The nonprofit health plan, which serves nearly 6 million members across California, published a data breach notification on its website stating that member data was exposed between April 2021 and January 2024.
A federal appeals court Tuesday sided with a Southwest Florida health-care provider in a years-long dispute with the state about payments for treating patients in the Medicaid program.
A three-judge panel of the 11th U.S. Circuit Court of Appeals upheld a district judge's decision in favor of Family Health Centers of Southwest Florida, which filed the lawsuit after the state Agency for Health Care Administration largely rejected a request for an increased Medicaid reimbursement rate.
Nurses at University Medical Center in New Orleans are gearing up for their third strike on May 1 as contract talks with LCMC Health remain unresolved, NOLA.com reported.
UMC nurses, backed by National Nurses United, already hit the picket lines twice, once in October last year and again in February this year, over staffing, pay, and safety issues. UMC CEO John Nickens says the strike won’t disrupt operations, with plans to bring in contract nurses from other hospitals to cover the 24-hour period.
The AMA and the Mississippi State Medical Association were successful in their efforts to prevent scope of practice expansions that would have harmed Mississippi patients.
Mississippi House Bill 849 died in committee, while House Bill 1437, a committee substitute, was tabled and didn’t progress to a vote before the state’s legislative session ended on April 6.
Several states are taking measures to protect patients from what some say is a dangerous trend to use AI algorithms only to review and deny medical claims for critical healthcare and clinical laboratory testing.
AI companies are producing tools to help automate the revenue cycle, one of the most expensive and complicated departments of a hospital. These tools have demonstrated promise in collections, but many healthcare leaders remain skeptical that these tools can mend their troubled relationships with insurance companies.