Aetna has been fined by California’s Department of Managed Health Care for denying emergency room claims against the state’s standards.
“The plan’s failure to follow California...
A class-action lawsuit against UnitedHealthcare is revisiting how overpayment recovery and cross-plan offsetting affect member costs in employer plans.
The lawsuit—Scott v. UnitedHealth...
While overall out-of-network or potential surprise billing is slightly declining, out-of-network healthcare spending is on the rise for laboratory tests and hospitalists—particularly in...
Inaccurate provider directory information can leave mental healthcare patients paying for out-of-network providers and facing surprise medical bills, a recent Health Affairs study...
Cigna has launched Cigna Care Card to help employers provide extra financial support to their employees during the coronavirus pandemic, the payer announced.
For more coronavirus updates, visit...
Cigna and Humana have announced they are waiving all cost-sharing for coronavirus-related treatment to reduce or entirely eliminate out-of-pocket costs.
For more coronavirus updates, visit...
Cigna and Houston Methodist announced a long-term agreement to cover patients and employees at the hospital.
“This new agreement is great news for all of the people we serve – the Houston...
Surprise billing occurrences can become more likely when providers and payers are locked in a contract dispute, like UnitedHealthcare’s (UHC’s) dispute with MEDNAX that is set to end...
A bipartisan vote in the House Committee on Education and Labor advanced the Ban Surprise Billing Act on February 11, which aims to reduce surprise billing and increase healthcare transparency.
The...
Primary care services were reimbursed 23.8 percent more than behavioral healthcare in 2017, which indicates that among commercial payers the payment parity issue between physical and behavioral...
The Health Care Cost Institute and Blue Health Intelligence, a data division of Blue Cross Blue Shield Association, have struck a multiyear data partnership that will see the latter’s medical...
High healthcare costs are keeping young adults from saving for the future, recent data from CITE Research, commissioned by Lively, shows, making the case for health savings accounts...
Out-of-network specialty visits in California may have declined by 17 percent since implementing AB 72, California’s surprise billing law, a study by the University of Southern...
There are 16 percent more in-network physicians in California since the passing of the state’s surprise medical bills law — indicating that benchmark price setting may not force physicians...
California’s surprise medical billing laws are motivating Anthem to cut reimbursements to physicians in the state, providers argue.
In June, California payer Anthem cut reimbursements for...
UnitedHealthcare and Boca Raton Regional Hospital missed their contract renewal deadline and are communicating to UHC members how to avoid surprise bills as the negotiations continue, the Sun Sentinel...
On June 14, Texas joined the ranks of a score of states with consumer protections against surprise billing (or balance billing) with the signing of Senate Bill 1264.
Effective this September, the bulk...
Before members of Congress retired for the long weekend, leaders of the Senate Committee on Health, Education, Labor and Pensions (HELP) unveiled draft legislation for the Lower Health Care Costs Act...
Legislation to address surprise medical bills must center on the patient, protecting patients from having to take part in mitigating extraordinarily high medical bills.
Such was the conclusion of a...
Eligibility, cost sharing, and the role of private health insurance will be among the primary concerns for policymakers if they choose to design a single-payer health insurance system in the US,...
