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.
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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.
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California's governor signed legislation that will make the state the first in the nation to provide health coverage to some undocumented adults, according to USA Today.
Cigna named former Aetna leader Jeffrey Langsam, DO, market medical executive for its Connecticut market, according to the Hartford Business Journal.
Blue Cross Blue Shield of North Dakota will pay a $125,000 fine after a yearlong investigation found deficiencies in how the health insurer processes mental health and substance abuse claims.
UnitedHealthcare filed a motion to dismiss the amended complaint from a man whose allegations led a federal judge to recuse himself from the case, according to recent court documents.
Boca Raton (Fla.) Regional Hospital, recently acquired by Miami-based Baptist Health South Florida, and UnitedHealthcare provided patients more information about their split that pushed 17,500 patients out of network.