Category: Health Insurance

Particle Health, Epic resolve dispute but antitrust lawsuit continues

Nonprofit health information exchange network Carequality has finished an investigation into a dispute between Epic and Particle Health regarding the accessibility of patients’ health data.

Montana Looks To Fast-Track Medicaid Access for Older Applicants

As Montana’s population ages, providers serving low-income seniors say more people aren’t getting the care they need as they wait to get on Medicaid. Montana lawmakers are considering creating a shortcut to that care.

Texas pauses Medicaid contracts worth $116 billion

The state of Texas is applying the brakes to its new Medicaid contracts, with a Travis County district judge issuing a temporary injunction that stops the Texas Health and Human Services Commission (HHSC) from carrying out new contracts for the Medicai…

CFPB warns of illegal tactics by medical debt collectors

The Consumer Financial Protection Bureau has issued guidance clarifying that debt collectors are violating federal law when they collect on inaccurate or legally invalid medical debts.

Steward Health Care abandons Norwood Hospital in Massachusetts

Steward Health Care is closing Norwood Hospital and four satellite facilities in Massachusetts and abandoning the properties, according to bankruptcy filing in federal court in Texas on Monday.
The satellite facilities include Norwood Performance Thera…

Pharma execs charged in $1.3 billion drug scheme

Five pharmaceutical distributor executives and five pharma sales representatives have been charged by the Department of Justice for the unlawful distribution of about 70 million opioid pills and 30 million doses of other prescription drugs – worth more…

Employers Haven’t a Clue How Their Drug Benefits Are Managed

The Big Three pharmacy benefit managers say they return nearly all the rebates they get from drugmakers to the employers and insurers who hire them. But most employers seem to doubt that.

AHA urges action as Hurricane Helene affects IV supply

American Hospital Association president and CEO Rick Pollack has sent a letter to President Biden urging immediate action to increase the supply of IV solutions for h

Medicaid insurers ‘missing opportunities’ to improve maternal care

States could do more to require Medicaid managed care organizations (MCOs) to improve access for maternal health, according to an Office of Inspector General report.

What’s New and What To Watch For in the Upcoming ACA Open Enrollment Period

This year’s start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.