Ryan Mooney is executive vice president and general manager of payment integrity at Burlington, Mass.-based HealthEdge. He spoke with Becker's about the need for payment integrity reform and how it will be key for digital transformation. With an estimated 25…
Payer
The U.S. House of Representatives passed a bill March 31 that would cap the out-of-pocket cost for insulin at $35, and the Senate is working on legislation of its own, according to Kaiser Health News.
The public's top healthcare priorities for Congress involve limiting drug prices, according to a Kaiser Family Foundation poll published March 31.
The White House announced April 4 that more than 59 million Americans with Medicare Part B, including those enrolled in a Medicare Advantage plan, can now receive free over-the-counter COVID-19 tests.
COVID-19 has amplified the need for a massive innovation effort in all businesses alike. A recent systematic review of COVID has driven significant acceleration to the adoption of digital tools leveraged by providers and patients.
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UnitedHealth Group is working to avoid a major class-action lawsuit from around 1,000 independent pharmacies nationwide for alleged under-reimbursements totaling more than $100 million, according to Bloomberg.
From UnitedHealth's purchase of LHC to expanded in-home provider networks, here are five recent payer investments in home care services:
Blue Cross and Blue Shield of Oklahoma has named vice president Stephania Grober as president of the organization, effective May 1.
Humana and Louisiana's Baton Rouge General Hospital have reached a coverage agreement for up to 12,000 Medicare Advantage members.
Health Care Service Corp. is making big changes to its senior leadership team.