Susan Morse

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Final rule requires insurers to standardize plan options in the ACA marketplace

In the Notice of Benefit and Payment Parameters for 2023 Final Rule released today, the Centers for Medicare and Medicaid Services is finalizing standards for issuers and insurers in the Affordable Care Act marketplaces, as well as requirements for age…

UnitedHealth Group to sell Change’s claims editing business after merger

UnitedHealth Group intends to sell the claims editing business of Change Healthcare once it acquires Change, according to an April 22 filing with the Securities and Exchange Commission.
UnitedHealth Group has entered into an equity purchase agreement t…

HHS files notice to appeal ruling in No Surprises Act dispute resolution process

The Department of Health and Human Services and other federal agencies have filed a notice to appeal a February ruling that affects the dispute resolution process in the No Surprises Act.

New AHA report highlights surge in hospital input costs

The American Hospital Association today released a new report showing rising input costs for hospitals over the past year for such expenses as
workforce, drugs, supplies and equipment.

Massachusetts AG agrees to $236 million Optum and Atrius Health merger

Optum has received approval from the Massachusetts Attorney General’s Office to go ahead with its planned purchase of Atrius Health.
The AG’s office has determined that, pending judicial review by the Massachusetts Supreme Court, Atrius Health has met …

Humana to divest majority interest in Kindred at Home Hospice and Personal Care divisions

Humana has signed a definitive agreement with private investment firm Clayton, Dubilier & Rice to divest a majority interest in Humana’s Kindred at Home subsidiary, KAH Hospice. 
Under the agreement, Humana will divest a 60% interest in KAH Hospice and…

DOJ appeals transportation mask mandate at request of CDC

The Department of Justice has filed an appeal of a judge’s order that overruled a Centers of Disease Control and Prevention requirement for mask wearing on airplanes and other public transit.
The Justice Department filed the notice of appeal Wednesday …

3.2% payment increase is not enough, American Hospital Association says 

The American Hospital Association is “extremely concerned” that the Centers for Medicare and Medicaid Services is proposing only a 3.2% payment update for general acute care hospitals in 2023, said Executive Vice President Stacey Hughes. 

Hospitals receive a proposed 3.2% payment increase in 2023

General acute care hospitals are projected to get a 3.2% increase in operating payment rates under the Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System proposed rule released Monday

Centene board member resigns, citing need for a fresh approach to leadership 

On Friday,  Centene Corporation’s Board of Directors announced it had accepted the resignation of Leslie V. Norwalk as a member of the board.