Tag: payer-provider relations

TriHealth-UnitedHealthcare Contract Dispute Raises Patient Cost Concerns

A contract dispute between TriHealth and UnitedHealthcare threatens patient coverage and could lead to higher healthcare costs if unresolved by December 31. This impacts Medicare Advantage and commercial plans, raising concerns over reimbursement rates and service continuity.

TriHealth and UnitedHealthcare Contract Dispute Could Impact 80,000 Cincinnati Patients

Contract negotiations between TriHealth and UnitedHealthcare risk disrupting coverage for 80,000 Cincinnati patients, with ongoing care and employer costs at stake. Learn about the reimbursement dispute and market impact.

Key CMS 2026 Medicare Advantage Final Rule Updates for Insurers

CMS finalizes critical 2026 Medicare Advantage rule changes, including anti-obesity drug coverage exclusion, AI regulatory deferral, and limits on retroactive inpatient stay denials affecting payers and providers.