Medicare Administrative Contractors collaborate on resolving billing inconsistencies for hypoglossal nerve stimulation procedures to standardize reimbursement rates and improve compliance.

Explore strategies for payers to enhance collaboration with providers in value-based care through real-time data, EHR integration, and aligned incentives to improve patient outcomes and reduce healthcare costs.

Johns Hopkins Medicine ends contract negotiations with UnitedHealthcare after eight months amid disputes over treatment refusal language in employer-based insurance plans. Highlights payer-provider tensions over network participation and patient access.

North Mississippi Health Services terminates United Healthcare Medicare Advantage contract due to claim denials, impacting 17,000 members and signaling challenges in payer-provider interactions in Mississippi.

Premier Health and UnitedHealthcare are negotiating payor contracts; unresolved talks may lead to network changes affecting patients with UnitedHealthcare plans from July 1. Impact on reimbursement rates and healthcare access analyzed.

Florida appellate court ruling reinforces insurers' rights to enforce managed repair provisions in homeowners insurance policies, setting a key legal precedent.