An Amedisys stockholder has filed a lawsuit against the home health provider and its directors, alleging they misrepresented key information in a proxy statement related to UnitedHealth's proposed acquisition of the company.
Payer
Georgia has approved 265 people to take part in the nation's only Medicaid program that requires proof of work to receive benefits, the Georgia Recorder reported Aug. 10.
Some state officials say people who have lost Medicaid coverage during the redeterminations process are not all becoming uninsured, Politico reported Aug. 15.
UnitedHealthcare is giving $2.85 million to four Indiana organizations supporting direct service health workers.
Aetna is facing the latest legal setback to its Medicare Advantage contract to provide coverage to retired New York City employees, and parent company CVS Health is implementing layoffs and restructuring as revenues decline.
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Over a dozen states fell behind processing Medicaid applications in May as they redetermined the eligibility of existing members, according to CMS.
Florida's Medicaid program could be facing a financial shortfall, as more residents than the state predicted have remained on the program through the redetermination process, Florida Politics reported Aug. 14.
A group of Pennsylvania lawmakers is introducing legislation to require payers' to disclose how they use AI in claims review and require human review of any AI-processed claims.
CMS warned 36 states they were not meeting federal requirements for Medicaid call center wait times, application processing timelines and rates of procedural terminations.
Presbyterian Health Plan received an estimated $2.2 million in Medicare Advantage payments in 2017 and 2018, according to an audit from HHS' Office of the Inspector General.