The vaccination program will kick off in New Jersey.
Category: Healthcare Finance News
Clover Health taps MedArrive to vaccinate its homebound MA members
UnitedHealth, Anthem Medicare Advantage plans penalized for inadequate spending
The Centers for Medicare and Medicaid Services has blocked four Medicare Advantage plans from enrolling new members in 2022 because they didn’t spend the minimum threshold on medical benefits, with three UnitedHealthcare plans and one Anthem plan faili…
CMS won’t take enforcement action for payer-to-payer data exchange in May interoperability rule
The Centers for Medicare and Medicaid Services has announced that it will not take enforcement action against certain payers for the payer-to-payer data exchange provision of the May 2020 Interoperability and Patient Access final rule until future rule…
Intermountain Healthcare and SCL Health announce merger plans
Pending approvals, the merger will form a 33-hospital system that employs 58,000 caregivers and provides insurance to roughly 1 million people.
Report claims 340B hospitals are leveraging discounts to increase profits from cancer drugs
Certain safety net hospitals are charging insurers an average of 3.8 times more than the acquisition costs for oncology drugs, although depending on the drug, the markup can be much higher — up to 11 times the purchase price, a new report has found.
Managed Medicaid plans and health systems hampered from texting consumers by 30-year-old law
A 30-year-old federal law is preventing many managed Medicaid plans from communicating with their members in the way most consumers prefer to get information: by text.
Aetna updates fertility coverage following claims of LGBTQ+ discrimination
Aetna says it wrongly denied requests to cover fertility treatments for certain individuals and that it would rectify its mistake.
DOJ: Independent Health, DxID allegedly inflated MA reimbursement through unsupported diagnosis codes
Insurer Independent Health and a subsidiary, DxID, are under fire from the U.S. Department of Justice for allegedly submitting unsupported diagnosis codes to inflate Medicare Advantage reimbursements.
The alleged violation of the federal False Claims A…
Northwell Health and Walgreens partner on 5-year digital agreement
Northwell Health and Walgreens have announced a five-year strategic affiliation in New York State.
The digital agreement makes Northwell telehealth providers accessible on the Walgreens Find Care platform, expanding community member access to virtual e…
Intermountain postpones all non-urgent surgeries due to COVID-19 surge
Due to a surge in COVID-19 cases, Intermountain Healthcare is postponing all non-urgent surgeries and procedures requiring a hospital admission in its trauma and community hospitals.
Staff are needed for the ICUs and acute care units, Intermountain said.
