Mainstream Services Medical Billing

02/02/2022

While Humana's growth in Medicare Advantage fell short of expectations for this year, the insurer is taking lessons learned from the most recent annual enrollment period to right the ship, executiv | Humana posted a $14 million loss in the fourth quarter of 2021, according to the insurer's earnings....

01/18/2022

Some heavy hitters in the healthcare and pharma industries—HCA Healthcare, Eli Lilly and the American Hospital Association—are backing a new venture fund to invest exclusively in Black-founded and -led healthcare startups.

01/11/2022

Insurers and group health plans must cover at least 8 at-home COVID-19 tests for each covered individual per month starting on Saturday, new guidance from CMS says.

12/25/2021

May your days be filled with family, peace and joy...

11/25/2021

11/09/2021

CMS finalized extending reimbursement of certain telehealth services through 2023 and included cuts to physician payments in a new rule.

11/08/2021

UnitedHealth Group has topped the industry in profitability for the third straight quarter, according to company earnings reports.

08/17/2021

The new solution is backed by Teladoc Health's physician-led care team model and harnesses Aetna's provider network and the slate of services provided by CVS Health, the insurer's parent company.

08/16/2021

The settlement includes $13.6 million in payments to members for wrongfully denied claims as well as just over $2 million in penalties and lawyers fees, DOL said.

03/12/2021

The Supreme Court will no longer hear oral arguments later this month on the Medicaid work requirements, a major blow to the controversial program.

01/19/2021

The Justice Department received $1.8 billion in recoveries involving healthcare fraud and false claims in fiscal 2020, officials announced. Among the notable healthcare recoveries, Practice Fusion paid $145 million to settle opioid-related fraud allegations and ResMed paid $37 million to resolve all...

01/04/2021

It's not surprising that the COVID-19 pandemic drove a huge surge in telehealth visits as patients avoided in-person care in favor of remote consultations. But what is unexpected? The growth in telehealth was not fueled by COVID-19 concerns but by visits for behavioral health and chronic illness, ac...

12/31/2020

Wishing you a happy, healthy, prosperous new year.

12/24/2020

Wishing you and your family a safe and happy holiday!

12/18/2020

CMS proposed allowing Medicaid managed care organizations who care for dual-eligible Medicare and Medicaid beneficiaries to participate in the value-based care payment model called direct contracting.

12/14/2020

House and Senate committee leaders announced a deal Friday to end surprise medical bills and hand providers a major win over payment for out-of-network charges.

12/11/2020

Humana signed on with the Trump administration for its Primary Care First model earlier this year and is now unveiling plans to significantly expand its use of the model.