Reimbursement
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Oscar CEO Mario Schlosser on what makes his pioneering insurtech startup stand out.
This week's top stories include UHC re-examining a new policy drawing backlash that allows it to retroactively deny emergency department claims, and Apple unveiling walking stability assessments in an iPhone update.
Pressure from industry groups caused the insurer to balk, though the policy is still slated to take effect when the pandemic ends.
The AHA said retroactive denial of coverage for emergency-level care would put patients' health in jeopardy.
The return of deferred care will increase utilization and health spending, as will investment in new technologies.
The policy is an attempt to curb healthcare costs, but some providers are worried it could lead to lower reimbursement.
The groups said the move is imperative to ensure health costs are captured adequately and premiums remain stable.
The health plans contend they lost their ability to improve their star ratings due to the CMS interim final rule.
The bill would give incentive for medical school graduates to go into primary and family care rather than a more lucrative specialty.
Insurers should be mandated to continue to waive inpatient out-of-pocket costs, report says.