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Healthcare Insurance

All articles tagged with #healthcare insurance

healthcare-insurance1 year ago

"Uncovering Insurers' Hidden Fees: How Slashed Payments Impact You"

Insurers like UnitedHealthcare are using a little-known data analytics firm called MultiPlan to negotiate lower payments to out-of-network medical providers, resulting in unexpectedly large bills for patients. MultiPlan and insurers have a financial incentive to cut reimbursements, with the smaller the reimbursement, the larger their fee. Patients across the country have been left with large bills, while providers have seen their pay slashed, and employers have been hit with high fees. Regulators rarely intervene, and patients have limited recourse, leading to draining and mostly fruitless appeals.

healthcare-insurance1 year ago

Humana's Strategic Response to Medicare Advantage Challenges

Humana's stock has plummeted after reporting a surprise loss in the fourth quarter due to higher usage in its Medicare Advantage business, with costs expected to remain elevated through 2024. The surge in older patients seeking care last year led to higher-than-expected costs, impacting the company's earnings forecast. The Medicare Advantage market is facing significant regulatory changes and increased medical cost trends, affecting companies like Humana and UnitedHealth Group. The industry may see disciplined pricing and slower enrollment growth in the future due to changing demographics.

healthcare2 years ago

Christ Hospital and Anthem Successfully Negotiate New Contract.

The Christ Hospital Health Network and Anthem Blue Cross and Blue Shield in Ohio have reached a new agreement that ensures continued access to quality care for all of Anthem’s members at all The Christ Hospital Health Network facilities and physician groups. The hospital said the new deal allows them to focus on helping patients in their care.