St. Vincent Healthcare in Billings, Mont., received $267,000 in overpayments from Medicare for calendar years 2010, 2011 and 2012, according to a recent OIG audit report.
Payer
As the second open enrollment period under the Patient Protection and Affordable Care Act continues, California Sen. Ed Hernandez (D-West Covina) has introduced state legislation that outlines tougher rules for health plans in regard to PPACA physician lists, according to…
Insurance giant UnitedHealth Group posted a 5.8 percent for the quarter ended Dec. 31, 2014, which was better than analysts expected, according to a report from The Wall Street Journal.
As the second enrollment period continues for the Patient Protection and Affordable Care Act, Colorado's health plan price differences underscore the health law's limits and intentions, according to The New York Times.
Pittsburgh-based UPMC and health insurer Highmark Health continue to battle, this time in regard to delivering babies at UPMC Magee, according to a Pittsburgh Post-Gazette report.
The nation's largest insurer, UnitedHealth Group, has lost a bid to begin selling coverage across California next year, according to a Los Angeles Times report.
Health insurer Aetna has announced it expects its total medical membership for 2014 to be more than 23.4 million, up from 22.2 million members in 2013, according to an Investor's Business Daily report.
Financially troubled Iowa health insurance cooperative CoOportunity Health has collapsed, according to an NPR-Kaiser Health News report.
A dispute between Pittsburgh-based UPMC and health insurer Highmark Health could end up being resolved through legal means if the Pennsylvania Department of Health decides to refer it to mediation, according to a Pittsburgh Business Times report.
California's Insurance Commissioner Dave Jones has issued emergency regulations in response to consumer complaints regarding narrow networks, such as having difficulty obtaining appointments with physicians, according to a National Law Review report.
