Blue Cross of Idaho said Monday that it sent a letter to the Department of Insurance to investigate Nutex Health Inc's. business model and its use of the independent dispute resolution process. Blue Cross is the state's largest health insurer and Nutex Health is a for-profit health care company based in Houston. Its hospital division includes Post Falls ER and Hospital that opened last year. 'Over the past year, Blue Cross of Idaho has made good-faith efforts with Post Falls ER & Hospital to come into network for our members in North Idaho,' said Drew Hobby, chief strategy officer for Blue Cross of Idaho. 'Unfortunately, Post Falls ER & Hospital rejected our offers to agree to fair, in-network rates and has elected to continue seeking payments through the independent dispute resolution process that often exceed 1,000-percent of Medicare rates.' Hobby said in one instance, they received a claim for nasal congestion that was $2,872 to treat a runny nose.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
...
