In the past three years, health insurers overcharged Medicare by almost $30 billion. Despite lengthy delays, federal officials are moving forward with plans to recoup some of the funds, according to NPR.
Payer
Hospitals in Minnesota are calling on the state to look into a new policy enacted by its largest nonprofit health insurer that ends reimbursement for routine colonoscopies and other services under certain circumstances, according to the Star Tribune.
It is too early to tell how a "Medicare for All" policy could affect healthcare stocks and, in turn, 401(k)s, the founder and executive chairman of Fisher Investments wrote in an op-ed for USA Today.
If Beaumont Health closes its proposed acquisition of Summa Health, Beaumont could become a major player in Michigan's hospital-owned managed care business, according to Crain's Detroit Business.
Reno, Nev.-based Renown Health and Anthem have yet to reach an in-network agreement, according to ABC affiliate KOLO TV.
UnitedHealth Group should create new guidelines for covering behavioral health treatment and reevaluate denied claims based on those guidelines, plaintiffs in a class-action lawsuit against the insurer said in a rebuttal, according to MPR News.
Elite Medical Center, a Las Vegas-based acute care hospital that some experts say is operating similarly to a 24/7 freestanding emergency room, has to contract with Medicare and Medicaid beginning in 2021, according to the Las Vegas Sun.
Residents in Massachusetts have been scammed by a fake health insurer allegedly behind a $100 million scheme, The Boston Globe.
CMS filed a proposal July 11 to eliminate a rule that requires state Medicaid plans to record their fee-for-service payments.
Lake Health in Mentor, Ohio, unveiled a health plan for small businesses in partnership with Medical Mutual of Ohio, according to Crain's Cleveland Business.
