calif. exchange insurers to drop in-network hospitals missing safety marks

‌ ‌ ‌ ‌ ‌ May 24, 2018 TODAY’S TOP STORIES 1. Former Anthem fraud investigator charged in $20M billing scheme Full story 2. Tenet hospital’s Medicare contract in jeopardy over patient safety issues Full story 3. 50 experts leading…

Aetna whistle-blower suspended after accusing CVS Caremark of $1B billing scheme | Wis. hospital at risk of losing Medicare contract | Oscar Health quietly built its own claims processor to simplify physician payments | BCBS drops North Carolina hospital from network after fraud allegations

‌ ‌ ‌ ‌ ‌ May 22, 2018 TODAY’S TOP STORIES 1. Aetna whistle-blower put on leave after accusing CVS Caremark of $1B billing scheme Full story 2. End gag clauses that keep patients in dark about drug costs, CMS…

5 things to know about $54B Cigna-Express Scripts merger | 100 great leaders in healthcare | BCBS of Massachusetts blames federal taxes for $97.2M operating loss | UnitedHealthcare denied a dying mother's liver transplant, until she penned a letter to the CEO

5 things to know about $54B Cigna-Express Scripts merger | 100 great leaders in healthcare | BCBS of Massachusetts blames federal taxes for $97.2M operating loss | UnitedHealthcare denied a dying mother’s liver transplant, until she penned a letter to…

Pa. hospital discloses Medicare billing violations | Trump says 'great health plans' to come in few weeks | Hear keynotes from NewYork-Presbyterian and Cleveland Clinic at Becker's Health IT + Revenue Cycle Conference | Texas hospital closes, allegedly owes Cigna and Aetna $43M

Pa. hospital discloses Medicare billing violations | Trump says ‘great health plans’ to come in few weeks | Hear keynotes from NewYork-Presbyterian and Cleveland Clinic at Becker’s Health IT + Revenue Cycle Conference | Texas hospital closes, allegedly owes Cigna…