STAT

OCTOBER 2, 2023

Health care providers and health insurance companies are closing the books on their third quarters, and one major question continues to hang over them: How much care is everyone actually getting, now that Covid-19 isn’t scaring so many away from doctors and hospitals?

Hospitals 114

Hospitals Health Insurance Companies Insurance 114

STAT

JULY 25, 2024

UnitedHealth Group started out as a small, Minnesota health insurance company and has since morphed into a modern-day Standard Oil, exerting unmatched dominance over health care in the United States. And thanks to a series of stealthy deals, almost 1 in 10 U.S.

Health Insurance Companies 145

Health Insurance Companies Insurance Hospitals 145

STAT

JUNE 4, 2024

The federal government inappropriately lowered the 2024 Medicare Advantage star ratings of SCAN Health Plan, which led to the health insurance company in California losing hundreds of millions of dollars in bonuses from the government, a judge ruled Monday. Continue to STAT+ to read the full story…

Health Insurance Companies 137

Health Insurance Companies Insurance Hospitals 137

STAT

AUGUST 10, 2023

AdventHealth, a large religious-affiliated hospital system, has sued MultiPlan, alleging the company has worked with health insurers to create a “cartel” that systematically underpays hospitals and doctors for care that is delivered out of an insurance company’s network.

Health Insurance Companies 98

Health Insurance Companies Insurance Hospitals 98

STAT

NOVEMBER 22, 2023

The lawsuit builds on the Federal Trade Commission’s complaint filed in September, which argued USAP and Welsh Carson illegally bought up anesthesia practices across Texas as a way to concentrate market power, gain negotiating leverage over health insurance companies, and raise prices.

Health Insurance Companies 138

Health Insurance Companies Insurance Hospitals 138

STAT

OCTOBER 2, 2023

Arbitration, the land where nobody is happy After Congress officially outlawed most types of surprise medical bills last year, there’s been endless, litigious debate as to how health insurance companies and providers should settle their differences while patients are held harmless.

Health Insurance Companies 138

Health Insurance Companies Insurance Hospitals 138

STAT

OCTOBER 2, 2023

After Congress officially outlawed surprise medical bills last year, there’s been endless, litigious debate as to how health insurance companies and providers should settle their differences over how much to pay for out-of-network medical bills. Continue to STAT+ to read the full story…

Health Insurance Companies 126

Health Insurance Companies Insurance Hospitals 126

STAT

MAY 4, 2023

Option Care Health is buying Amedisys in an all-stock merger valued at $3.6 billion, creating a national company that specializes in almost all types of home care that can be provided from cradle to grave. billion acquisition of LHC Group.

Health Insurance Companies 98

Health Insurance Companies Insurance Hospitals 98

STAT

MARCH 13, 2023

When NaviHealth began building a business around using algorithms to scrutinize the care of older patients a decade ago, one of the country’s largest chains of inpatient rehab and long-term care hospitals was among the first to invest.

Health Insurance Companies 98

Health Insurance Companies Insurance Hospitals 98

The Checkup by Singlecare

DECEMBER 26, 2023

To fix this issue, the Centers for Medicare and Medicaid Services (CMS) introduced a new hospital price transparency rule that went into effect on January 1, 2021. The ruling requires hospitals to publish their pricing in a consumer-friendly format. How much does an MRI cost without insurance?

Insurance 64

Insurance Insurance Coverage Hospitals Mayo Clinic 64

The Checkup by Singlecare

SEPTEMBER 19, 2024

Healthcare providers may also prescribe Synjardy to reduce the risk of cardiovascular death and hospitalization for heart failure in adults with Type 2 diabetes and heart failure. Without insurance, the average cost of Synjardy is $789 for 60, 12.5-1000 Is Synjardy covered by insurance? 1000 mg tablets. 1000 mg tablets.

Insurance 52

Insurance Insurance Coverage Health Insurance Companies Independent Pharmacies 52

The Checkup by Singlecare

FEBRUARY 14, 2025

Some people may be drawn to the affordability of compounded semaglutide, hoping to manage costs through insurance. However, most insurance companies dont cover compounded semaglutide, especially for weight loss, leaving many to pay potentially high out-of-pocket costs. Does insurance cover compounded semaglutide?

Compounding 52

Compounding Insurance Compounding Pharmacies FDA 52

The Checkup by Singlecare

MARCH 7, 2024

According to Dexter Turnquest, MD , a bariatric surgeon at Houston Methodist Hospital , Wegovy is “an injectable medication that is taken once per week and will induce a feeling of prolonged satiety due to delayed gastric emptying, as well as decreased appetite.” How much does Wegovy cost without insurance? Does insurance cover Wegovy?

