Susan Morse

Author's posts

Denials top reason for eroding provider-payer relationship

A new report by the Healthcare Financial Management Association shows a deteriorating relationship between providers and payers.

Denials top reason for eroding provider-payer relationship

A new report by the Healthcare Financial Management Association shows a deteriorating relationship between providers and payers.

AMA pushes for stricter standards for hospital charity care policies

The American Medical Association has voted to support greater oversight of nonprofit hospitals’ charity care policies that justify their tax-exempt status.
The AMA wants a standardization of the financial assistance process as current criteria varies a…

DOJ sues to block UnitedHealth’s acquisition of Amedisys

The Department of Justice has sued UnitedHealth Group and Amedisys over their planned merger due to anticompetitive concerns.
UnitedHealth and Amedisys are two of the largest home health and hospice providers in the country, according to the lawsuit fi…

Astrana Health to acquire Prospect providers, health plan

Technology company Astrana Health is acquiring certain assets of Prospect Health for $745 million.

Cigna nixes speculation of a Humana merger

Cigna confirmed today it is not pursuing a combination with Humana. 
The comments released in a statement affirming its capital priorities, dismiss reports circulating earlier this fall that Cigna and Humana were in informal talks about a potential mer…

Venture capital firm HATCo to buy Summa Health for $485 million

Akron, Ohio-based Summa Health has entered a definitive agreement to be purchased by venture capital firm General Catalyst Health Assurance Transformation (HATCo) for $485 million.

Venture capital firm HATCo to buy Summa Health for $485 million

Akron, Ohio-based Summa Health has entered a definitive agreement to be purchased by venture capital firm General Catalyst Health Assurance Transformation (HATCo) for $485 million.

What Trump’s election means for healthcare

Tom Leary, head of Government Relations at HIMSS, is tracking what the change in the administration could mean for interoperability and data sharing regulations that are already well underway. He and his team are also looking at what a new Congress mea…

Elevance latest insurer to sue over Medicare Advantage star ratings

Elevance Health is the latest insurer to sue the Department of Health and Human Services over Medicare Advantage star ratings.
Elevance, with affiliates Community Insurance Company in Ohio and Wellpoint in Texas, filed the lawsuit last week in federal …