CMS is moving forward with the next phase of its national directory of Medicare providers, according to Feb. 18 document. The document outlines plans to “beta launch” the directory of providers, ...
An insurance brokerage president and the CEO of a marketing company were each sentenced to 20 years in prison for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to ...
There’s “a hunger for a different kind of dialogue” when it comes to relations between payers and providers, according to Aetna President Steve Nelson. Mr. Nelson laid out a vision for Aetna that ...
Paul Markovich, president and CEO of Ascendiun, the parent company of Blue Shield of California, is not one to sugarcoat the state of the healthcare system. “I don’t see how you can look at it and say ...
Imagine360’s new chief product officer, Nilima Rajkumar, has concerns with pricing transparency in healthcare, specifically how traditional insurers may go off of hospitals’ chargemasters. “[Insurers] ...
EmblemHealth will pay $2.5 million after an investigation by the New York attorney general’s office found the insurer violated parity laws and failed to ensure access to mental healthcare services ...
The Indiana Hospital Association is aiming to “expose abusive insurer practices” through its Access Denied campaign, a Feb. 17 news release said. The initiative includes a web portal addressing care ...
Justice Department sues OhioHealth for allegedly blocking lower-cost health plans — 4 things to know
The Justice Department and the state of Ohio on Feb. 20 filed a civil antitrust lawsuit against OhioHealth, alleging the system used anticompetitive contract provisions to drive up healthcare costs ...
UnitedHealth Group Board Chairman and CEO Stephen Hemsley privately invested in healthcare companies that work with UnitedHealth or have competing offerings, The Wall Street Journal reported Feb. 16.
The Alabama Senate unanimously passed a bill Feb. 17 that would allow the state’s dominant health insurer, Blue Cross Blue Shield of Alabama, to reorganize under a nonprofit holding company, a ...
The trustee overseeing litigation claims for bankrupt Dallas-based Steward Health Care System is suing five payers, alleging they owe the system’s former hospitals at least $56.9 million in unpaid ...
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