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HIPAA complaints, breaches increased from 2017 to 2021 as HHS urges more funding

Healthcare Dive

The HHS Office for Civil Rights is facing a “severe strain” on its staff and budget amid rising breaches and complaints, according to the agency’s annual report to Congress.

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OIG: UnitedHealthcare banked $3.7B in Medicare Advantage payments in 2017 through chart reviews, HRAs

Fierce Healthcare

in Medicare Advantage payments in 2017 through chart reviews, HRAs. OIG: UnitedHealthcare banked $3.7B Thu, 10/21/2021 - 10:41.

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UnitedHealthcare loses lawsuit to TeamHealth — again — in ongoing battle over billing

Healthcare Dive

million to TeamHealth after finding UnitedHealthcare underpaid the physician group’s clinicians from 2017 to 2020. A three-judge arbitration panel in Florida has awarded $10.8

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UnitedHealthcare latest payer to expand ACA reach with 4 new states for 2023

Healthcare Dive

The payer has been steadily ratcheting up its presence on the Affordable Care Act exchanges after dramatically reducing its footprint in 2017.

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CVS enters into 4 new states for ACA exchange plans

Healthcare Dive

The insurer has been bullish on expanding its ACA footprint since 2021, when its payer business Aetna said it would return to the exchanges after exiting them in 2017.

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More patients — especially younger ones — are switching providers, survey finds

Healthcare Dive

About 30% of patients selected a new provider in 2021, up from 26% in 2017, according to a new report from Accenture. Gen Zers and millennials were six times more likely to switch providers than older people.

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Ground ambulance costs continue to soar, study finds

Healthcare Dive

Private insurers' payments for those trips increased 56% between 2017 and 2020, Fair Health found. More ambulance trips are billing for "advanced life support," denoting a higher level of care (and reimbursement).

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