Payer

A Florida payer is accusing five businesses who sell or market health plans of unlawfully providing policies associated with Native American tribes to circumvent state laws. 

After three mass shootings in less than two weeks, CareOregon said it is standing with other healthcare organizations that have declared gun violence a public health crisis. 

Between telltale signs of a looming recession to major health systems facing steep losses coming out of the first quarter, it's clear the healthcare industry is likely to face continued economic challenges beyond COVID-19 in the near future. 

The Justice Department is pursuing legal action against several major Medicare Advantage payers and providers for alleged fraudulent risk adjustment coding practices, according to The Washington Post.

A Colorado bill that would require healthcare-sharing ministries to submit annual reports on their operations to the state's insurance commissioner has been sent to Gov. Jared Polis' desk. 

The board of governors for L.A. Care Health Plan unanimously approved a resolution in support of federal gun safety legislation following several mass shootings across the country in recent weeks.

Humana hired Adam Buckalew from consulting firm Alb Solutions in April to work on healthcare payment policy, Medicare Advantage, Medicare Part D, healthcare clinical services and other payer policy matters, according to Politico.

Duffy & Duffy, a medical malpractice law firm based in Uniondale, N.Y., surveyed 3,251 individuals across the country in April to determine which states' residents know the most and least about their health plan policies.

UnitedHealthcare told the Supreme Court on May 31 that the U.S. Court of Appeals for the District of Columbia made a mistake last August when it ruled against the payer's legal challenge to a Medicare Advantage overpayment rule.

The financial outlook for Medicare's hospital insurance trust fund improved slightly in 2021, but the threat of insolvency still looms, according to the "2022 Medicare Trustees Report" released June 2.