Category: Healthcare Finance News

AMA joins class-action lawsuit accusing Cigna of underpaying claims

The American Medical Association is accusing health insurer Cigna of underpaying claims filed by providers in the contracted MultiPlan network, the largest third-party network in the country. The AMA has joined a class-action lawsuit alleging the insur…

HHS approves first Medicaid mobile crisis intervention program in Oregon

In the realm of mobile crisis interventions, the state of Oregon will be getting a boost from the U.S. Department of Health and Human Services. HHS, through the Centers for Medicare and Medicaid Services, has announced approval of the Oregon Health Aut…

Decision on Advocate Aurora and Atrium merger delayed

The Illinois Health Facilities & Services Review Board yesterday voted 3-2 to deny a change of ownership request for the Advocate Aurora Health and Atrium Health merger. The board later voted to reconsider the vote. It next meets on December 13.

Most physicians unsure of when abortion is legally protected

Almost three quarters of physicians, 74%, say they’re unclear on what constitutes a life-threatening emergency that would allow a doctor to legally perform an abortion in states where it is otherwise banned, a new survey has found.

Data did not drive acquisition of Change, UnitedHealth says

Unsealed brief  in the Department of Justice’s case against the UnitedHealth Group and Change Healthcare merger solidify arguments on both sides in the antitrust case.

Aetna expanding to ACA exchanges in four new states

Aetna will now be in the Affordable Care Act’s exchanges in 12 states after adding four more states to that total, the insurer said.
California, Delaware, Illinois and New Jersey have been added to Aetna’s slate for the 2023 plan year, joining Arizona,…

Rural hospitals in trouble if Congress doesn’t renew funding programs, AHA says

Between 2010 and 2021, 136 rural hospitals closed, according to the UNC Cecil G. Sheps Center. Nineteen of these closures occurred in 2020, the most of any year in the past decade.

Envision suing UnitedHealthcare over denied claims; UHC countersuing

Physician firm Envision Healthcare has filed a lawsuit against UnitedHealthcare over the insurer’s denied claims, sparking a countersuit from UHC, which claimed Envision fraudulently upcoded claims for services provided to UHC members.

Consumers willing to pay more for quality healthcare, survey finds

Quality can go a long way in determining if a consumer is willing to pay more for their healthcare, as indicated by new survey responses published by revenue cycle company AKASA.
Out of more than 2,000 respondents, the survey found that 57% would pay m…

Two nurses assaulted each hour on average, data shows

More than two nurses were assaulted every hour on average in the second quarter of this year, translating to roughly 57 assaults per day, 1,739 assaults per month and 5,217 assaults per quarter, according to new data released by Press Ganey.
The findin…