New Legislation Targets Insurance Industry Consolidation in Healthcare
New US legislation aims to prevent insurance companies from acquiring independent health clinics, addressing rising healthcare costs and market consolidation.
UK Surgeon Commits Insurance Fraud by Self-Amputating Legs
Neil Hopper, a UK vascular surgeon, committed insurance fraud by self-amputating his legs, highlighting challenges in medical ethics and insurance fraud detection.
Healthcare Giants Avoid $34 Billion in Taxes Post-2017 Tax Law, Patient Care Impacted
Seven major U.S. healthcare corporations avoided $34 billion in taxes after the 2017 tax law while increasing profits and insurance claim denials, with implications for patient care quality and regulatory scrutiny.
Florida Blue and Memorial Healthcare Contract Dispute Affects 31,000 Members
Florida Blue and Memorial Healthcare's contract dispute renders 31,000 members out of network in Broward County, impacting access across commercial, ACA, and Medicare Advantage plans amid reimbursement rate disagreements.
Hospital Mergers Raise Costs and Reduce Care Quality, Study Finds
A National Bureau of Economic Research study links U.S. hospital mergers to higher costs, staffing cuts, and increased patient mortality, highlighting risks of healthcare consolidation.
House GOP Proposes Short-Term Funding with Added Security Ahead of Shutdown Deadline
House Republicans introduce a stopgap funding bill extending federal budgets through November, adding security funds amid shutdown risks. Democrats seek healthcare funding cuts reconsideration. Senate needs bipartisan support for passage.
Texas Leads U.S. in Uninsured Children Amid Medicaid and ACA Changes
Texas reported the highest rate of uninsured children in 2024 with significant increases due to Medicaid redetermination and changes in federal ACA subsidies impacting coverage. Experts warn of further challenges from recent policy shifts.
California Orders Closure of Meritage Health Plan Over Solvency Issues
California regulators mandate closure of Meritage Health Plan due to solvency failures, prompting reassignment of 11,000 Medicare Advantage members by Oct. 31, 2025. Insurers must ensure continuity of care amid contract terminations.
CBO Report Highlights ACA Fraud; Legislation Targets Subsidy Abuse
CBO analysis reveals 2.3M fraudulent enrollees in ACA, prompting legislative reforms to curb subsidy abuse and enhance federal health program integrity.
Catalyst Solutions Launches Multi-State Implementation for P3 Health Partners
Catalyst Solutions completed a rapid 60-day implementation of Professional Health Partners services across Arizona, Oregon, Nevada, and California, enhancing Medicare population health management with scalable, hybrid onshore/offshore support.