Doctors Preyed on Homeless for Slip-and-Fall Schemes; More Doctors Preyed on Homeless for Slip-and-Fall Schemes; More
Physicians and lawyers together recruited homeless people and drug addicts to scam insurance companies. Do sales reps belong in the operating room? This high-risk specialty lowered its claim rates.Medscape Medical News (Source: Medscape Business of Medicine Headlines)
Source: Medscape Business of Medicine Headlines - September 21, 2021 Category: Pharmaceuticals Tags: Family Medicine/Primary Care News Source Type: news

French insurer Alan moves into mental health with Jour acquisition
The $20 million acquisition  of Jour will help Alan launch its employee mental health tool Alan Mind.  (Source: mobihealthnews)
Source: mobihealthnews - September 21, 2021 Category: Information Technology Source Type: news

Defunct Portland insurer's law firm wins $185M award in Obamacare suit
Quinn Emanuel represented Health Republic Insurance. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - September 20, 2021 Category: Health Management Authors: Elizabeth Hayes Source Type: news

Defunct Portland insurer's law firm wins $185M award in Obamacare suit
Quinn Emanuel represented Health Republic Insurance. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 20, 2021 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

Insurer CareFirst launches virtual-first healthcare platform
CareFirst pitches CloseKnit as a way to close healthcare gaps, especially those for primary care. (Source: mobihealthnews)
Source: mobihealthnews - September 20, 2021 Category: Information Technology Source Type: news

Health insurer CareFirst launches new virtual primary care company
Nearly 40% of CareFirst's 3.5 million customers don ’t have a primary care doctor. The insurer's newly launched digital health care company, CloseKnit, is aiming to make a dent in that population. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 16, 2021 Category: Biotechnology Authors: Morgan Eichensehr Source Type: news

Cigna And Oscar Health Expand Small Business Plans To New Markets
Health insurers Cigna and Oscar Health are expanding health insurance for small businesses into new markets. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - September 15, 2021 Category: Pharmaceuticals Authors: Bruce Japsen, Senior Contributor Tags: Healthcare /healthcare Innovation /innovation Enterprise Tech /enterprise-tech business pharma Source Type: news

Should Doctors Be Penalized if Patients Don't Follow Advice? Should Doctors Be Penalized if Patients Don't Follow Advice?
It's often extremely difficult to get patients to change their habits and do what a physician recommends, and yet courts, insurers, and patients themselves often hold the doctor responsible.Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 14, 2021 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Hospital bills add to the problems of coronavirus patients
(Natural News) A number of people who survive a bout of Wuhan coronavirus (COVID-19) infection experience symptoms that affect them in the long term. However, sky-high hospital bills for COVID-19 treatments only make things worse for them. While some health insurance companies cover the cost of treatments for the disease, some hospitals have not followed... (Source: NaturalNews.com)
Source: NaturalNews.com - September 11, 2021 Category: Consumer Health News Source Type: news

Cities Have Firefighters and Trash Collectors. As the Climate Breaks Down, Do They Also Need Resilience Corps?
When Hurricane Ida hit New Orleans in early September, Tonya Freeman-Brown made the difficult decision to stay in the city. The 53 year-old and her family sheltered in an old brick hotel in the downtown area, watching fierce winds of up to 150 mph pelt rainwater at the windows, and remembering the destruction wrought by Hurricane Katrina, 16 years earlier to the day. It was stressful, but Freeman-Brown had a job to do, she says. “We’re no match for nature, but this is what we’ve trained for. This is what the Resilience Corps was built for.” Like firefighters put out fires, and waste collectors keep ...
Source: TIME: Science - September 10, 2021 Category: Science Authors: Ciara Nugent Tags: Uncategorized climate change feature healthscienceclimate Londontime Source Type: news

Court weighs drug distributor's insurance coverage fight
The Ohio Supreme Court is deciding whether the insurance company for a drug distributor should be forced to provide a legal defense in the company's fight against government lawsuits related to the opioid epidemic (Source: ABC News: Health)
Source: ABC News: Health - September 8, 2021 Category: Consumer Health News Tags: Health Source Type: news

