Revenue CycleProvider Stakeholders to UnitedHealthcare: A Delay Isn't Enough
Nearly a week after UnitedHealthcare backed off its decision to retroactively deny emergency care claims, provider groups are still hitting...
StrategyIn Mental Health Crises, a 911 Call Now Brings a Mixed Team of Helpers — And Maybe No Cops
Missoula began sending a special crew on emergency mental health calls in November as a pilot project, and next month...
PayerIn Alleged Healthcare 'Money Grab,' Nation's Largest Hospital Chain Cashes In on Trauma Centers
HCA Healthcare's activation fees run as high as $50,000 per patient and are sometimes 10 times greater than those at...
Revenue CycleAHA Blasts UnitedHealthcare's Plan to Retroactively Deny Emergency Claims
"Patients are not medical experts and should not be expected to self-diagnose during what they believe is a medical emergency,"...
Revenue CycleEmergency Physicians Call United Healthcare's ED Denial Policy 'Dangerous'
The American College of Emergency Physicians said that it "firmly believes that the new policy is in direct violation of...
Clinical CareNon-COVID-19 Emergency Department Visits Fell for All Acuity Levels During Pandemic, Study Finds
A 40% decline in emergency department visits for emergent, nonpreventable conditions indicates that many patients with serious health problems avoided...
Revenue CycleUnited Healthcare Will Deny or Limit Coverage for ED Commercial Claims it Considers Non-Emergent
The new policy will apply to "commercial fully insured ED facility claims in many states for dates of service on...
StrategyMinneapolis Police Injured Protesters With Rubber Bullets. The City Has Taken Little Action.
Dozens of people were seriously injured during the protests last summer, leading to lawsuits, promises of reform and calls to...
StrategyColorado Will Pay Hospitals to Close Expensive Free-Standing ERs
The state wants hospitals to convert them to other purposes, such as providing primary care or mental health services.
Clinical CareHomicides Surge in California Amid COVID Shutdowns of Schools, Youth Programs
After more than a decade of fairly steady decreases, California's homicide rate surged in 2020.
Clinical CareIn Appalachia and the Mississippi Delta, Millions Face Long Drives to Stroke Care
Across Appalachia and the Mississippi Delta, more than 80% of counties have stroke death rates above the national average.
NursingHospital Crisis Response Requires Critical Care Readiness
Staffing, space, and supplies should be considered to integrate critical care-specific needs into disaster response planning, article says.