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The latest stories from AHA Today.
The Department of Labor July 31 sued a third-party administrator owned by UnitedHealth Group in the U.S. District Court for the Western District of Wisconsin, alleging it improperly denied claims for emergency services and urinary drug screening since 2015.
“Some analyses seem to suggest that anything above a zero percent margin is inherently bad, as though the operating goal of hospitals and health systems should be to incur financial losses,” write AHA’s Bharath Krishnamurthy, director of policy and health analytics, and Benjamin Finder, director of…
Over 5.6 million women in the US live in maternity care deserts. Read the latest analysis on access to obstetric care through hospitals and providers from the March of Dimes on AHA News.
UnitedHealthcare Aug. 1 published a list of procedures no longer subject to prior authorization effective either Sept. 1 or Nov. 1, 2023.
The AHA Aug. 1 joined the U.S. Chamber of Commerce and other organizations in urging the Federal Trade Commission to extend for at least 60 days the comment period for their draft guidance revising how they review mergers and acquisitions to determine compliance with federal antitrust laws.
The National Institutes of Health’s Researching COVID to Enhance Recovery (RECOVER) Initiative opened enrollment for clinical trials to evaluate the safety and effectiveness of at least four potential treatments for long COVID in adults.
In the 18 states that began unwinding the continuous coverage requirement for Medicaid and Children’s Health Insurance Program enrollees in April, 46% of enrollees with coverage up for renewal had their coverage renewed, 32% were terminated and redeterminations for the rest are pending, the Centers…
The Centers for Medicare & Medicaid Services today announced the Guiding an Improved Dementia Experience (GUIDE) Model, a voluntary national Medicare payment model beginning next July that aims to help dementia patients remain at home and improve quality of life for them and their caregivers
The Centers for Medicare & Medicaid Services released its fiscal year 2024 final rule for the skilled nursing facility prospective payment system.
The Centers for Medicare & Medicaid Services July 28 issued its final rule updating hospice payments for fiscal year 2024.