Highmark Health acquires sole ownership of Gateway Health
Highmark Health on Tuesday acquired sole ownership of Gateway Health, and also announced plans for the Pittsburgh-based insurer to become a Blue Cross Blue Shield licensee and offer Highmark Wholecare plans in Pennsylvania beginning in January. Gateway Health had been owned by both Highmark Health and the Mercy Health subsidiary of Trinity Health before the two organizations announced that Highmark Health would acquire full ownership for an undisclosed price. That clears the way for Highmark Health… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - September 7, 2021 Category: American Health Authors: Paul J. Gough Source Type: news

Americans' COVID Medical Bills Are Set to Rise
COVID-19 care is likely to get more expensive for Americans with the expiration of insurers' temporary waivers on costs associated with treating the illness. (Source: WebMD Health)
Source: WebMD Health - September 3, 2021 Category: Consumer Health News Source Type: news

Americans' COVID-19 Medical Bills Are Set to Rise
FRIDAY, Sept. 3, 2021 -- COVID-19 care is likely to get more expensive for Americans with the expiration of insurers'temporary waivers on costs associated with treating the illness. Earlier in the pandemic, patients did not have their normal... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - September 3, 2021 Category: Pharmaceuticals Source Type: news

D.C. extends contracts for MedStar and other Medicaid insurers while it plans a rebid
The move by Mayor Muriel Bowser's administration comes after a standoff with the health care provider. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - September 3, 2021 Category: Health Management Authors: Rebecca Cooper Source Type: news

D.C. extends contracts for MedStar and other Medicaid insurers while it plans a rebid
The move by Mayor Muriel Bowser's administration comes after a standoff with the health care provider. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 3, 2021 Category: Biotechnology Authors: Rebecca Cooper Source Type: news

Americans' COVID Medical Bills Are Set to Rise
FRIDAY, Sept. 3, 2021 -- COVID-19 care is likely to get more expensive for Americans with the expiration of insurers'temporary waivers on costs associated with treating the illness. Earlier in the pandemic, patients didn't have their normal... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - September 3, 2021 Category: General Medicine Source Type: news

Covid Medical Bills Are About to Get Bigger
As some insurers focus on encouraging vaccination, temporary waivers that kept patient costs low are expiring. (Source: NYT)
Source: NYT - September 2, 2021 Category: American Health Authors: Sarah Kliff Tags: Coronavirus (2019-nCoV) Health Insurance and Managed Care Prices (Fares, Fees and Rates) Tests (Medical) Source Type: news

Auto Insurers Shortchanged Drivers On COVID Rebates, Consumer Groups Say
(Source: Reuters: Health)
Source: Reuters: Health - September 2, 2021 Category: Consumer Health News Source Type: news

From Startups To Blue Cross Plans, Insurers Expand Medicare Advantage Footprints
Established players in Medicare Advantage including Anthem, the Aetna unit of CVS Health, Anthem, Centene, Cigna, Humana and UnitedHealth Group and they are expected to announce their plans for Medicare Advantage ’s 2022 coverage year in the coming weeks. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - September 1, 2021 Category: Pharmaceuticals Authors: Bruce Japsen, Senior Contributor Tags: Healthcare /healthcare Innovation /innovation Enterprise Tech /enterprise-tech business pharma Source Type: news

Montana State University receives $101M donation for nursing
Montana State University said Monday that the founders of an insurance company are donating $101 million to its nursing school (Source: ABC News: Health)
Source: ABC News: Health - August 30, 2021 Category: Consumer Health News Tags: Health Source Type: news

After years of cuts, Blue Cross NC to hike rates for Obamacare coverage
After years of cutting premium rates for health insurance plans under the Affordable Care Act, North Carolina's largest insurer is increasing rates for 2022. Blue Cross and Blue Shield of North Carolina has been approved for an average rate increase of 2.8% for its Obamacare plans. The company said "skyrocketing" prices for prescription drugs and increased medical costs are the reason for the slight bump, which has been approved by the North Carolina D epartment of Insurance. The change takes effect… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - August 30, 2021 Category: Health Management Authors: David Purtell Source Type: news

