STAT

JULY 3, 2024

More than two dozen Medicare Advantage insurers received higher quality marks for 2024, based on a STAT review of new data released July 2 by the federal government. Federal courts required the Centers for Medicare and Medicaid Services to make changes after ruling the agency made mistakes with its own methodology.

Insurance 111

Insurance Health Insurance Companies 111

STAT

SEPTEMBER 10, 2024

Elevance Health, the parent of more than a dozen state Blue Cross Blue Shield plans, is purchasing Indiana University Health’s insurance business in a deal that would increase its dominance in several key cities in the state. ProMedica in Ohio sold its health plan to Medical Mutual.

Insurance 101

Insurance Health Insurance Companies Hospitals 101

Fierce Healthcare

OCTOBER 15, 2024

UnitedHealth Group kicked off another round of earnings calls for major health insurance companies Tuesday morning, when it

Health Insurance Companies 134

Health Insurance Companies Insurance 134

STAT

APRIL 28, 2023

Bright Health Group started as a health insurance company. Bright is looking to sell off the Medicare Advantage plans it manages in California, the company said Friday. But it will no longer be one.

Insurance 100

Insurance Health Insurance Companies 100

STAT

MARCH 31, 2023

WASHINGTON — The Biden administration backed off some of its plans to rein in billions of dollars from wasteful spending in Medicare Advantage next year, after intense lobbying from health insurance companies.

Insurance 98

Insurance Health Insurance Companies 98

STAT

JUNE 14, 2024

The federal government is rescoring the quality ratings of this year’s Medicare Advantage plans, which could lead to an additional $1 billion of taxpayer money flowing into the coffers of health insurance companies. The Wall Street Journal reported earlier about the government’s pending action.

Health Insurance Companies 131

Health Insurance Companies Insurance 131

STAT

JUNE 14, 2023

A top executive at UnitedHealth Group said Tuesday that the health insurance and services conglomerate has noticed “a meaningfully higher number” of outpatient visits among Medicare patients in the second quarter of this year. Those outpatient centers are seeing “strong volumes,” according to Rex.

Insurance 100

Insurance Health Insurance Companies 100

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.

Health Insurance Companies 145

Health Insurance Companies Insurance Hospitals 145

STAT

JANUARY 3, 2023

For almost three years, hospitals and health insurers have been riding the waves of the Covid-19 pandemic. The pandemic’s “public health emergency” has been a boon for state Medicaid rolls and the health insurance companies that manage those programs.

Insurance 98

Insurance Hospitals Health Insurance Companies 98

Fierce Healthcare

DECEMBER 4, 2023

million in seed funding to hone its go-to-market strategy, hire more talent and launch its first pilot in partnership with a cancer center and health insurance company. . | Maia Oncology raised $4.25

Health Insurance Companies 125

Health Insurance Companies Insurance 125

The Checkup by Singlecare

AUGUST 20, 2024

Without insurance, the cost of Stiolto Respimat can be over $600 per month. For many people, the retail price of Stiolto Respimat can make getting treatment difficult without insurance coverage. Is Stiolto Respimat covered by insurance? Yes, some insurance companies may include Stiolto Respimat in their coverage plans.

Insurance 98

Insurance Insurance Coverage Health Insurance Companies FDA 98

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 128

Health Insurance Companies Insurance Hospitals 128

STAT

NOVEMBER 14, 2023

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared, a STAT investigation has found.

Health Insurance Companies 145

Health Insurance Companies Insurance Documentation 145

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 124

Health Insurance Companies Insurance Hospitals 124

STAT

OCTOBER 17, 2022

The Department of Justice filed a new lawsuit against Cigna Monday, alleging the health insurance company overcharged the federal government by purposefully inflating how sick its Medicare Advantage members were. Read the rest…

Health Insurance Companies 106

Health Insurance Companies Insurance 106

STAT

FEBRUARY 5, 2024

Devoted Health has been one of the most prominent health insurance and provider startups of the past decade — founded and overseen by several alumni of former President Barack Obama’s administration. And Devoted isn’t sharing many details about its progress, either.

Health Insurance Companies 113

Health Insurance Companies Insurance 113

STAT

JANUARY 8, 2024

Medicare Advantage members continue to go to the doctor and get health care procedures a lot more than predicted, CVS Health executives said at the J.P. Morgan Healthcare Conference on Monday.

Health Insurance Companies 124

Health Insurance Companies Insurance 124

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 106

Hospitals Health Insurance Companies Insurance 106

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.

Health Insurance Companies 126

Health Insurance Companies Insurance Hospitals 126

STAT

SEPTEMBER 7, 2022

A federal judge in Texas has ruled that parts of the Affordable Care Act mandating health insurance companies cover many preventive services and drugs for free are unconstitutional.

