Insurers and health systems across the U.S. have been at odds during the most recent cycle of contract negotiations, and terminated contracts are affecting thousands of patients.
ASC Coding, Billing & Collections
Aetna, a CVS Health company, insurers about 39 million people.
Kaiser Permanente Health Plans was the largest payer by total incurred claims in 2020, according to data firm Definitive Healthcare.
College Park, Md.-based internal medicine physician Anuja Kurichh, MD, has agreed to pay more than $500,000 to resolve billing fraud allegations, according to the U.S. Justice Department.
Centene is one of the nation's largest health insurers by membership.
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Despite an increased demand for patient care in 2021, national health spending growth has slowed to 4.6 percent compared to 9.7 percent in 2020, according to a CMS news release shared with Becker's.
Miami physician Mark Zager, MD, was sentenced to two years in prison for healthcare and wire fraud, the Justice Department said March 24.
Health Care Service Corp., the parent company of BCBS of Illinois, was fined hundreds of thousands of dollars after terminating its contract with a 600-physician medical group and ASC.
Healthcare is not a one-size-fits-all industry. The current and projected U.S. healthcare and other industries labor markets are experiencing labor shortages that are driving up wages for qualified workers.
Anthem is one of the largest health insurance companies in the country by revenue and membership.