After years of cuts, Blue Cross NC to hike rates for Obamacare coverage
After years of cutting premium rates for health insurance plans under the Affordable Care Act, North Carolina's largest insurer is increasing rates for 2022. Blue Cross and Blue Shield of North Carolina has been approved for an average rate increase of 2.8% for its Obamacare plans. The company said "skyrocketing" prices for prescription drugs and increased medical costs are the reason for the slight bump, which has been approved by the North Carolina D epartment of Insurance. The change takes effect… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 30, 2021 Category: Biotechnology Authors: David Purtell Source Type: news

After years of cuts, Blue Cross NC to hike rates for Obamacare coverage
After years of cutting premium rates for health insurance plans under the Affordable Care Act, North Carolina's largest insurer is increasing rates for 2022. Blue Cross and Blue Shield of North Carolina has been approved for an average rate increase of 2.8 percent for its Obamacare plans. The company said "skyrocketing" prices for prescription drugs and increased medical costs are the reason for the slight bump, which has been approved by the North Car olina Department of Insurance. The change takes… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 27, 2021 Category: American Health Authors: David Purtell Source Type: news

Namibia: Insurers Face Covid-19 Claims Test
[Namibian] THE tourism and hospitality sector in both Namibia and South Africa is facing a crisis, with financial losses deepened due to insurance companies' rejection or delay of business-interruption insurance claims related to the Covid-19 pandemic. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - August 27, 2021 Category: African Health Source Type: news

Delta Air Lines Is Charging Unvaccinated Employees $200 Insurance Fee. Will It Work?
As the fourth wave of the COVID-19 pandemic continues, more companies are starting to require coronavirus vaccines for their employees. But this week, Delta Air Lines chose a different tactic when it became the first major U.S. company to say it will charge more for health insurance if employees do not get vaccinated. Some may see this as a compromise between vaccine mandates and more positive incentives, but experts say it could be complicated to execute and that there’s no way to tell how effective it will be. The move represents the tricky calculus employers are being forced to make as they try to keep employees s...
Source: TIME: Health - August 27, 2021 Category: Consumer Health News Authors: Abigail Abrams Tags: Uncategorized COVID-19 Source Type: news

Largest Study of Lingering COVID-19 Effects Suggests a Looming Problem
In the largest long-term study of COVID-19 patients yet to be published, researchers in China report in the Lancet worrying results of the disease’s lingering impact on people’s health. The scientists, led by Dr. Bin Cao from the China-Japan Friendship Hospital in Beijing, studied 1,276 people discharged between January to May 2020 from Jin Yin-Tan Hospital in Wuhan after being hospitalized for COVID-19. The patients all agreed to health visits at six and 12 months after their symptoms first appeared; at each of those points, the researchers compared the health status of the study participants with that of comp...
Source: TIME: Health - August 26, 2021 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized COVID-19 embargoed study healthscienceclimate Source Type: news

Telehealth Took Off During the Pandemic. Now, Battles Over State Lines and Licensing Threaten Patients ’ Options
Televisits for medical care took off during the worst days of the pandemic, quickly becoming commonplace. Throughout, it’s probably seemed like it doesn’t matter what state the provider of these telehealth services is located. But that’s only because most states, along with the U.S. Centers for Medicare & Medicaid Services, temporarily waived rules requiring licensed clinicians to hold a valid license in the state where their patient is located. Now states are rolling back many of those pandemic workarounds—meaning the ability to conduct certain virtual appointments may be nearing an end. Johns ...
Source: TIME: Health - August 26, 2021 Category: Consumer Health News Authors: Julie Appleby / Kaiser Health News Tags: Uncategorized COVID-19 healthscienceclimate Source Type: news

Kenya: Bungoma Targets 34,000 Families in First Phase of Universal Health Scheme
[Nation] Bungoma County has begun mass registration of vulnerable families for a universal health programme backed by the national health insurer. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - August 26, 2021 Category: African Health Source Type: news

With 80% Survival Rates, Liver Transplants Offer New Hope For Some Colon Cancer Patients
Mounting evidence suggests liver transplants can drastically improve survival rates for selected colon cancer patients. But health insurers often stand in the way. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - August 23, 2021 Category: Pharmaceuticals Authors: Deb Gordon, Contributor Tags: Healthcare /healthcare Innovation /innovation Banking & Insurance /banking-insurance Source Type: news

