As the end of 2025 approaches, so do a handful of payer-provider agreements. Earlier this year, the number of contract disputes were down. While some insurers and health systems reach a resolution — ...
CMS issued a bulletin Dec. 8 outlining guidance on Medicaid’s forthcoming work requirements. Some states are already embracing work requirements, while others are looking for exceptions. Here are ...
State Supreme Court of New York County Judge Lyle Frank denied a preliminary injunction that would have blocked the Jan. 1 rollout of NYCE PPO, a self-funded health plan administered by EmblemHealth ...
Curative recently landed over $150 million in series B funding. Now, the COVID-19 testing company-turned-insurer is expanding. Curative CEO Fred Turner told Becker’s about the company’s choice to move ...
Insurers are updating reimbursement policies that include new rules surrounding remote monitoring and inpatient reimbursement. Here’s a look at some of the most recent notable updates. BCBS North ...
Wisconsin Democratic Gov. Tony Evers vetoed a State Assembly bill that prevents immigrants lacking permanent legal status from getting healthcare reimbursement Dec. 5, despite these individuals ...
UnitedHealth Group is seeking to dismiss a lawsuit filed by Johnson City, Tenn.-based Ballad Health over alleged “Medicare Advantage manipulation,” arguing the health system is bound by arbitration ...
CMS is reminding state insurance departments that federal law preempts any efforts to regulate Medicare Advantage broker compensation and marketing practices. Over the last year, many insurers have ...
Health Care Service Corp.’s Blue Cross and Blue Shield of Texas is still negotiating with Austin-based Ascension Texas as the end-of-year in-network deadline approaches. “We’re negotiating new ...
Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with ...
More than half of ACA marketplace enrollees would be likely to pick up extra work if healthcare costs increase by $1,000 per year, a Dec. 4 KFF analysis found. With enhanced tax credits set to expire ...
Two New York state lawmakers are pressing the state’s health department to investigate UnitedHealth Group’s physician practice arm, Optum, according to a Dec. 3 report from Mid Hudson News. New York ...
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