accountability
publication date
Payer
How the Trump Administration Aims to Slash Healthcare Spending
One thing experts from a wide range of fields agree on: The damage will be varied and immense.
Payer
Trump's DOJ Accuses Medicare Advantage Insurers of Paying 'Kickbacks' for Primo Customers
DOJ alleges insurers labeled payments as 'marketing' or 'sponsorship' fees to get around rules that set caps on broker commissions.
Payer
The Firm Running Georgia's Struggling Medicaid Experiment Was Also Paid Millions to Sell It to the Public
Deloitte Consulting is taking in tens of millions in tax dollars to build, manage and market Georgia's Medicaid work requirement...
Payer
The Patient Expected a Free Checkup. The Bill Was $1,430.
Not all services that may be provided as part of an annual physical are paid for by insurance as preventive...
Revenue Cycle
Podcast: Winning a two-year fight over a bogus bill
In July 2022, "An Arm and a Leg" listener Meagan experienced a bout of vertigo that landed her in the...
CMO
A Chicago Hospital Bows to Federal Pressure on Trans Care for Teens
Lurie Children's paused gender-affirming surgeries for people younger than 19 in the wake of an executive order from Trump.
Payer
Hospitals' Lobbying Frustrates MT Lawmakers Who Sought to Boost Oversight
The state hospital lobbyists' political pull has stymied conservative lawmakers.
Payer
Will Post-Brian Thompson Reforms Go the Way of DEI?
What happens when violent events amplify calls for reform?
CFO
Beyond Ivy League, RFK Jr.'s NIH Slashed Science Funding Across States that Backed Trump
The terminations are sparing no part of the country, politically or geographically.
Payer
Years Later, Centene Settlements With States Still Unfinished
Georgia and Florida have yet to settle with the Medicaid PBM.
CMO
MT Renews Accused Cancer Doctor's License Despite Criminal, Civil Inquiries
Questions about whether oncologist Dr. Thomas Weiner would be permitted to continue practicing medicine intensified after a ProPublica investigation exposed...
Payer
Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care
Advocates say it's time Montana joined many other states in limiting how and when insurers can deny drugs or treatments...