Change Healthcare To Start Processing $14B Claims Backlog As It Restores Clearinghouse Platforms

In its latest update on the response to the cyberattack on Change Healthcare, UnitedHealth Group said on Friday that its largest clearinghouse, called Relay Exchange, will be back online by the end of the weekend and the company will begin processing $14 billion in medical claims. UnitedHealth Group also posted an estimated timeline for restoring its systems ...

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California Voters Pass Proposition 1 To Tackle The State’s Homelessness Crisis

California voters have approved a measure that will impose strict requirements on counties to spend on housing and drug treatment programs to tackle the state’s homelessness crisis, in a tissue-thin win for Gov. Gavin Newsom, who personally campaigned for the measure’s passage. Democrats outnumber Republicans by a staggering 2-to-1 in California, and the borderline vote ...

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A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary?

Sara England was putting together Ghostbusters costumes for Halloween when she noticed her baby wasn’t doing well. Her 3-month-old son, Amari Vaca, had undergone open-heart surgery two months before, so she called his cardiologist, who recommended getting him checked out. England assigned Amari’s grandparents to trick-or-treat duty with his three older siblings and headed to ...

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No Matter The Risks, More Employers Are Choosing Self-Funded Plans

Although employers choose the plans in order to negotiate lower health care prices, they generally lack market power to do so effectively, so they need to critically assess whether it will help their bottom line, says a new study.

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6 Bad Assumptions To Avoid In Benefit Planning

Here are some of the bad assumptions I have observed over the years that can destroy an employee benefit plan.

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Hospitals Are Adding Billions in ‘Facility’ Fees for Routine Care

Tim Ebel’s visit with an ear, nose and throat specialist at an Ohio clinic last October came to $348. At the same time, he got a second bill for $645. The hospital system that owns the Avon, Ohio, clinic had charged him separately for use of the office where he met his physician. It is ...

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