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By Jeff Lagasse | 03:42 pm | July 27, 2023
The plans had operated in seven states; Nevada is now the last of them to place it into receivership, which will affect about 2,000 residents.
By Susan Morse | 11:16 am | July 27, 2023
More than 75% of the 4,654 hospitals in the Care Compare Dataset for 2023 received 2, 3 or 4 stars. 
By Jeff Lagasse | 11:10 am | July 27, 2023
For the 13th year in a row, the healthcare industry reported the most expensive data breaches, at an average cost of $10.9 million.
By Jeff Lagasse | 03:16 pm | July 26, 2023
President and CFO Kevin Hammons says the company is continuing to gauge interest from outside parties related to future divestitures.
By Jeff Lagasse | 11:29 am | July 26, 2023
Insurers are prohibited from imposing copayments, prior authorization and other requirements that are more restrictive than medical benefits.
By Jeff Lagasse | 07:16 pm | July 25, 2023
Facility fees create confusion and increase costs for consumers, such as greater out-of-pocket expenses and higher premiums, the report says.
By Susan Morse | 04:59 pm | July 25, 2023
CMS last week cracked down on noncompliance by pausing the redetermination process in several states.
By Jeff Lagasse | 12:12 pm | July 25, 2023
The Commission rescinded earlier guidance that was opposed to increased regulatory oversight and transparency of PBMs.
By Susan Morse | 11:27 am | July 25, 2023
The lawsuit claims the Cigna PXDX algorithm enables automatic denials for treatments that do not match preset criteria.
By Jeff Lagasse | 03:02 pm | July 24, 2023
The managed care organizations in the review denied one out of every eight requests for prior authorization in 2019.