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 ...
Medicare Advantage now covers about 55% of eligible beneficiaries nationwide — more than 35 million people — but health systems are confronting a question that until recently felt almost taboo: What ...
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 ...
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 ...
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 ...
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 ...
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] ...
Humana’s healthcare services division CenterWell has completed its acquisition of MaxHealth, a Tampa, Fla.-based primary care network focused on adults and seniors, the company said Feb. 13. MaxHealth ...
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.
Becker’s connected with 17 health plan leaders to learn how their organizations are shifting their priorities in response to continued medical cost trends and affordability concerns. Like what you see ...
The CEOs of the nation’s largest health insurers drew the ire of lawmakers on both sides of the aisle during congressional hearings that went for more than nine hours Jan. 22 over industry ...
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