Category: Health Insurance

Senate report slams private equity’s ownership of hospitals

A bipartisan Senate report on private equity ownership of two health systems shows PE investment puts a priority of profit over patient health and hospitals finances.

CFPB to remove medical debt from credit reports

Under a new rule finalized this week by the Consumer Financial Protection Bureau, medical bills will no longer be included on credit reports, a move the CFPB expects will remove an estimated $49 billion in medical bills from the credit reports of about…

Medicaid Expansion Debate Will Affect Other Health Policy Issues Before Montana Legislature

Legislative leaders say the decision whether to renew Montana’s Medicaid expansion program this year will loom over behavioral health spending and hospital regulation, among other topics.

14 states to participate in maternal health model

The Centers for Medicare and Medicaid Services kicked off its Transforming Mental Health (TMaH) Model at the beginning of the year, and this week announced the 14 states that will be participating in the 10-year model.

CVS unveils new prescription drug reimbursement model

CVS Health has announced that all commercial prescriptions dispensed through its pharmacies will be now contracted through the company’s CostVantage reimbursement model.
The model removes market reliance on cross-subsidization caused by market basket a…

Richmond University Medical Center data breach affects 674,000

Richmond University Medical Center in New York has experienced a data breach that has potentially exposed the protected health information of more than 674,000 people in and around Staten Island, the facility said.

Health Care Is Newsom’s Biggest Unfinished Project. Trump Complicates That Task.

As Gov. Gavin Newsom enters the second half of his final term, health care stands out as his most ambitious but glaringly incomplete initiative for California residents. The issue will likely shape his national profile for better or worse. And now, Donald Trump brings a new wrinkle.

Lack of oversight found in Massachusetts hospital audit

The Massachusetts State Auditor has conducted a performance audit of the Center for Health Information and Analysis (CHIA), determining that the agency did not adequately monitor the financial conditions of acute care hospitals in the state.

Mayo Clinic sues Sanford Health Plan over unpaid medical bill

The Mayo Clinic and Mayo Clinic Hospital in Rochester, Minn. is suing Sanford Health Plan over a patient’s unpaid medical bill.
Mayo demands $750,000 in the civil complaint filed December 13 in Minnesota. 
Mayo alleges that Sanford in South Dakota is r…

Aetna sues drugmakers over alleged price fixing

Health insurer Aetna has filed a lawsuit against several drug companies, including Pfizer, Novartis and Teva Pharmaceuticals, for allegedly fixing the prices of 111 generic medications and monopolizing and restraining trade.