Here are five recent articles posted by Becker's Hospital Review that concern payer-provider relationships:
1. Same day as hospital concentration study, AMA says payers are the ones with less competition
In 2018, 75 percent of commercial health insurance markets were highly concentrated, according to a study published by the American Medical Association.
2. UnitedHealth sued over $5M in mental health claims
UnitedHealth Group faces a lawsuit for allegedly denying mental health and addiction benefits to maximize profits.
3. Stanford, Lucile Packard hospitals out of network with Anthem
Stanford (Calif.) Health Care and its Lucile Packard Children's Hospital in Palo Alto, Calif., are no longer in-network for Anthem members after negotiations to renew their contract failed.
4. Massachusetts hospital president: BCBS putting profits over patients
The president of a Massachusetts health system and hospital group accused Blue Cross Blue Shield of Massachusetts of caring about revenues more than patients.
5. UnitedHealthcare's specialized Medicare plan reduced ED visits for nursing home patients, study finds
When compared to fee-for-service Medicare beneficiaries, institutionalized UnitedHealthcare members with specialized Medicare Advantage coverage had lower emergency department use, according to a study published in The American Journal of Managed Care.
More articles on payers:
Massachusetts hospital president: BCBS putting profits over patients
UnitedHealth confirms $3.2B Equian deal
General Motors cuts health plan for 50,000 striking employees