STAT+: Unexpected troubles hit large medical billing firm R1 RCM, part-owned by Ascension
The stock price of R1 RCM tanked by roughly 50% this week after the large…
Category: insurance
Medicare’s midterm punts, MA marketing schemes, and a closer look at the Abiomed deal
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
Health and science are on the ballot this election. Here’s what we’re watching
WASHINGTON — The midterm elections this year are centered on weighty topics: the economy looms…
Opinion: Millions of Americans have health insurance that isn’t ‘good enough’
The open enrollment season for health insurance is gearing up at a time when more…
Opinion: Give Americans the right to save on health care
Dani Yuengling, a 35-year-old South Carolinian, had a family history of fatal breast cancer. So…
STAT+: Private equity’s Welsh Carson, casting itself as a noble force, relentlessly pursues profits in health care
Before the allegations of neglect, before the lawsuits, before the government investigations, the health care…
Montana may be moving away from its innovative plan for setting hospital prices for public workers
Montana is signaling it might step away from an innovative way of setting the prices…
STAT+: Republican ideas to reform Medicare could rile health care industry
WASHINGTON — Democrats are suddenly blasting Republicans on the campaign trail over a surprising new…
Medicare is going to cap patients’ spending on drugs. But there’s no such limit for hospital or doctor bills
By 2025, people on Medicare who take expensive medications will feel significant financial relief: They…
STAT+: Large insurer’s decision to cover some prescription digital therapies may be a milestone for app makers
A large commercial insurer’s decision to cover a controversial class of software-based treatments for psychiatric…
Justice Department sues Cigna for allegedly exaggerating conditions of Medicare Advantage members
The Department of Justice filed a new lawsuit against Cigna Monday, alleging the health insurance…
STAT+: UnitedHealth plots further growth in its profitable provider division
Insurance giant UnitedHealth Group’s strong financial showing in the third quarter was driven in part…
STAT+: Bright exits ACA health insurance marketplaces to stay afloat
Bright Health Group is drastically cutting back its health insurance offerings for next year, including…
STAT+: Medicare Advantage quality ratings plunge as government resets to pre-pandemic standards
Federal officials significantly reduced the quality scores of next year’s Medicare Advantage plans, a move…
STAT+: Health plans say texting could help reach underserved patients. But a federal rule is getting in their way
Health plans trying to reach low-income and underserved customers say they’re being stymied by a…
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STAT+: Medicare tasks a senior adviser with staffing its new drug pricing division
WASHINGTON — Medicare has tasked a senior adviser at the agency with assembling a small…
STAT+: Errors have plagued insurance directories of doctors. The government wants to clean them up with its own
The federal government wants to create a national directory that houses accurate, up-to-date information for…
Get a Ph.D. in health policy — from a single Powerpoint slide
Looking for an actually concise explanation of a half-century’s worth of research and arguments about…
Opinion: Better use of health savings accounts: lessons from Singapore
Today, 9 in 10 Americans have health insurance, more than ever before, yet health care…
Medicare Advantage boosterism, providers’ surprise billing savior in Texas, and a health insurance firewall
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
STAT+: Health insurers are painting a misleading picture of Medicare Advantage savings, experts say
The health insurance industry is continuing its campaign to convince the public that Medicare Advantage…
Opinion: Preventive services can improve Americans’ health, but they are now on trial
Twelve years after the Affordable Care Act was enacted, it appears to be here to…
A teaching hospital payout, Humana flirts with Wall Street, and new dialysis incentives
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
STAT+: Humana appeases Wall Street with big projections of Medicare Advantage growth
Humana is targeting ambitious growth of its Medicare Advantage plans and primary care clinics over…
Raising a RUC-kus, Blues’ antitrust deal appealed, & a UAE deal
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
STAT+: Home Depot, other employers appeal Blue Cross Blue Shield antitrust settlement
Home improvement retailer Home Depot and two other, smaller employers are appealing a recent $2.67…
STAT+: UnitedHealth signs a deal with Walmart for a new Medicare Advantage plan
UnitedHealth Group is poised to widen its lead in the Medicare Advantage market through a…
Judge invalidates parts of the ACA that mandate health coverage of many preventive services and drugs
A federal judge in Texas has ruled that parts of the Affordable Care Act mandating…
STAT+: Doctors, seniors groups flag concerns with Medicare Advantage
Doctors, patients, and seniors groups are airing new grievances about Medicare Advantage, arguing the growing…
Opinion: The No Surprises Act: A Band-Aid protecting business as usual
The No Surprises Act has been hailed as a major bipartisan reform aiming to eliminate…
STAT+: Biden administration largely stands firm on its method for resolving surprise billing disputes
The Biden administration largely stood firm on its plan for resolving disputes over surprise medical…
STAT+: Bright Health Group heads toward insolvency as it rushes to raise more cash
A little more than a year after going public, Bright Health Group is in danger…
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Parents and clinicians say private equity’s profit fixation is short-changing kids with autism
ATLANTA — When a new person comes into his living room, a giggly “E” smiles…
STAT+: Health care industry swarms Washington as surprise billing rules get ironed out
Solving surprise medical bills was supposed to be straightforward. It has been anything but. Already,…
Wall Street’s love affair with insurers, hospitals pressure Medicare, and swimming in a risk pool
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
Opinion: Value-based payment has produced little value. It needs a time-out
The value-based payment crusade is now two decades old. But despite the tens of billions…
Opinion: New price transparency regulations for hospitals, insurers empower patients
Many Americans are accustomed to shopping around for the best deal. We can access reams…
A CEO pay bonanza, how much the rank and file are paid, and a wilderness therapy rabbit hole
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
STAT+: UnitedHealth Group says Medicare Advantage saves money, but the data say otherwise
This past June, UnitedHealth Group’s top two executives, Andrew Witty and John Rex, told a…
STAT+: HCA Healthcare, Cigna chiefs top the lists of best-paid CEOs among providers, insurers
Health insurers and providers often argue over payments at the negotiating table, but in the…
Biotech employees cash in health care’s largest salaries, while people working at providers sit near the bottom
It pays to be in the lab. It pays way less to be at the…
Health care’s high rollers: As the pandemic raged, CEOs’ earnings surged
Health care’s top executives sat comfortably atop their perch during the second year of the…
STAT+: UnitedHealthcare to offer $0 insulin, Epi-Pens, but only for some members
Next year, UnitedHealthcare will offer employer health plans that have no copays or out-of-pocket costs…
Insurers, courts grapple with how and when to pay for wilderness therapy — a polarizing industry with a sordid past
The problems started early on. The young girl from a Denver suburb — identified in…
STAT+: Hospitals have to post their prices. Now, health insurers and employers have to publish what they pay
The federal government’s latest push for more health care price transparency starts July 1, and…
STAT+: Supreme Court rules in favor of insurance plan that pushed kidney failure patient to Medicare
Patients with kidney failure face a murky future if they have insurance coverage through a…
STAT+: Many Blue Cross Blue Shield plans aren’t paying taxes — and instead are swimming in refunds
The Blue Cross Blue Shield system of health insurance companies boasts on its website, “We…
STAT+: New Jersey hospitals scrap merger after FTC challenge
Two New Jersey hospital systems have called off their proposed merger less than two weeks…
STAT+: Florida hospital system sues religious sharing ministry over unpaid medical claims
Orlando Health is suing Liberty HealthShare, a Christian health care sharing ministry, alleging Liberty owes…
California senators advance three bills meant to crack down on health insurers
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…