Hospitals have been acquiring ambulatory care centers at a decent clip in many markets, and this could have a detrimental effect on consumers’ premiums and out-of-pocket spending due to the resulting outpatient facility fees, according to a new report …
At least 3.6 million Medicaid enrollees have been disenrolled as of July 24, according to KFF data from 37 states and the District of Columbia.
Claiming that its old policy statements no longer reflect current market dynamics, the Federal Trade Commission has voted to rescind its prior statements of advocacy for pharmacy benefit managers, effectively ending the agency’s previously stated endor…
Cigna is being sued for using algorithms to allegedly deny claims.
The lawsuit, filed Monday in federal court in California, claims Cigna developed an algorithm known as PXDX to enable its doctors to automatically deny payments in batches of hundreds o…
The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior authorization denials in Medicaid Advantage.
The U.S. Department of Justice and the Federal Trade Commission have released draft guidelines that tighten the review of mergers and acquisitions.
AHIP has named Dr. LaShawn McIver as its new chief health equity officer, effective immediately. The insurer group is framing the hire as part of its efforts to advance health equity.
McIver will lead AHIP’s health equity initiatives, setting and drivi…
The Department of Health and Human Services, through its Substance Abuse and Mental Health Services Administration, is announcing awards in five grant programs devoted to combating multiple facets of substance misuse and the nation’s overdose epidemic….
Due to the financial instability of Friday Health Plans of Colorado and growing concerns about healthcare providers refusing to treat Friday enrollees, the Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), is a…
The staffing and skills shortages in healthcare continues as inflation pressures mount, while roles focused on mental health are among the top 50 healthcare jobs in the US.
The most in-demand position is a nurse, advertising 437,168 vacancies in June 2…
