An insurance company is posing a new challenge to healthcare in the United States.
Insurance Companies Continue to Innovate On October 1st, Cigna introduced a new policy that closely examines how doctors charge for services. It flags physicians who frequently bill for Level 4 or Level 5 visits. Those doctors might receive higher reimbursements compared to their counterparts. However, if claims appear unjustifiable, some of these higher-level visits could […]
Trump administration alerts that millions may lose flood insurance if Democrats oppose the bill
Flood Insurance Risks Looming as Deadline Approaches As the September 30 funding deadline draws near, the Trump administration has issued a warning that millions of Americans may lose their flood insurance coverage if Democrats do not support the House spending bill aimed at extending the National Flood Insurance Program (NFIP). The White House is backing […]
Health insurance company in Alabama faces data breach impacting 5,000 customers
Data Breach Affects Thousands of Alabama Health Insurance Members A health insurance company based in Alabama has reported that nearly 5,000 of its members were impacted by a data breach that exposed sensitive health information online. Viva Health, in conjunction with Alabama’s electricity employee insurance providers, announced in a press release that they discovered the […]
Many Oregonians will experience significant increases in health insurance premiums in 2026 as temporary ACA subsidies come to an end.
Impact of Expiring Health Insurance Credits in Oregon Over 111,000 Oregonians who buy health insurance through the state’s affordable care market face hefty increases in their premiums for next year, unless Congress steps in. The situation stems from the fact that Republicans in Congress chose not to renew key taxes, which were part of a […]
OHSU Creates Policy to Redirect Patients With Out-of-Network Insurance
OHSU’s New Policy on Out-of-Network Insurance Oregon Health & Science University (OHSU) is taking steps to handle patient flow when it comes to out-of-network insurance, aiming to support its budgetary needs. This shift could influence where many individuals in Oregon receive their healthcare services. The recently introduced policy specifies the procedures OHSU administrators must follow […]
Most states see health insurance marketplace rate increases exceeding 20 percent, according to Cantwell.
Health Insurance Price Increases Looming This Fall Data from Senator Maria Cantwell’s office indicates that people with the top market insurance plans in many states should brace for significant price hikes this fall. Cantwell has called on Congressional leaders and President Trump to explore options for extending expired healthcare grants. On Thursday, she released a […]
Missouri’s biggest health insurance company is required to pay nearly $90 million in rebates to its customers.
Missouri Insurers Must Issue $90 Million in Refunds The largest insurers in Missouri are required to reimburse policyholders around $90 million. Ambetter, a subsidiary of Centene Corporation, based in Clayton, is expected to send out checks totaling $87.5 million to Missouri customers. These rebates will be in line with the medical loss ratio guidelines set […]
Montana woman with a broken arm and no insurance faced a $97,000 bill.
Deborah Buttgereit’s Unexpected Medical Journey When Deborah Buttgereit collapsed outside her home in Bozeman, Montana, she immediately realized that a trip to the hospital was unavoidable. “I could hear my bones moving in my elbow,” recalled the 60-year-old after slipping on ice last December. An emergency room scan revealed significant damage to her left arm […]
WakeMed becomes part of Triangle health organizations advocating for a new agreement with insurance companies.
Wakemed Patient Coverage at Risk with UnitedHealthcare Negotiations Wakemed issued a warning on Wednesday about the potential loss of coverage for patients who rely on UnitedHealthcare for their insurance if the two parties can’t come to a contract agreement. The healthcare provider had entered into a contract with UnitedHealthcare in 2022, which is set to […]
Private health insurance companies are using AI to decide on care approvals and denials. Medicare is expected to do the same soon.
Medicare Pilot Program to Utilize AI for Pre-Authorization The Trump administration is set to initiate a program next year aimed at assessing how artificial intelligence can help save costs by denying certain Medicare services. This initiative reflects an approach similar to that of private insurance companies. The pilot program intends to cut down on what […]