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Posts tagged with "Kaiser Permanente"

National News

Common Health Coalition: Five Major Health Sectors Join Together for Public Health

The joint commitment among the five founding members aims to leverage learned lessons from the COVID-19 pandemic response into actionable strategies that will strengthen the partnership between healthcare and public health systems. In March 2023, the Common Health Coalition (CHC) was formed by AHIP, the American Medical Association...
News

Health Systems Acquiring PCPs for Value-Based Care Ventures

Health systems across the country are pursuing value-based care (VBC) models, and aggressively acquiring primary care providers to do it, but some want to know if the rising tide of VBC will lift all provider boats. Last week, Kaiser Foundation Hospitals and Geisinger Health announced the launch of Risant Health, which will...
COVID-19 Update May the Fourth, 2023 Available To All

COVID-19 Update May the Fourth, 2023

A new, highly infectious COVID-19 subvariant is growing in dominance across the country as healthcare providers relax mask mandates. In Arizona, Republicans have launched an investigation into the state's COVID-19 response, contending that it was mismanaged. High levels of the variant XBB.1.16, or "Arcturus," have been found in Los...
Healthcare Worker Collective Action on the Rise National News

Healthcare Worker Collective Action on the Rise

The healthcare worker shortage may be approaching a breaking point. On Monday morning, 15,000 nurses in Minnesota went on strike demanding better staffing and patient care, and more strikes are expected to follow across the country. As the end of the COVID-19 public health emergency approaches, contracts covering unionized healthcare...
National News

Insuretech Startups Struggle but Their CEOs Don't

Health insurance technology startups have struggled to meet industry expectations, with several of the most lauded companies losing money quarter-to-quarter despite significant growth. But these insuretech startups' CEOs are receiving ample bonuses despite poor corporate performance. A few recent examples: Bright Health Group recorded...
27 Arizona Individuals and Businesses Accused of Healthcare Fraud as Claims Escalate Nationwide Arizona News

27 Arizona Individuals and Businesses Accused of Healthcare Fraud as Claims Escalate Nationwide

Across the county, accusations of fraud related to Medicare, Medicaid, and Medicaid Advantage have increased and Arizona has not escaped involvement. While, nationally, complaints against Kaiser Permanente and UnitedHealthcare have been filed or escalated, in Arizona, 27 individuals and business entities have been indicted on criminal...
Arizona News

Insurance Update: New Avenues for Addressing SDOH Emerge

This week in insurance, mergers and acquisitions open new pathways to addressing social determinants of health (SDOH) and innovative medical options for plans and patients alike. According to new research released by Verint, "the Customer Engagement Company," the top 25 health insurance companies were in tight competition throughout...
National News

DOJ Joins Lawsuits Against Kaiser for False MA Claims

The U.S. Department of Justice has joined a series of six lawsuits that allege Kaiser Permanente knowingly submitted false Medicare Advantage claims. Kaiser allegedly pressured physicians to create addenda to medical records to add risk-adjusting diagnoses that patients did not actually have, were not considered or addressed during a...
National News

Kaiser Permanente Triples Income in a Single Year, Draws Scrutiny for Nonprofit Status

Kaiser Permanente (KPH), one of the largest non-profit health systems in the country, reported $7.5 billion dollars in income for the year 2019, roughly triple what they made in 2018. Despite the sudden and striking change in income, Kaiser appears to have a vested interest in boosting local communities where they are integrated and are...
National News

Kaiser, Blue Shield pledge $45M to California housing fund

Kaiser Permanente and Blue Shield of California have collectively pledged $45 million to a new California state fund aimed at fighting homelessness.  In early January, California Gov. Gavin Newsom (D) proposed a state budget, which included a new $750 million California Access to Housing and Services Fund that would “pay rent...
National News

Kaiser Permanente Chairman and CEO Dies at Age 60

A national healthcare leader, and leader of one of the nation's largest nonprofit hospital and health systems, Bernard Tyson died unexpectedly Nov. 10. Tyson, who began his CEO role at Kaiser in 2013, reportedly died in his sleep and recently spoke at the AfroTech conference in Oakland. He was 60 years old. According to...
National News

Seattle Nonprofit Health Plan Accused of Fraudulent Medicare Billing

One of the country's oldest nonprofit health insurance plans allegedly exploited Medicare of millions; Seattle-based Group Health Cooperative was taken to federal court in a whistleblower case. Filing suit against the health plan is one of the company's former medical billing managers, Teresa Ross, who alleges that Group Health...
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