Insurers and health systems across the U.S. have been at odds during the most recent cycle of contract negotiations, and terminated contracts are affecting thousands of patients.
Category: ASC Coding, Billing and Collections
Aetna in the headlines: 5 updates in 30 days
Aetna, a CVS Health company, insurers about 39 million people.
Top payers by incurred claims
Kaiser Permanente Health Plans was the largest payer by total incurred claims in 2020, according to data firm Definitive Healthcare.
Maryland physician to pay $500K billing fraud settlement: 3 details
College Park, Md.-based internal medicine physician Anuja Kurichh, MD, has agreed to pay more than $500,000 to resolve billing fraud allegations, according to the U.S. Justice Department.
Centene in the headlines: 5 updates in 30 days
Centene is one of the nation’s largest health insurers by membership.
National health spending has slowed since 2020, CMS report says
Despite an increased demand for patient care in 2021, national health spending growth has slowed to 4.6 percent compared to 9.7 percent in 2020, according to a CMS news release shared with Becker’s.
Florida physician gets 2 years in prison for fraud
Miami physician Mark Zager, MD, was sentenced to two years in prison for healthcare and wire fraud, the Justice Department said March 24.
Insurer fined $339K after medical group, ASC contract termination
Health Care Service Corp., the parent company of BCBS of Illinois, was fined hundreds of thousands of dollars after terminating its contract with a 600-physician medical group and ASC.
No winners, just losers and survivors amid payer issues
Healthcare is not a one-size-fits-all industry. The current and projected U.S. healthcare and other industries labor markets are experiencing labor shortages that are driving up wages for qualified workers.
Anthem in the headlines: 7 updates from the last 30 days
Anthem is one of the largest health insurance companies in the country by revenue and membership.
