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The complaint alleged corruption by HaloMD, a company that handles the arbitration process for medical billing disputes.
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 agency gave Elevance a deadline of March 30 to submit data corrections to avoid the enrollment freeze.
The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.
As the deadline to extend the enhanced premium tax credits nears, Republicans are coming up with their own plan, Politico reports.
Site neutral policy changes will cut spending by $290 million in 2026, CMS says.
The financial health of hospitals and the financial experience of patients are concepts that are tethered together, says Andrew Bess, EVP at Ensemble.
The health system's relationship with Nomi Health makes direct contracts broadly available to self-insured employers in Michigan.
One health system told the ATA it would cost $1 million a year to comply with the billing mandates of the physician fee schedule final rule.
Health plans identify 39% of all disputes as ineligible, including 45% of non-emergency service disputes.
