Category: Health Insurance

Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.

Outrageous Or Overblown? HHS Announces Another Round Of ACA Navigator Funding Cuts

Advocates of the sweeping health law view this move by the Trump administration as its most recent act of sabotage. But not everyone views it as a mortal blow.

Hospital-based end-stage renal disease facilities to get 1.8% payment increase

Simplified durable medical equipment bidding will increase access for patients, competition and affordability, CMS says.

CMS cuts Affordable Care Act Navigator funding from $36 to $10 million

This year Navigator organizations will be judged on offering options to the ACA such as Association and short-term plans.

Sustainable cost control tops list of priorities for healthcare executives, Advisory Board study says

The top two priorities boil down to cost and consumerism has surged into the top 5 for 2018, mirroring industry trends.

Inovalon combines with AdvanceRx Walgreens Prime in specialty drug business

The new collaboration will decrease the error rate for providers and lower costs for health plans, CEO says.

Verity Health System poised to sell hospitals to improve its financial picture; some or all may be sold

The health system has gone through its share of ownership changes, and at one point was attached to the controversial Patrick Soon-Shiong, MD.

Patient experience is a big opportunity for hospitals to drive revenue, Black Book says

A full 92 percent of healthcare consumers surveyed said that improving customer experience should be a top strategy this year and a crop of vendors are emerging to meet that demand.

Northwell Health deploys armed guards to beef up security

Pilot test kicks off plan to establish armed guards at all Northwell hospitals within the next year as the system responds to staff demand, increase in workforce violence.

Democrats Rally Against Threats To The ACA To Block Trump’s Supreme Court Nominee

Senate Democrats see health care as an issue that could keep their caucus unified as the confirmation battle heats up.