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STAT+: UnitedHealth cyberattack cripples pharmacies’ and hospitals’ ability to process insurance claims

STAT

Hospitals, pharmacies, and other health care providers are getting stuck in an insurance processing logjam after UnitedHealth Group disclosed a cyberattack within a recently acquired subsidiary that serves as a central hub for payments across the industry.

Insurance 145
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Hospital-backed proposal would make insurers reveal prior auth denial rates

Fierce Healthcare

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star rating | The Federation of American Hospitals is pushing CMS for the inclusion of a star ratings quality measure that shows how often insurers overturn or uphold (..)

Insurance 128
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STAT+: What to expect from hospitals and health insurers at this year’s JPM Healthcare Conference

STAT

Nonprofit hospitals often get overshadowed at the J.P. But hospitals are still the largest part of America’s health care economy, commanding nearly a third of the country’s $4.7 But hospitals are still the largest part of America’s health care economy, commanding nearly a third of the country’s $4.7

Insurance 112
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STAT+: Hospital price transparency rules are seeding a new crop of health tech startups

STAT

Federal rules forcing hospitals and insurers to post rates for medical procedures have taken effect, but the data’s so messy that a crop of new startups is rushing in to make a business out of parsing it for whoever is willing to pay.

Hospitals 121
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STAT+: Medicare slashes safety net hospital payments on estimate that more people have insurance

STAT

The federal government will pay hospitals that treat poor and uninsured patients almost $1 billion less next year, a cut that’s more than eight times larger than the one proposed in April. The Centers for Medicare and Medicaid Services originally said it would cut payments meant to help safety net hospitals by $115 million in 2024.

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Nonprofit hospitals fall short on community benefit, studies show

PhRMA

Nonprofit hospitals are supposed to help provide access to crucial treatment and services in our most vulnerable communities. But recent research adds to the mountain of evidence showing nonprofit hospitals continue to fall short in their community benefit.

Hospitals 185
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Opinion: Hospital care costs are out of control. Price caps can help

STAT

The prices charged by hospitals are exorbitant and rising. Private health insurance premiums paid by working age adults are rising rapidly. Here’s just the tip of the iceberg: $722.50 for a nurse to push a drug into an IV. 21,500 for ten stitches.

Hospitals 138