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Payer Issues

‌ ‌ ‌ ‌ ‌ August 30, 2018 TODAY’S TOP STORIES 1. Highmark to pay ambulance companies for treating patients outside hospital Full story 2. Erlanger sues TennCare, claims state Medicaid program puts insurers before safety-net hospitals Full story 3.…

‌ ‌ ‌ ‌ ‌ August 28, 2018 TODAY’S TOP STORIES 1. Blue Cross: North Carolina hospital engaged in a ‘$76M health insurance swindle’ Full story 2. Mississippi hospital files for bankruptcy Full story 3. Americans rigging own medical safety…

‌ ‌ ‌ ‌ ‌ August 21, 2018 TODAY’S TOP STORIES 1. Aetna, Oklahoma hospital accuse management company of billing fraud Full story 2. Michigan hospital blames ‘aggressive, direct competitor’ for financial troubles Full story 3. CMS survey reveals serious…

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‌ ‌ ‌ ‌ ‌ August 14, 2018 TODAY’S TOP STORIES 1. Humana divests $2.4B long-term insurance business Full story 2. Proposed payment changes likely to ding hospital margins Full story 3. 8 recent payer-provider disputes, resolutions Full story 4.…

‌ ‌ ‌ ‌ ‌ August 9, 2018 TODAY’S TOP STORIES 1. UnitedHealth scoops up physicians in purchase of 63K-member plan Full story 2. Pennsylvania man receives 2 echocardiograms at same hospital — one cost $170, the other $3,101 Full…

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