Category: Health Insurance

Humana, Tenet Healthcare reach new deal restoring in-network access

Tenet’s CEO said the exclusion of Humana patients had an adverse effect on the system, with adjusted patient admissions dropping when Humana patients were excluded.

CVS Caremark, Walmart clash over reimbursement rates

The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.

Seniors more likely to switch Medicare Advantage plans in 2019, survey shows

Low out-of-pocket costs, prescription drug coverage and in-network access to providers were some of the factors.

GoFundMe CEO: ‘Gigantic Gaps’ In Health System Showing Up In Crowdfunding

Fundraising for medical expenses leads this crowdfunding website and, according to its chief executive, highlights a deep national need to address the high costs of health care.

Supreme Court hears case over disproportionate share hospital payments

Hundreds of millions of dollars in reimbursement are at stake; $3-4 billion from 2005 to 2013.

Healthcare added more jobs than other sectors in 2018, and the growth outlook is strong

By the end of the year, there were about 16 million people working in healthcare — about 11 percent of all jobs in the overall economy.

Hahnemann University Hospital, St. Christopher’s to share newly-appointed CEO

Hahnemann and St. Christopher’s were recently sold by Tenet Healthcare to American Academic Health System, a newly-formed affiliate of Paladin Healthcare.

Americans express growing concern over Texas ruling on Affordable Care Act

A vast majority said they don’t trust the government to protect their health insurance, and reserved most of their criticism for one political party in particular.

Do your CEO and CFO underinvest in cybersecurity? Here’s why and what to do about it

Executives and board members aren’t cybersecurity experts so putting it in terms they can digest is crucial — and that takes “real-life resonance” and constant vigilance.

Providers Walk ‘Fine Line’ Between Informing And Scaring Immigrant Patients

Some doctors and clinics are proactively informing patients about a proposed policy that could jeopardize the legal status of immigrants who use public benefit programs such as Medicaid. Others argue that because this “public charge” proposal isn’t final — and may never be adopted — disseminating too much information could create unnecessary alarm and cause some patients to drop benefits.