January 13, 2022
MAYA GOLDMAN
The Supreme Court ruled Thursday that the federal government’s COVID-19 vaccine mandate for healthcare workers can continue while appeals are pending at lower courts.
Category: News
Medicare Advantage market shows signs of valuation bubble ready to burst
January 04, 2022
NONA TEPPER
TARA BANNOW
The past several years have seen headline after headline about investors buying up Medicare Advantage-focused providers for huge sums of money and throwing cash behind startup insurers that promise to disrupt the $350 billion market.
Lenox Hill surgeons sue UnitedHealth, Aetna over reimbursements
December 22, 2021
MARI DEVEREAUX
UnitedHealth Group and CVS Health’s Aetna have been hit with a trio of lawsuits alleging the insurance companies failed to properly reimburse surgeons.
Envision sued over role in California emergency departments
December 22, 2021
TARA BANNOW
A physician group’s lawsuit against Envision Healthcare will test the limits of California’s ban on the corporate practice of medicine.
CMS finalizes new Medicare residency slot implementation
December 17, 2021
MAYA GOLDMAN
Hospitals serving the highest-need areas and unserved populations will get priority for new Medicare-funded residency slots, the Centers for Medicare and Medicaid Services said in a long-awaited final rule published Friday.
UPMC hopes in-house staffing agency will help solve nursing crisis
December 17, 2021
TARA BANNOW
UPMC is upping its game in the ongoing saga to recruit nurses by launching what it’s billing as an in-house travel staffing agency.
UnitedHealthcare must pay TeamHealth $62 million for shortchanging clinicians, jury says
December 07, 2021
NONA TEPPER
UnitedHealthcare must pay $62.65 in total damages for shortchanging TeamHealth clinicians, a Las Vegas jury decided Tuesday.
Health Care Fraud Self-Disclosure Protocol
November 8, 2021
U.S. Department of Health and Human Services
OIG updates the Health Care Fraud Self-Disclosure Protocol, publishes three reports, and posts one enforcement action.
CMS requires COVID vaccines for healthcare staff by Jan. 4
November 04, 2021
Maya Goldman
The Centers for Medicare & Medicaid Services will require COVID-19 vaccines for all employees at Medicare and Medicaid-participating healthcare facilities by Jan. 4, and the Occupational Safety and Health Administration will require all employees at businesses with 100 or more workers to be vaccinated by the same date or get tested for the virus weekly, the agencies announced Thursday morning.
FDA advisers back Pfizer’s COVID-19 vaccine for young kids
October 26, 2021
Associated Press
A panel of U.S. health advisers on Tuesday endorsed kid-size doses of Pfizer’s COVID-19 vaccine, moving the U.S. closer to beginning vaccinations in children ages 5 to 11.