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.…
Payer Issues
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 23, 2018 TODAY’S TOP STORIES 1. Anthem not complying with Medicare payment investigation, feds say Full story 2. Gundersen Health’s $50K knee replacement list price is 5 times what it costs Full story 3.…
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…
August 16, 2018 TODAY’S TOP STORIES 1. Nashville hospital patients may see more surprise bills as BCBS, 400 anesthesiologists feud Full story 2. UnitedHealthcare’s CMO out weeks after taking role Full story 3. Investors cash…
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…
August 7, 2018 TODAY’S TOP STORIES 1. CMS’ final inpatient payment rule for 2019: 9 things to know Full story 2. BCBS of Texas to stop reimbursing nonemergent ER visits Full story 3. Carl Icahn…
August 2, 2018 TODAY’S TOP STORIES 1. UMMC charged 2 patients $4,328 ER fee. One’s insurer paid in full; the other paid 13% Full story 2. CHS divests 425-bed Florida hospital Full story 3. UNC…
July 31, 2018 TODAY’S TOP STORIES 1. Tenet hospital’s Medicare contract at risk — again Full story 2. Pennsylvania man drives to Canada for son’s $15K medication. The US price? $50K Full story 3. Female…
