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5 largest health insurance companies by revenue
UnitedHealthcare is the largest insurer by revenue, according to a June 2022 Value Penguin report. -
15 Texas physicians to pay $2.8M to settle kickback allegations
Fifteen Texas physicians will pay a total of $2.83 million to resolve False Claim Act allegations involving kickbacks, the Justice Department said June 28. -
ASCs face reimbursement hurdles amid single-payer healthcare push
ASCs have long faced challenges in securing reimbursements, but successful ASCs are focused on payer contracting strategy. -
Outpatient surgeries jump 14% in Kansas: 4 things to know
ASCs in the Wichita, Kan., area are returning to pre-pandemic case numbers, Wichita Business Journal reported June 17. -
Aetna in the headlines: 6 updates in 30 days
Aetna, a CVS Health company, insurers about 39 million people. -
Anthem in the headlines: 6 updates from last 60 days
Anthem is one of the country's largest health insurers. -
Physician found guilty in $12M Tricare fraud scheme
Arkansas physician Joe May, MD, was convicted on 22 counts over his involvement in a scheme to defraud Tricare of $12 million, the Justice Department said June 10. -
Optum, Anthem invest in value-based care: What ASCs need to know
Optum Ventures, CVS Ventures, Anthem and HLM Venture Partners announced they are investing in CareBridge, a value-based care company for patients receiving home and community-based services. -
Michigan physician pleads guilty to fraudulent billing, to pay $500K
A Muskegon, Mich., physician has pleaded guilty to billing Medicare, Medicaid and Blue Cross Blue Shield for services she didn't perform, the U.S. Justice Department said June 7. -
'Our business model would implode': Why a physician group exited a payer's network
David Kowalski, MD, a physician with Springfield (Ill.) Clinic, a physician group with ASCs that dropped out of network with Blue Cross Blue Shield of Illinois last year after a pay dispute, shed light on the details of the dispute and what lies ahead during a presentation at the Effingham (Ill.) County Chamber of Commerce last week. -
ASCs find new strategies to avoid reimbursement woes
Many ASCs are facing increasing obstacles in the payer landscape, but ASC administrators and executives are developing strategies like direct-to-employer contracting and attracting patients to bypass them. -
WakeMed's UnitedHealthcare contract ends, but ASCs are unaffected
After months of negotiations, Raleigh, N.C.-based WakeMed and UnitedHealthcare failed to reach an agreement on a new contract, The News and Observer reported June 1. -
Physician group severs contract with Anthem & 5 more payer updates
From a Maine physician group ending its contract with Anthem to Blue Cross Blue Shield updating its colonoscopy policy, here are six payer updates from the last 60 days: -
Why orthopedic ASCs, physician groups should get on the direct-to-employer train
As the healthcare industry continues to move away from fee for service and toward value-based care, alternative payment models are expected to become more popular among patients, insurers and providers. -
ASCs can win with this major trend
With the trends in healthcare moving toward value-based care models, ASCs could be in the perfect position for growth. -
3 suits filed against UnitedHealth: What ASCs need to know
Three lawsuits have been filed against healthcare giant UnitedHealth Group and UnitedHealthcare in the last month — including two ASCs filing suits. -
Centene in the headlines: 5 updates in 60 days
Here are five updates from the last 60 day about one the country's largest insurers: -
Medicare payments to hospitals double those to ASCs: 4 study notes
Medicare per-procedure payments to hospital outpatient departments were 2.1 times larger than payments to ASCs, according to new research published by the Rand Corp. -
Physician-owned hospital pays $1.2M to settle billing fraud claims
Oklahoma Heart Hospital South, a physician-owned hospital based in Oklahoma City, paid $1.2 million to settle billing fraud allegations May 16. -
National Medical Billing Services acquires Medi-Corp
National Medical Billing Services acquired anesthesia, ASC and pain management revenue cycle management provider Medi-Corp, according to a May 17 news release shared with Becker's.
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