Industry News
Medicaid Redeterminations and Their Impact on Insurers
As the process of Medicaid redeterminations begins, major players in the health insurance market are experiencing significant impacts. Companies like UnitedHealth, Centene, and others are adapting to these changes, which affect millions of Americans and the stability of the insurance market.
CMS Urged to Address Health Insurance Twisting
Consumer advocates and health experts are urging the Centers for Medicare & Medicaid Services (CMS) to take stronger action against "twisting" practices in the health insurance industry. Twisting occurs when insurers persuade policyholders to switch policies unnecessarily, often leading to higher costs and reduced coverage for consumers.
E-Prescribing Mandate in Illinois: What You Need to Know
Starting January 1, 2024, Illinois will require all healthcare providers who prescribe controlled substances to submit prescriptions electronically. This new legislation, known as the E-Prescribing Mandate, aims to enhance patient safety, reduce prescription errors, and combat prescription drug abuse by ensuring more secure and accurate prescribing practices.
Utilization Management Head to Governor
Recent changes to health insurance regulations in Illinois aim to address utilization management practices, streamlining processes for patients and improving access to necessary treatments. The new legislation, which has been passed by the Illinois General Assembly, is now awaiting the governor's signature. These changes promise to enhance the way healthcare is managed and accessed in the state.
Springfield Clinic's Digital Transformation
Springfield Clinic is improving how patients interact with their healthcare services by embracing digital technology. This transformation makes healthcare more convenient, efficient, and accessible. The clinic has introduced several digital tools to enhance patient care, such as online appointment scheduling, telehealth services, a patient portal, and automated reminders.
Have You Been Hit by a Phantom Healthcare Bill?
This type of fraud can significantly inflate healthcare costs, impacting insurance premiums and taxpayer-funded programs like Medicare and Medicaid.
The Maze of US Healthcare System
It appears that for over two decades, the majority of U.S. citizens have consistently supported the idea that it's the government's job to ensure everyone has healthcare. As of the latest figures, a significant portion of the population still supports this, showcasing a persistent demand for universal healthcare coverage.
UnitedHealthcare: Mergers, Cyberattacks, and Congress
During a critical first congressional hearing on the recent Change Healthcare cyberattack, lawmakers from both sides of the aisle raised concerns about the implications of extensive mergers and acquisitions within the healthcare sector. The hearing, led by the House Energy and Commerce health subcommittee, highlighted worries that the consolidation of healthcare giants may be compromising patient safety and system integrity.