Insurance Companies Stop Waiving Out-of-Pocket COVID Costs Insurance Companies Stop Waiving Out-of-Pocket COVID Costs
Early in the pandemic, 88% of people enrolled in fully insured private health plans would have paid little or nothing out of pocket if they were hospitalized with the virus, the Kaiser Family Foundation said.WebMD Health News (Source: Medscape Infectious Diseases Headlines)
Source: Medscape Infectious Diseases Headlines - August 20, 2021 Category: Infectious Diseases Tags: Infectious Diseases News Source Type: news

Anthem changes policy on pediatric imaging
Anthem has updated its payment policies to allow patients under the age of 1...Read more on AuntMinnie.comRelated Reading: ACR asks insurers for pause in imaging preauthorization Cigna posts high-tech imaging hospital coverage policy CT, MRI payments plummet at private practices Walmart charts new course by steering workers to high-quality imaging centers ACR opens call for comments on 'egregious' insurer policy (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - August 19, 2021 Category: Radiology Source Type: news

The Cost Of Being Unvaccinated Just Went Up — Most Insurers Are Passing Costs Back To Patients As Covid Hospitalizations Soar
The majority of private health insurers are no longer waiving out-of-pocket costs for Covid-19 treatment and are passing these back to patients, according to research by KFF, and almost no provider will still be eating the cost by the end of the year. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - August 19, 2021 Category: Pharmaceuticals Authors: Robert Hart, Forbes Staff Tags: Business /business Policy /policy Innovation /innovation Healthcare /healthcare Breaking breaking-news Editors' Pick editors-pick Coronavirus Source Type: news

Independence Blue Cross names first executive director of health equity
The region's largest health insurer's goal is to ensure "equitable whole person health." (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - August 18, 2021 Category: Health Management Authors: John George Source Type: news

Independence Blue Cross names first executive director of health equity
The region's largest health insurer's goal is to ensure "equitable whole person health." (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 18, 2021 Category: Biotechnology Authors: John George Source Type: news

UnitedHealth acquires insurer PreferredOne from Fairview Health, expanding reach in Minnesota
UnitedHealth Group Inc. may be the nation's biggest health insurer, but it's not the biggest player in the Minnesota insurance market. That's growing, however, with its deal to buy PreferredOne. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - August 17, 2021 Category: Health Management Source Type: news

UnitedHealth acquires insurer PreferredOne from Fairview Health, expanding reach in Minnesota
UnitedHealth Group Inc. may be the nation's biggest health insurer, but it's not the biggest player in the Minnesota insurance market. That's growing, however, with its deal to buy PreferredOne. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 17, 2021 Category: Biotechnology Source Type: news

As patients returned this spring, health insurers saw financial losses
The state's two largest health insurance companies reported losses this spring, and both say it was due to patients who finally returned to hospitals for appointments and procedures they put off during the height of the pandemic. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 16, 2021 Category: Biotechnology Authors: Jessica Bartlett Source Type: news

Insurance Coverage for Vitiligo Treatment Varies Widely in US Insurance Coverage for Vitiligo Treatment Varies Widely in US
Many healthcare insurers consider vitiligo a cosmetic condition and do not cover treatments.Medscape Medical News (Source: Medscape Pharmacist Headlines)
Source: Medscape Pharmacist Headlines - August 12, 2021 Category: Drugs & Pharmacology Tags: Dermatology News Source Type: news

Q & A: How a handshake deal with Bill Frist brought this entrepreneur to Nashville
Mike Uchrin knew he wanted to one day move his family to Middle Tennessee. But as the then-CEO of a health insurance company in Phoenix, Uchrin didn't have clear opportunity to head east. That is, until he was accepted into the Nashville Health Care Council's Fellows program. That's where he met former U.S. Senate Majority Leader Bill Frist, and two years later partnered with him to launch kidney disease management firm Monogram Health. Today, Monogram and the Uchrin's are head quartered in… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 11, 2021 Category: American Health Authors: Joel Stinnett Source Type: news

Intentional overdose prevention in the era of the 90-day prescription - Barnett BS, Carlo AD, Phatak A.
The market share of 90-day prescriptions has risen dramatically in recent years, primarily because of increasing incentivization by insurers, pharmacies, and pharmacy benefit managers. Although 90-day prescriptions may benefit patients, they are potentiall... (Source: SafetyLit)
Source: SafetyLit - August 11, 2021 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

