October 21, 2021

NONA TEPPER 

UnitedHealth Group has committed to reprocessing all of its commercial claims related to COVID-19 vaccine administration, after federal investigators confirmed the nation’s largest insurer paid “millions” of provider bills 40% less than the Medicare rate for inoculating patients.

October 18, 2021

NONA TEPPER 

Medicare Advantage is now so big that startups are forming to sell software and services to other startups as a go-to-market strategy.

October 15, 2021
NONA TEPPER

Another Blue Cross and Blue Shield insurer sued GS Labs over its COVID-19 tests on Thursday, alleging the national testing facility forced commercially insured customers to take unnecessary, expensive tests to fleece Premera Blue Cross out of $26 million.

September 30, 2021

JESSIE HELLMANN

The Biden administration on Thursday laid out the process that out-of-network providers and plans can use to settle surprise billing disputes.

September 22, 2021 NONA TEPPER    Twenty Medicare Advantage insurers accounted for more than half of the $9.2 billion the federal government paid for care that beneficiaries may not have needed or received in 2016, according to a Wednesday report by federal investigators. Among these 20 companies, one large insurer stood out for the share […]

September 29, 2021   NONA TEPPER    More than 30 people who opted out of Blue Cross Blue Shield’s $2.67 billion antitrust settlement sued the health plan’s national association on Monday, alleging the insurers’ monopolistic activities increased healthcare costs while decreasing quality of care. The suit, filed in the U.S. District Court of the Southern District of […]

September 14, 2021  Associated Press   PHOENIX (AP) — Arizona Attorney General Mark Brnovich filed the first lawsuit Tuesday to block President Joe Biden’s new vaccine requirements that could affect 100 million workers. Brnovich, who is running in a crowded Republican primary for U.S. Senate, claims Biden is illegally treating U.S. citizens and legal immigrants […]

August 24, 2021 MARI DEVEREAUX

Most private insurers are no longer waiving cost sharing for COVID-19 treatment due to the widespread availability of vaccines rendering the illness largely preventable.

August 17, 2021 MICHAEL BRADY

Nevada awarded Molina Healthcare a Medicaid managed care contract, the company announced Tuesday.

August 09, 2021 MICHAEL BRADY 

Providers face growing legal risk as the Food and Drug Administration winds down emergency actions related to the novel coronavirus pandemic.