StrategyAir Ambulances Woo Rural Consumers With Memberships That May Leave Them Hanging
State insurance leaders, politicians and others have raised alarms about the slickly marketed membership campaigns.
Clinical CareDocs Complain to Congress About Prior Authorization Hurdles
Physicians say prior authorization creates undue time burden and administrative costs.
StrategyWe Asked Prosecutors if Health Insurance Companies Care About Fraud. They Laughed at Us.
To protect their networks and bottom lines, health insurers don't aggressively pursue widespread fraud, making it easy for scammers. Then...
StrategyHospital Giant Sutter Health Faces Legal Reckoning Over Medical Pricing
Sutter stands accused of violating California's antitrust laws by leveraging its market power to drive out competition and overcharge patients.
Innovation'Locally Grown' Insurance Companies Help Fortify Washington State Market
Insurance premiums for Washington's individual market are rising less than 1% on average next year, and regulators credit much of...
FinanceDialysis Industry Spends Big To Protect Profits
This year's political spending is aimed at killing a bill in the California legislature that would disrupt the industry's business...
CMS Expands Star Ratings for Exchange Health Plans
Starting with the 2020 enrollment period, Health Exchange plans in every state will be graded on a five-star quality rating....
Despite Strong Economy, Uninsured Ranks Grew by 700,000 People
Population growth and gains in employer-sponsored coverage did not overcome drops in Medicaid, CHIP and ACA marketplace coverage.
FinanceMoody's Outlook Darkens for Team Health
UnitedHealth will cancel two-thirds of Team Health's in-network contracts over the next 11 months.
FinanceTo Save Money, American Patients And Surgeons Meet In Cancun
Hospital costs in the U.S. are so high that it made financial sense for a surgeon from Milwaukee and a...
Where Tourism Brings Pricey Health Care, Locals Fight Back
In an area where average emergency room claims reached 842% of Medicare rates, residents of a Colorado county found relief...
Are Trump's Top Medicaid Regulators Ignoring Major Problems?
The CEO of Centene, a company now entangled in a broader federal inquiry, met with Sen. Bob Casey to allay...