Anthem has shocked insureds in six states: Georgia, Indiana, Missouri, Kentucky, New Hampshire and Ohio.
In recent years, Anthem has begun denying coverage for emergency room visits that it deems “inappropriate” because they aren’t, in the insurance plan’s view, true emergencies.
The problem: These denials are made after...Arizona News
The idea is to offer health plans in Maricopa County that promise to save employers money on health insurance premiums.
This is the first time the two organizations not only jointly govern the health plans they are launching, but also will share in the risks of the plans' financial success, said Dr. David Hanekom, CEO of Arizona Care...National News
The Omaha-based carrier plans to offer Medicare Advantage plans with a prescription drug benefit in selected markets.
Mutual of Omaha announces a strategic alliance with Lumeris, a company with over 10 years of experience with Medicare Advantage plans using a successful, collaborative payer model to deliver better clinical outcomes...Arizona News
The two national market leaders in DME will form a single brand to meet the clinical, financial and operational needs of customers across 50 states.
The new brand will operate a national network of more than 1,300 DME provider locations and 21 company-owned distribution centers serving more than 100,000 patients each day. The...Arizona Comings & Goings
Marjorie Bessel, MD, replaces John Hensing, MD, as chief clinical officer, who announced his retirement last year.
Bessel has been with the top health system in the valley for more than a decade and has served in a variety of physician leadership positions including her role as CMO for several Banner hospitals in the Phoenix metro...National News
Amazon, Berkshire Hathaway and JPMorgan Chase & Co. announced they are joining forces to address the high costs of employee health care.
The three companies, which bring their scale and complementary expertise to this long-term effort, will pursue this objective through an independent company that is free from profit-making...
As AHCCCS makes its way across the state discussing with stakeholders about its interest in eliminating three-month retroactive coverage, this news brief provides an excellent backgrounder.
Arizona's Medicaid agency is seeking input on its interest in rolling back benefits to the month of application, consistent with policies prior to...
The medical records capability will roll out through a beta available to the general public in the coming months.
Google and Microsoft have had products available for years but lacked the ability to integrate information from a variety of sources. Apple thinks they have found the way.
The new Apple offering will have the advantage...
The 127,000-square-foot health clinic will be built on 20 acres at Grand Avenue and Cotton Crossing.
The new $70 million project will feature an urgent care, dental clinic, dialysis clinic and a procedural platform that includes four operating rooms, two major procedure rooms, pre-operative and recovery bays and onsite sterile...
Wednesday's vote of 55-43 ends the speculation.
An attorney, Azar, 50, will take over the huge department, with its budget of more than $1.1 trillion. No stranger to the government’s largest domestic agency, he held senior roles during the tenure of George W. Bush.
Before the vote, leading GOP senators praised Azar for his...Arizona News
Kentucky will be offering a novel way to reactivate your medical coverage: a health or financial literacy course you must pass.
The waivers approved by the Trump administration present opportunity for new ways to think about how to empower individuals to improve their health.
The precise content of the courses is not yet worked...Arizona News
By calling a concurrent special session, Ducey sets the stage to go from proposal to finished law in three days.
Dr. Cara Christ, the state’s health director, said at a ceremony where Gov. Doug Ducey signed a proclamation for a special legislative session to confront the issue:
In 2016, more than two Arizonans died each day due to...National News
Seems to corroborate what ERs and physicians are reporting about increase in cases of flu.
An analysis from GoodRx reveals three important things to know:
1. Researchers examined a large sample of U.S. pharmacy fills and found prescriptions for Tamiflu are up 640 percent from the same time last year.
2. In 2017, fills for...National News
The online marketplace includes devices, pharmaceuticals, capital equipment and supplies.
What to do with all those legacy medical devices? They still have value and hospitals invested a lot of money in them so simply throwing these legacy devices away doesn’t seem fiscally responsible when another facility may be able to use it and...National News
The Senate voted Monday to reopen the government, ending a three-day standoff that left federal agencies shuttered and hundreds of thousands of workers furloughed.
The House is expected to approve the bill later and send it to President Trump, allowing the government to completely reopen on Tuesday.
Democrats who supported the...Arizona News
There are 58 Next Generation ACOs in 2018, two in Arizona.
The strong participation in the Next Generation Model shows the commitment of these ACOs to improving quality of care while reducing unnecessary expenditures. The Next Generation Model is at the forefront of redesigning healthcare delivery, and payment.
The Arizona ACOs...Arizona News
Ducey's budget will use that money to fund his spending priorities in education.
The governor’s proposal, released last week, shows $79 million in “efficiency savings” or cuts to agency budgets for things like employee vacancies and lower utility bills. A lot of money is being moved around, differing sources and differing...Arizona News
Expect announcement today at an afternoon news conference with Ducey and leaders of the Legislature from both parties.
The Associated Press reports:
A special session means the Legislature could pass the measure in as little as three days with limited time for public comment or analysis of the proposed legislation.
Ducey's proposal...National News
Not yet scheduled, the vote by the full Senate is the final step in the confirmation process.
His nomination is expected to have enough votes to pass the Senate. Republicans hope to confirm Azar by the end of the month.
Read the expectations in ANCOR
The Washington Post lists " key things to know about Alex Azar":
All but...Arizona News
New tenants will include The CORE Institute and Sonora Quest.
The four-story, 64,000-square-foot space is slated to open December of 2018 and is specifically designed for its future tenant's focus on health and wellness.
Plaza Companies recently broke ground on the building located on the Banner Estrella Medical Campus, located at 9201...White Papers, E books, Reports and more
In this white paper from the Center for Healthcare Quality & Payment Reform, author Harold Miller outlines the strengths and weaknesses of FFS payment system, bundled payments and outlines numerous reasons why pay for performance, shared savings/shared risks programs aren't working.
Miller also discusses narrow and tiered...
The Senate bill, the Access to Independent Health Insurance Advisors Act, argues that including agent and broker commissions as part of a health plan's administrative costs has negatively impacted consumers as well as new and small insurers.
Senators Johnny Isakson (R-GA) and Chris Coons (D-DE) are lead sponsors of the bill backed by...
Amazon is taking applications for a HIPAA Compliance Lead, according to a job listing on its website and reported by CNBC.
Becker's Hospital Review reports Amazon is seeking an "experienced HIPAA professional who will own and operate the security and compliance elements of a new initiative." The HIPAA Compliance Lead will work with...National News
Forward is a concierge medical service that dresses up the annual exam with artificial intelligence and a sleek Silicon Valley sheen.
Founded by former employees of Google and Uber. Like a gym or Netflix, or competing primary-care providers like One Medical, Forward charges a flat monthly fee of a hundred and forty-nine dollars, no...