UnitedHealthcare Exec Says ‘Ineffective’ No Surprises Act IDR Process Demands Reform

Industry giant UnitedHealthcare is adding its voice to the chorus of insurers criticizing the current state of the No Surprises Act’s independent dispute resolution process. During the company’s earnings call on Thursday morning, company executives pointed to IDR as a drag on its commercial business. Dan Kueter, CEO of UnitedHealthcare Employer and Individual, said during ...

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CMS Proposal To Block Third-Party Vendors Will Upend Remote Monitoring Services, Health Tech Leaders Say

The Trump administration proposed major changes to Medicare payment policies that will block third-party vendors from remote patient monitoring. The changes, health tech leaders say, will significantly disrupt services that help patients manage conditions like diabetes and hypertension. The policy change, tucked inside a hefty Medicare physician pay draft rule released this week, marks a shift with ...

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Insurers Hedge on Trump-Backed Pledge To Improve Denials Process

One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t implement all the promised initiatives. Meanwhile, patients, their advocates, and clinicians say little has improved. “It has never been this bad for patients,” said U.S. Rep. Greg ...

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Can I Eat Lettuce Now? What To Know About The Cyclosporiasis Outbreak.

Did the Food and Drug Administration really walk back its recall of Taylor Farms iceberg lettuce? Can I eat romaine instead? And what can I do if I want to eat my favorite foods from Taco Bell? As a multistate outbreak of cyclosporiasis continues, many people are confused about the investigation into the source of ...

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A Deep Dive into California “Single Payer”

In 2021, the California Assembly introduced a new bill, AB 1400, which – if passed – would have eliminated health care in California, as we know it today. Instead, all health care in California would be provided by one new “Single Payer” system called “CalCare” – with no other options for Californians. The move would have eliminated all existing ...

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Brokers Need To Pay Attention To Patients’ Trust In Health AI

Patients are not waiting for health care to modernize. They are already using artificial intelligence to ask questions about symptoms, medications, diagnoses, treatment options, bills, benefits, and where they should seek care. The debate about whether consumers will adopt AI in health care is effectively over. The more important question for brokers and benefits advisors ...

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