Susan Morse
UnitedHealth Group says it plans to invest $1.6 billion in AI this year.
Insurers denied more claims on clinical grounds in 2025 compared with 2024, says new report.
The hospitals want DSH calculations changed back to a pre-2004 standard and payment of additional amounts, plus interest.
Kurt Small, president of Medicaid for Elevance, will become president and CEO of CareFirst BlueCross BlueShield.
The proposal is for new policies to ease interstate care barriers and promote healthcare access across state lines.
The company is opening small, dedicated neighborhood pharmacies as well as expanding the number of stores.
The bill is aimed at prohibiting large health insurers, such as UnitedHealthcare, from controlling a PBM or physician group.
Hospitals are on the receiving end of patients coming through the door who don't have the funds to cover services, says Seth Cohen, president of Cedar.
The non-binding committee will make recommendations on, among other issues, ways to modernize MA risk adjustment and quality measurement.
The large New York City hospital system used its market power to restrict contacts with insurers, insulating it from price competition, or "erosion of rates of payment," says DOJ.