Category: Health Insurance

Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong

A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.

Ambulatory surgery centers drive Tenet’s strong Q4 results

Tenet Healthcare’s strong Q4 revenue and income results were driven in large part by its partnership and growth in ambulatory surgery centers.
Tenet partners with United Surgical Partners International (USPI), among the largest ambulatory surgery platf…

Almost half of rural hospitals in the red, data shows

It remains a challenging time for the nation’s rural hospitals. The percentage of such hospitals operating with negative margins is slightly lower than it was last year, at about 46%.
At the same time the number of rural hospitals deemed at risk of clo…

Iowa Medicaid Sends $4M Bills to Two Families Grieving Deaths of Loved Ones With Disabilities

States are required to claw back health care costs from the estates of many Medicaid recipients. Some, including Iowa, are particularly aggressive in their pursuit.

Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’

Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.

Physicians warming to AI, new survey shows

The use of artificial intelligence in healthcare is gaining popularity among physicians, finds a new survey from the American Medical Association, though many remain guarded in their enthusiasm due to lingering concerns.

Trump administration fires 5,200 HHS employees

The Department of Health and Human Services is losing an estimated  5,200 probationary employees, according to an audio recording of a National Institutes of Health department meeting reported by the

CMS reduces navigator funding to $10 million

The Centers for Medicare and Medicaid Services has reduced funding for the Affordable Care Act Navigator Program to $10 million, ultimately with the goal of reducing premiums.
According to CMS, the savings from the reduction will allow Federally-Facili…

MultiCare partners with Tuva Health for data insights

MultiCare Connected Care has partnered with Tuva Health for claims and other data insights on more than 375,000 patients.
MultiCare Connected Care is an independent accountable care organization of the nonprofit and physician-led MultiCare Health Syste…

Evernorth, NBA partner on community health

Evernorth Health Services, a division of Cigna, has entered into a multi-year partnership with the NBA and the WNBA on a campaign to improve community health, making it the official health services partner of the two leagues.
The collaboration also mak…