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BCBS Michigan kick-starts full-risk reimbursement arrangements with providers
Blue Cross Blue Shield of Michigan and six physician organizations across the state are launching full-risk reimbursement arrangements for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans, the insurer announced this week.
Health benefits costs expected to rise 5.4% in 2023
Employers are expecting a large hike in health benefits costs next year after they rose 3.2% in 2022, according to a new Mercer poll.
Merger and acquisition deal volumes to continue increasing, PwC finds
Despite a shaky economy and fears of a recession, healthcare mergers and acquisitions are expected to continue, with ever-increasing transaction volumes, according to a new analysis from PricewaterhouseCoopers.
Lawmakers push CMS to prevent fraud, abuse in ACO REACH model
U.S. Senator Elizabeth Warren (D-Mass.) and Representative Pramila Jayapal (D-Wash.) are spearheading an effort by lawmakers to compel the Centers for Medicare and Medicaid Services to look at the ACO REACH model, with an eye toward preventing program …
Oscar Health puts brakes on new ACA signups in Florida
Health insurance company Oscar Health will temporarily stop accepting new members in the state of Florida beginning today, a move the company said was based on a strong Affordable Care Act Open Enrollment performance.
Current Oscar members in the state…
Blue Shield of California partnering with DispatchHealth on in-home care
Blue Shield of California has revealed a partnership with DispatchHealth, a company that provides in-home, same-day healthcare from medical professionals who treat more than 40 health conditions, including respiratory infections, pneumonia and chronic …
AMA, medical societies decry pending Medicare cuts
In a letter to congressional leaders, the American Medical Association and every state medical society are telling Congress that any cut to Medicare payments will “undermine Medicare’s ability to deliver on its promises to seniors.”
UnitedHealth Group, LHC put off completion of merger
Under the watchful eye of the Federal Trade Commission, UnitedHealth Group and LHC Group have extended their merger agreement to March 28, 2023, with the deal expected to close sometime during the first quarter, according to a filing with the Securitie…
Case mix, upcoding fueling ‘high-intensity’ ED billing
High-intensity billing during “treat and release” emergency department stays rose significantly from 2006 to 2019, and was partially fueled by factors such as changes in case mix and service offering expansions, according to a new study in Health Affairs.
Top Stories: UnitedHealthcare pays $10.8M after legal loss; FBI says it can help with healthcare cybersecurity
Another lawsuit, another loss for a major insurer. What happened, exactly? I’m Jeff Lagasse with Healthcare Finance News and we’ll put that question and others under the microscope in this week’s Top Stories, including the FBI’s ongoing healthcare cybe…