Insurance 98

Insurance Insurance Coverage Health Insurance Companies FDA 98

Viseven

MARCH 25, 2025

In the future, a number of hospitals, clinics, and other healthcare organizations will leverage the combination of business intelligence and artificial intelligence to analyze data and make the right decision based on the analysis. It can benefit individual healthcare providers just as much as whole hospitals and other facilities.

Health and Personal Care Stores 52

Health and Personal Care Stores Patient Care Hospitals Insurance 52

The Checkup by Singlecare

AUGUST 15, 2024

When using health insurance for medical services, the health plan enrollee must pay a portion of the cost. This is known as “cost-sharing,” which is how health insurance companies split the cost of care with the enrollee. Do copays count toward your health insurance deductible?

Insurance 52

Insurance Hospitals Health Insurance Companies Immunization 52

pharmaphorum

AUGUST 18, 2020

Teladoc is the only public-traded telehealth company in the US, and concerns from its investors seemed to centre on the price it was paying to meld with Livongo , particularly as the value of the latter’s stock sank below the offer price soon after it was announced.

Health Insurance Companies 76

Health Insurance Companies Insurance Hospitals 76

The Checkup by Singlecare

FEBRUARY 24, 2023

If it’s within a hospital setting, a beneficiary may have to pay a copay of 15% of the physician’s services.” Then you’ll need to pay for 15% of the procedure bill unless you have Medicare Supplement Insurance or a Medigap plan that helps cover copays and coinsurance not covered by Medicare.

Insurance 52

Insurance Health Insurance Companies Hospitals 52

SingleCare

NOVEMBER 17, 2021

However, it’s always a good idea to check the coverage and benefits offered by your insurance plan. Emergency situations, such as a laceration, fractured bone, serious concussion, acute sprain or strain, or severe illness, should be treated at an urgent care clinic, hospital emergency room, or a primary care provider’s office.

Mail-Order Pharmacies 52

Mail-Order Pharmacies Controlled Substances Health Insurance Companies Insurance 52

STAT

OCTOBER 5, 2022

The federal government wants to create a national directory that houses accurate, up-to-date information for all doctors and providers across the country — an ambitious attempt to rectify the plethora of error-riddled directories that are maintained by health insurance companies.

Insurance 102

Insurance Health Insurance Companies Hospitals 102

STAT

JANUARY 16, 2025

In UnitedHealth Group’s first public appearance since the killing of a top executive, leaders acknowledged the public’s discontent with the health care system, but quickly piled blame on drug companies and hospitals. The company’s stock has lost nearly 14% of its value since the Dec. 4 killing.

Health Insurance Companies 145

Health Insurance Companies Insurance Hospitals 145

STAT

DECEMBER 16, 2024

  Using AI appeals for AI denials Health insurance companies are using artificial intelligence to automate care denials, and now patients and entrepreneurs are fighting back using that same technology, my colleague Casey Ross reports. Continue to STAT+ to read the full story…

Health Insurance Companies 109

Health Insurance Companies Insurance Hospitals 109

STAT

JANUARY 17, 2024

The Biden administration moved Wednesday to force insurance companies to give specific reasons for denying coverage, and to speed up the pre-approval process in general. The new rule applies to health insurance companies that offer Medicare, Medicaid, Children’s Health Insurance Program, and Obamacare plans.

Insurance 136

Insurance Health Insurance Companies Hospitals 136

STAT

NOVEMBER 4, 2024

It’s especially instructive to know where business executives are putting their dollars — it signals their politics, which informs how they run their companies and what they want to get out of federal policymaking.

Hospitals 101

Hospitals Health Insurance Companies Insurance 101

STAT

NOVEMBER 1, 2024

A vast majority of CEOs of major health systems and insurers are steering clear of donating their money to either Vice President Harris or former President Trump. Many executives either didn’t make political donations or gave to their companies’ political action committees, similar to pharmaceutical CEOs.

Health Insurance Companies 133

Health Insurance Companies Insurance Hospitals 133

STAT

FEBRUARY 25, 2025

The executive order promises “radical transparency” on health care prices for patients by ordering the Departments of the Treasury, Labor, and Health and Human Services “to rapidly implement and enforce the health care price transparency regulations.”

Health Insurance Companies 113

Health Insurance Companies Insurance Hospitals 113