Payer Issues Archives - Page 166 of 177 - Becker's Payer Issues

CMS to recoup $1B in improper Medicare payments by 2020 | UnitedHealth's OptumRx can't escape EpiPen price lawsuit | CHS' shrinking hospital portfolio: 9 latest divestitures | Cigna posts $772M profit

‌ ‌ ‌ ‌ ‌ November 1, 2018 TODAY’S TOP STORIES 1. CMS says it will recoup $1B in improper Medicare payments by 2020 Full story 2. UnitedHealth, CVS, Express Scripts, Prime must face lawsuit over EpiPen prices Full story…

Aetna owes HCA hospitals $150M, arbitrator says | Anthem's profit jumps 29% | Ochsner Health, Walmart to launch health plan | Feds: Kan. physician partook in $30M billing fraud scheme

‌ ‌ ‌ ‌ ‌ October 31, 2018 TODAY’S TOP STORIES 1. HCA hospitals win $150M in arbitration against Aetna Full story 2. Prices vary within hospitals: Why patients should price shop payers Full story 3. Ochsner Health, Walmart to…

Alaska hospital may lose Medicare funding | Ex-UnitedHealthcare CMO hired by Ohio health system | UPMC physician among 11 killed in Pittsburgh synagogue shooting | BCBS of Massachusetts to pay hospitals to keep patients out

‌ ‌ ‌ ‌ ‌ October 30, 2018 TODAY’S TOP STORIES 1. Alaska hospital may lose its Medicare funding over deficient pharmacy practices Full story 2. UPMC physician among 11 killed in Pittsburgh synagogue shooting Full story 3. Utah insurer…

Iowa hospital sues Medicaid insurers | CHI allegedly defrauded of millions by IT employee, 2 others | CMS told to 'hit pause button' on Medicaid work requirements | 24 cities with higher-than-average healthcare prices

‌ ‌ ‌ ‌ ‌ October 29, 2018 TODAY’S TOP STORIES 1. Iowa hospital sues Medicaid insurers over ED reimbursement Full story 2. Oscar Health CEO: Insurers are ultimately responsible for patients’ end-to-end care Full story 3. Walmart looks to…

Anthem snags former Google leader to manage AI | Aetna's $50M overbilling suit against medical group moves forward | 7th death reported in NJ adenovirus outbreak | Medicaid enrollment falls for 1st time in decade

‌ ‌ ‌ ‌ ‌ October 25, 2018 TODAY’S TOP STORIES 1. Aetna’s $50M overbilling case against medical group moves forward Full story 2. Anthem snags former Google leader to manage AI Full story 3. 7th death reported in NJ…

Microsoft to debut employee health plan | BCBS, NJ community hospital settle network lawsuit | HCA to close Miami hospital | Medical equipment firm to settle false billing claims for $5M

‌ ‌ ‌ ‌ ‌ October 24, 2018 TODAY’S TOP STORIES 1. Microsoft to debut employee health plan with Eastside Health Network, Premera Blue Cross Full story 2. HCA to close Sister Emmanuel Hospital in Miami Full story 3. NJ…

Trump administration's new insurance guidelines for states, employers | 8 latest private equity healthcare deals | 300+ hospital executives to speak at Becker's Hospital Review 10th Annual Meeting | Moody's top risks for payers, providers

‌ ‌ ‌ ‌ ‌ October 23, 2018 TODAY’S TOP STORIES 1. Trump administration’s new insurance guidelines for states, employers: 10 things to know Full story 2. Contracted physicians at Ascension All Saints accused of overbilling Medicare, Medicaid Full story…

UnitedHealth paying $69B toward value-based agreements | Hospital execs see jump in compensation | Oscar wants to use telemedicine for complex conditions | Do private Medicaid plans boost quality, cost savings? Evidence is shaky, report says

‌ ‌ ‌ ‌ ‌ October 22, 2018 TODAY’S TOP STORIES 1. Hospital execs see jump in compensation Full story 2. UnitedHealth paying $69B toward value-based agreements Full story 3. Hack on ACA sign-up portal jeopardizes 75K records Full story…

Health plans defrauded in $1B telemedicine scheme: DOJ | Miss. system blames Humana split on denials | Former HHS, athenahealth leaders raise $360M to sell MA plans | CEO of Steward hospital replaced weeks after CFO departs

‌ ‌ ‌ ‌ ‌ October 18, 2018 TODAY’S TOP STORIES 1. 2 physicians, 3 nurses sentenced to prison for role in $11M billing scheme Full story 2. Former HHS, athenahealth leaders raise $360M to sell MA plans Full story…

UnitedHealth posts $57B revenue; Optum picks up pharmacy | Anthem to pay record $16M HIPAA settlement | Terry Bradshaw, Bobbi Brown to keynote Becker's 2nd Annual Health IT + Clinical Leadership conference | Amazon to expand health plan team

‌ ‌ ‌ ‌ ‌ October 16, 2018 TODAY’S TOP STORIES 1. Anthem’s $16M HIPAA settlement largest in history Full story 2. UnitedHealth revenue soars to $57B; Optum quietly picks up pharmacy in Q3 Full story 3. Medicaid’s new director:…