Health Insurance Companies 101

Health Insurance Companies Insurance 101

STAT

OCTOBER 23, 2024

Having worked as a medical director for several large health insurance companies and having suffered through the Change fiasco herself as a rehab doctor with a private practice in Kansas City, she figured that if her data had been exposed in that February breach, she would have been notified by now.

HIPAA 125

HIPAA Health Insurance Companies Insurance 125

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 114

Health Insurance Companies Insurance Hospitals 114

STAT

OCTOBER 15, 2023

7, allowing eligible older adults and people with disabilities to sign up for traditional Medicare coverage or Medicare Advantage, the alternative option that is run by health insurance companies. Medicare’s annual enrollment period kicked off Sunday and runs through Dec.

Health Insurance Companies 122

Health Insurance Companies Insurance 122

STAT

OCTOBER 2, 2024

It worked maybe a little too well for CVS, as the surge in new customers backfired when the medical costs for those sporty seniors spiraled well beyond the company’s expectations. Now, after the Woonsocket, R.I.-based

Health Insurance Companies 109

Health Insurance Companies Insurance 109

STAT

JANUARY 30, 2023

The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back.

Health Insurance Companies 106

Health Insurance Companies Insurance Documentation 106

STAT

NOVEMBER 14, 2023

We reveal that the nation’s largest health insurance company pursued a strategy to pressure its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared.

Health Insurance Companies 115

Health Insurance Companies Documentation Insurance 115

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 97

Health Insurance Companies Insurance Hospitals 97

STAT

JUNE 3, 2024

Geisinger’s 10 hospitals and 1,700 employed physicians are now officially part of the group, known as Risant Health. Kaiser, which is both a health insurance company and a network of providers, said it wants to add at least five to six more health systems by 2028.

Hospitals 113

Hospitals Health Insurance Companies Insurance 113

STAT

MARCH 21, 2023

People and organizations that sometimes make it difficult to access medication can include doctors, methadone clinics, health insurance companies, recovery groups, law enforcement agencies, jails, prisons, drug courts, and labor unions. Read the rest…

Health Insurance Companies 98

Health Insurance Companies Insurance 98

STAT

JANUARY 10, 2024

A lawsuit between a large hospital system and a dominant vendor that works for health insurance companies is getting a lot more heated — with one party calling the other an “economic parasite.”

Hospitals 108

Hospitals Health Insurance Companies Insurance 108

STAT

OCTOBER 4, 2024

  Italian pharma company Recordati said it will buy from Sanofi the global rights to an approved drug to treat cold agglutinin disease , a rare autoimmune disorder, for $825 million, Reuters reports.    The Medicare Advantage market is expected to grow in 2025, despite big changes from insurers , STAT reports.

Health Insurance Companies 96

Health Insurance Companies Insurance 96

STAT

JANUARY 12, 2024

The Medicare Payment Advisory Commission, a group that advises Congress on Medicare policy, gathered to discuss its pending March report on the state of Medicare Advantage, the alternative to traditional Medicare that is run by health insurance companies. Continue to STAT+ to read the full story…

Health Insurance Companies 106

Health Insurance Companies Insurance 106

STAT

JANUARY 20, 2023

It’s a complex tangle of drug manufacturers who’ve been resisting generics , health insurance companies trying to keep up impressive profits , plus the wholesalers who distribute medicines to pharmacies and the pharmacies that provide them to patients. Read the rest…

Health Insurance Companies 100

Health Insurance Companies Insurance 100

STAT

MARCH 13, 2023

Health insurance companies hire NaviHealth to mine medical data and predict the post-acute care a patient will need. A STAT investigation found Medicare Advantage insurers are routinely using that unregulated technology to deny care, unbeknownst to patients and regardless of whether they need the treatment.

Health Insurance Companies 98

Health Insurance Companies Insurance Hospitals 98

STAT

JULY 10, 2024

Since 2021, hospitals have been required to post the prices they have negotiated with all health insurance companies, as well as their cash prices. Those two groups have excoriated hospitals’ high prices and profits and lobbied aggressively to ensure hospitals are held accountable for publishing pricing information.

Hospitals 113

Hospitals Health Insurance Companies Documentation Insurance 113

STAT

NOVEMBER 6, 2023

The federal government is proposing to rein in health insurance companies that entice brokers with lavish bonuses to sell their Medicare Advantage plans by placing a firmer cap on broker compensation.

Health Insurance Companies 107

Health Insurance Companies Insurance 107

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.

Health Insurance Companies 97

Health Insurance Companies Insurance Hospitals 97