UCLA establishes endowed chair in honor of longtime faculty member Dr. Marjorie Fine
Dr. Catherine Juillard, who studies ways to improve surgical care in underresourced countries, has been named UCLA ’s first Marjorie Fine, M.D., Professor of Clinical General Surgery.Juillard, an associate professor in residence in the UCLA Department of Surgery, is co-director of theProgram for the Advancement of Surgical Equity.“An endowed chair is one of the greatest honors a faculty member can receive,” Juillard said. “It is so much more meaningful to me and my colleagues that the chair also honors the career of a trailblazer, Dr. Marjorie Fine.”Juillard has been a member of the UCLA facul...
Source: UCLA Newsroom: Health Sciences - August 5, 2021 Category: Universities & Medical Training Source Type: news

Clinics Won ’t Provide It. Insurers Won’t Cover It. So Will the First Alzheimer’s Drug Make a Difference?
In theory, the approval of the first drug to treat Alzheimer’s disease would be cause for universal celebration. But from the moment the U.S. Food and Drug Administration (FDA) approved aducanumab on June 7, the drug has been beset by controversy about whether the drug is actually effective—and if the agency bent to pressure from maker Biogen. The conflict came to a head Wednesday when the agency watchdog, the U.S. Department of Health and Human Services Inspector General, announced that it would look into the drug’s accelerated approval, including allegations that the FDA had an “inappropriately cl...
Source: TIME: Health - August 5, 2021 Category: Consumer Health News Authors: Alice Park and Tara Law Tags: Uncategorized Drugs healthscienceclimate Source Type: news

Obamacare Helps Cigna Weather Pandemic
Cigna made $1.5 billion in the second quarter as enrollment in the health insurer ’s individual business under the Affordable Care Act grew about 25% over last year. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - August 5, 2021 Category: Pharmaceuticals Authors: Bruce Japsen, Senior Contributor Tags: Healthcare /healthcare Innovation /innovation Enterprise Tech /enterprise-tech Decision Maker Content decisionmaker business pharma Source Type: news

Don't Want a Vaccine? Be Prepared to Pay More for Insurance. Don't Want a Vaccine? Be Prepared to Pay More for Insurance.
Health insurers could do more to encourage vaccination, including letting the unvaccinated foot their bills.Kaiser Health News (Source: Medscape Infectious Diseases Headlines)
Source: Medscape Infectious Diseases Headlines - August 4, 2021 Category: Infectious Diseases Tags: Infectious Diseases News Source Type: news

Oncologists Face Nightmares Every Day With Prior Authorization Oncologists Face Nightmares Every Day With Prior Authorization
An oncologist describes the frustration of having insurance companies deny tests and drugs that he has ordered:"A part of every day is spent worrying."Medscape Oncology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 4, 2021 Category: Consumer Health News Tags: Hematology-Oncology Commentary Source Type: news

Oregon hospitals show mixed bag when it comes to price transparency
A new federal rule requires hospitals to post the rates for services they negotiate with insurers. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 3, 2021 Category: American Health Authors: Elizabeth Hayes Source Type: news

AHN sues insurer over Covid-19 claims
In a lawsuit filed in the Allegheny County Court of Common Pleas, AHN said the American Guarantee& Liability Insurance Co. has denied or minimized the coverage related to property damage and business income from the Covid-19 pandemic. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - August 3, 2021 Category: Health Management Authors: Paul J. Gough Source Type: news

New North Carolina law extends telehealth option to dentists
Covid-19 hastened the adoption of telemedicine by health-care providers and insurers, ensuring the practice will extend beyond the end of the pandemic. Now, a new law in North Carolina is ensuring the same will be true for dental visits. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - August 2, 2021 Category: Health Management Authors: Sonia Waraich Source Type: news

New North Carolina law extends telehealth option to dentists
Covid-19 hastened the adoption of telemedicine by health-care providers and insurers, ensuring the practice will extend beyond the end of the pandemic. Now, a new law in North Carolina is ensuring the same will be true for dental visits. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 2, 2021 Category: Biotechnology Authors: Sonia Waraich Source Type: news