UnitedHealthcare and Oxford Health Insurance contended the payments to New York were an unconstitutional taking of their property.
Category: Health Insurance
DOJ, HHS continue war on Medicare fraud with formation of new regional fraud strike force
Prosecutors for the 10 regional strike forces currently in operation have charged over 3,700 defendants in connection to more than $14 billion in false billings, DOJ says.
Mayo Clinic comes out on top as U.S. News and World Report unveils 2018-19 Best Hospitals
More than 1,100 hospitals were rated high performing in at least one common procedure or condition.
Feds Urge States To Encourage Cheaper Plans Off The Exchanges
Many insurers added surcharges to policies they sold to individuals last year to make up for a cut in federal funding. Now, federal officials suggest that states encourage insurers to sell policies without those surcharges outside of the marketplace to help people who don’t get a premium subsidy.
Moody’s: CMS proposed changes to Medicare’s outpatient prospective payment system could hurt hospitals
Site-neutral clinic payments, 340B drug program policy, adding procedures to covered list for ambulatory surgery centers, all hit hospital margins.
Hospital profits in Massachusetts shriveling due to financial pressure
Hit especially hard were Massachusetts’ community hospitals, with median operating margins plunging to 0.9 percent.
Employers drive healthcare change through direct contracting, ACOs, combatting opioid epidemic
From direct contracting between employers and providers to campaigns aimed at reducing the stigma around mental health issues, employers are doing it for themselves.
Humana completes sale of long-term care insurance policy business KMG, at a loss of $790 million
Insurer is investing in at-home and hospice organizations and is focusing on senior primary care through Walgreens partnership.
Medicaid Officials Target Home Health Aides’ Union Dues
Federal officials are proposing a rule to prohibit home health aides paid directly by Medicaid from having their dues for the powerful Service Employees International Union automatically deducted from their paychecks. The effort would likely mean those workers are far less likely to pay dues and could diminish the union’s influence.
HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount
Some drug companies pay less than what they would otherwise owe by introducing a new drug formulation, HHS Secretary Alex Azar says.
