Payer

Video: HealthLeaders Weekly Wrap
The Weekly Wrap, HealthLeaders' video series, brings you a quick look at what we're covering around the healthcare industry.
Covenant Healthcare Paid $69M to Settle FCA Allegations
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...

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5 Prior Authorization Updates for Rev Cycle Leaders
Not many regulations have had such a profound impact on patients and organizations like prior authorization requirements.
The Exec: Trinity Health's CEO on How to Improve Care Delivery, Payer Models
Michael Slubowski talks candidly about the future of healthcare and rising costs for nonprofit health systems.
AHA, AHIP, AMA, PhRMA Alliance Urges SCOTUS to Uphold False Claims Ruling
Billions of dollars at stake as high court takes up central tenets of the FCA.
Oscar Health Appoints Former Head of Aetna Mark Bertolini as New CEO
The insurtech is shaking up its leadership group, with co-founder and current CEO Mario Schlosser transitioning to President of Technology.
The Solution is 20/20: Ophthalmologists Ask CMS to Suspend Certain Prior Auth Policies
The AAO addresses prior authorization processes that the group says delay care.
Healthcare executives fail to grasp that getting to population health requires an entirely new, patient-centered model
Many of our country's largest health systems suffered staggering financial losses last year, and the outlook for not-for-profit hospitals in...
TX judge strikes down Obamacare provisions requiring insurers cover preventative care
A federal judge in Texas struck down part of Obamacare that required insurers to cover screenings for breast cancer, Type...
VCs still see opportunity in Medicaid even as healthcare investments contract
It's hard to quantify exactly how much money has been flowing into startups working in the Medicaid space. That's primarily...
Another health insurance showdown as Blue Cross, Medical City near end of contract
Two days ahead of a contract deadline that threatens thousands of North Texas residents? in-network health coverage at Medical City...
Family with health insurance billed $53K for newborn's air ambulance
Matthias Spiegel is a healthy 18-month-old toddler. But on the day he was born, Sept. 17, 2021, breathing issues convinced...
TX judge strikes down ObamaCare's free preventive services requirement
A federal judge in Texas struck down a key provision of the Affordable Care Act that requires insurers and employers...
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