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Pennsylvania providers file suit against Aetna over breach of contract

Fierce Healthcare

A Pennsylvania provider group has filed suit against Aetna this week, alleging the insurer conducted multiple breaches of contract. | A Pennsylvania provider group has filed suit against Aetna this week, alleging the insurer conducted multiple breaches of contract.

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Providers 'wasted' $10.6B in 2022 overturning claims denials, survey finds

Fierce Healthcare

More than 100 provider organizations want the Centers for Medicare & Medicaid Services (CMS) to take a tougher stance on Medicare Advantage (MA) plans’ practices following an industry survey es | Providers spent nearly $20 billion in 2022 pursuing delays and denials across all payer types, yet those efforts are substantially more costly on average (..)

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Contract negotiations between Providence, Blue Shield of California go publicly south

Fierce Healthcare

Providence has launched the first public salvo in a spat with Blue Shield of California over ongoing contract negotiations. Providence has launched the first public salvo in a spat with Blue Shield of California over ongoing contract negotiations.

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Payers, providers continue to tussle over Change Healthcare cyberattack response

Fierce Healthcare

Providers are still feeling the pain brought on by the cyberattack on Change Healthcare, and they're continuing to push insurers and the feds to beef up their responses.

Insurance 124
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What the FDA's New Dosage Guidance Means for the Future of Clinical Research

Speaker: Dr. Ben Locwin - Biopharmaceutical Executive & Healthcare Futurist

A recent draft from the FDA provides valuable insight. What will the future hold for clinical research?

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Jury awards Providence's hourly workers $98M in unpaid wages, though judge could double payout

Fierce Healthcare

A Seattle jury determined that Providence had underpaid thousands of its hourly employees by denying second meal breaks during long shifts and rounding down the minutes they clocked in for a shift. | Providence said it plans to appeal the decision.

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STAT+: Medicare announces loan program to aid providers affected by Change cyberattack

STAT

The payments are meant to fund providers that aren’t able to submit claims to Medicare because of the disruption to Change’s data network and have exhausted all other potential avenues of funding.

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