Medicare Advantage provider Clover Health (CLOV) is both despised and loved, depending on whom you ask. The newly-public company has earned a prized status among top meme stocks. But the company is also facing significant backlash in the form of lawsuits after a scathing report from short-seller firm Hindenburg Research.
It was around the second dose of fentanyl going into my IV bag that I stopped trying to control how much all of this was going to cost. I had been arguing with every decision the caregivers at the emergency room were making – “Is this Cat scan actually necessary or is there another diagnostic tool?” “Is there a cheaper version of this drug you’re giving me?” – and reminding them repeatedly that I was uninsured, but either the opioids in my bloodstream, or the exhaustion of trying to rest in a room next to a woman who, given the sounds she was making, was clearly transforming into a werewolf, forced me to surrender.
The five prepaid health plans participating in North Carolina’s Medicaid transformation initiative have joined the statewide coordinated-care network NCCARE360.
Two Delaware healthcare systems and an insurance company plan to form a Medicare Advantage product together to sell in 2022. ChristianaCare, which dominates health care in Delaware and particularly New Castle County, Bayhealth, which offers services primarily in Kent but also Sussex County, and Highmark Blue Cross Blue Shield Delaware say their product will improve the quality of care and reduce costs for seniors in Delaware.
For several years now, medical authorities, business leaders and faith leaders — along with newspaper editorial writers — have encouraged the state legislature to institute Medicaid expansion. This would provide medical coverage for North Carolinians who earn too much to qualify for Medicaid, but too little to qualify for a subsidy on the health-insurance marketplace, aka via the Affordable Care Act, or Obamacare.
HHS has proposed modifying patient privacy rules to remove barriers to coordinated care. The AMA says the proposal is "well-intentioned" but ill-timed and incomplete, having the potential to whittle away protections designed to secure private health information.