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Payrolls continue to grow while year-over-year wage growth has declined from recent peaks, the ratings agency finds.
Optum Rx forced pharmacies to grant it discretion in calculating DIR fees they had to pay, the lawsuit claims.
The purchase price for the transaction, net of certain tax benefits, is reduced from $510 million to approximately $425 million.
The combined systems would create a 30-hospital network with a reported $14 billion in revenue.
A merger between competitors that increases concentration and consolidates a market may substantially lessen competition, agencies say.
Health officials are asking patients to avoid using emergency rooms for nonemergency purposes as admissions soar.
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Survey shows consumers may postpone medical care if they cannot afford it, but payment options and financing plans might help[i].
The lawsuit accuses Humana of cutting payments prematurely for rehabilitative care based on its AI model's "highly inaccurate" recovery predictions.
Of the roughly 1.1 million enrollees who have opioid use disorder, just 18% receive medication to treat it, OIG said.
The Federal IDR process is used when plans and providers cannot agree on the payment amount for out-of-network items and services.