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A Fulton County court has ruled Anthem Blue Cross Blue Shield patients are to remain in-network for Northside Hospital doctors and facilities inde? nitely, until the state Department of Insurance reviews the ongoing Northside- Anthem dispute. Recently, Fulton County Superior Court Judge Rachelle Carnesale extended an injunction keeping Anthem patients…
A New Mexico woman is alleging she was discouraged from medical treatment by her insurer.

Sharity Ministries, formerly known as Trinity HealthShare, filed for bankruptcy in late 2021 and began the liquidation process. With so many outstanding claims against the ministry, it is unlikely that its members will receive the reimbursements they are owed.

Community Solutions' Center for Medicaid Policy. Under the declaration, Ohio and other states were unable to take people off Medicaid, even if they became ineligible. But the worry is underfunded and understaffed counties are facing the task of combing through the entire Medicaid population to disenroll ineligible people– all within a 90- day deadline…

Owner of Counseling Agency and Supervising Manager Sentenced on Healthcare and Wire Fraud Charges. SHREVEPORT, La.- United States Attorney Brandon B. Brown announced that Marty T. Johnson and Keesha Dinkins were both sentenced today by United States District Judge Donald E. Walter in connection with a healthcare fraud and wire fraud scheme they were involved…

Apr. 16— More than 8,000 nurses and other health care workers at 15 Sutter Health medical facilities across Northern California, including in Santa Rosa, are planning to strike Monday in hopes of moving along contract negotiations. "We're striking to try to keep our retirement and benefits, to make sure we're safe with enough protective equipment and to have the…
A New Mexico woman is alleging she was discouraged from medical treatment by her insurer.

Dr. Michael Romano, chief medical officer for the Nebraska Health Network, said $0 insulin is a step in the right direction toward removing some of the barriers that can keep people from addressing chronic diseases like diabetes.

Maine Health claims $13 million in underpayments, by its lights, and $70 million in non-payments from Anthem, which controls 11% of the national market. It's also Maine's largest insurer, and Blue Cross franchisee. Its presence here dates to 2000, when it acquired the ailing Maine Blue Cross- Blue Shield, the state's largest health insurer– and non-profit, as most…
Ohio is delaying planned changes to Medicaid.

The Consolidated Appropriations Act of 2021 requires most brokers and consultants providing services to ERISA-covered group health plans to disclose to plan fiduciaries (typically, the plan sponsor), in writing, any and all direct or indirect compensation they receive.

—UnitedHealth Group thumped Wall Street’ s first-quarter expectations and raised its 2022 forecast, as growing Medicare Advantage coverage and care delivery once again bolstered the health care giant. The nation’ s largest health insurance provider reported on Thursday adjusted earnings of $5.49 per share as total revenue grew more than 14% to $80.1…
A New Mexico woman is alleging she was discouraged from medical treatment by her insurer.

The complaint alleges that Washington state doctors filed Medicare claims for surgeries that were never performed, and that at least two surgeries were performed that necessitated intervention by another surgeon to repair damage.
The NAIC executive committee recently approved a new process for long-term care rate review.

The National Association of Insurance Commissioners approved a framework to bring consistency to long-term care insurance pricing, but carriers say the pilot program for the structure did not work.

This week in California, Gov. The other half would be used to set up an in-state insulin manufacturing facility, as outlined in a budget proposal by the state’ s Department of Health Care Access and Information. The initiative is unique for a state, and it comes as Congress debates its own insulin cost measures, including limiting what people pay out of pocket to $35 a…

In a last-ditch attempt to change the health care laws in the Bay State, Gov. Charlie Baker appeared before a joint legislative committee to sell them on a plan he first proposed in 2019.. Jay Livingstone, a Democrat from the Back Bay, asked Baker if this sort of proposal has a model or has been studied before.

WPS Health Insurance and its wholly owned subsidiary, The EPIC Life Insurance Company ®, are planning to expand Medicare supplement insurance, already being sold in 16 states, to 29 more states over the next 36 months. The insurance plans from WPS Health Insurance and The EPIC Life Insurance Company offer customers no-worry, no-hassle service backed by…

Sidecar Health anticipates quickly expanding the offering to additional states. Sidecar Health is about providing our members with complete transparency and the ability to shop for the best care possible independently,” said Patrick Quigley, Founder and CEO of Sidecar Health.“ Expanding our offerings to employers was naturally the next step for Sidecar…

Maryland is slated to launch a paid family and medical leave insurance program for nearly every worker statewide after the Democrat-controlled General Assembly overrode Gov. The decision by lawmakers to launch the paid leave program over the Republican governor’ s objections came amid a series of weekend votes to overturn Hogan’ s Friday vetoes of a number…