Business Intelligence
The deal spans 13 states and includes certain patient service centers and in-office phlebotomy locations.
The pledge is part of a recent series of commitments made by health plans to overhaul prior authorizations.
Ninety percent of beneficiaries lived in a county where at least 50% were in plans sponsored by one or two insurers in 2024.
While the original lawsuit honed in on cut points, the new complaint focuses primarily on customer service phone calls placed by CMS.
The idea is to help organizations create an “on-ramp” for long-term employee wellness, Teladoc says.
The court said Humana didn’t exhaust the administrative appeals process, though CMS has already rejected one appeal.
Officials said the partnership would combine the teams and strengths of both organizations, including their hospital-at-home models.
The $1.7 billion the insurer reports in profit is a 24% dip from the same period last year, officials say.
Some are scaling back services and restructuring their workforce, while others are expanding high-reimbursement lines.
Beacon now operates four additional hospitals, 35 outpatient clinics and an ambulatory surgery center in southwest Michigan.