Friday, June 4, 2021

United unveils policy to retroactively deny patient ED claimsUnited unveils policy to retroactively deny patient ED claimsUnited unveils policy to retroactively deny patient ED claims

United unveils policy to retroactively deny patient ED claims

A controversial new UnitedHealthcare policy intended to tamp down on emergency department visits and costs has drawn ire from providers, while insurance analysts question what, if any, impact the regulation will have.



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Texas Children's giving 2% raises, extra week of vacation to staffTexas Children's giving 2% raises, extra week of vacation to staffTexas Children's giving 2% raises, extra week of vacation to staff

Texas Children's giving 2% raises, extra week of vacation to staff

Texas Children's Hospital will give 2% raises to all employees and award them an extra week of vacation for their efforts during the COVID-19 pandemic.



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Vaccination strategies pivot to spur greater patient engagement Vaccination strategies pivot to spur greater patient engagement Vaccination strategies pivot to spur greater patient engagement

Vaccination strategies pivot to spur greater patient engagement

Public health officials in Illinois are shifting from mass vaccination sites to community outreach, hoping to encourage more hesitant residents to get the shot.



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UnitedHealthcare will reimburse family docs for COVID-19 testsUnitedHealthcare will reimburse family docs for COVID-19 testsUnitedHealthcare will reimburse family docs for COVID-19 tests

UnitedHealthcare will reimburse family docs for COVID-19 tests

Some providers have sued UnitedHealthcare for failing to pay for COVID-19 tests. The insurer says it will pay CMS reimbursement rates.



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CMS could pull Georgia's waiver to privatize its ACA marketplaceCMS could pull Georgia's waiver to privatize its ACA marketplaceCMS could pull Georgia's waiver to privatize its ACA marketplace

CMS could pull Georgia's waiver to privatize its ACA marketplace

CMS Administrator Chiquita Brooks-LaSure wants to know more about how Georgia's plan to privatize its Obamacare exchange could affect equity and access to coverage.



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Providence, Kaiser Permanente to build SoCal hospitalProvidence, Kaiser Permanente to build SoCal hospitalProvidence, Kaiser Permanente to build SoCal hospital

Providence, Kaiser Permanente to build SoCal hospital

The 260-bed hospital will replace the existing St. Mary Medical Center in Apple Valley, Calif., when it plans to open in 2026.



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An SEIU health plan severs ties with New York-Presbyterian amid concerns over high care costsAn SEIU health plan severs ties with New York-Presbyterian amid concerns over high care costsAn SEIU health plan severs ties with New York-Presbyterian amid concerns over high care costs

An SEIU health plan severs ties with New York-Presbyterian amid concerns over high care costs

Empire Blue Cross and Blue Shield, SEIU’s third-party network administrator, told the health plan that its administration agreement would be affected following the resolution of Empire’s own contract dispute with New York-Presbyterian.



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Experts see strides on AIDS, but COVID-19 halted progressExperts see strides on AIDS, but COVID-19 halted progressExperts see strides on AIDS, but COVID-19 halted progress

Experts see strides on AIDS, but COVID-19 halted progress

Some researchers believe COVID-19 has derailed the fight against HIV, siphoning away health workers and other resources and setting back a U.S. campaign to decimate the AIDS epidemic by 2030.



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Northwell's Q1 results show recovery, with lower operating deficitNorthwell's Q1 results show recovery, with lower operating deficitNorthwell's Q1 results show recovery, with lower operating deficit

Northwell's Q1 results show recovery, with lower operating deficit

The health system's deficit accounted for the second wave of COVID-19 cases that hit the city as well as expenses associated with vaccination efforts.



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Webinar: Why preventing gun deaths should be a strategic priorityWebinar: Why preventing gun deaths should be a strategic priorityWebinar: Why preventing gun deaths should be a strategic priority

Webinar: Why preventing gun deaths should be a strategic priority

Even amid a pandemic that kept many Americans isolated, gun-related deaths reached a new high of 43,530 in 2020, according to the Gun Violence Archive. Nearly all of these deaths are avoidable. So, should health systems invest in preventing them and addressing their root cause, like they do for medical conditions?

 



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