Bob Sheehy, the former CEO of CEO of United Healthcare UNH 0.76% , is back with a new startup called Bright Health.
Continue reading Ex-UnitedHealth CEO Raising $81 Million for New Insurance Startup
Day: July 28, 2016
BCBS Over-Payment Practice Dealt Death Blow
This might be the first time in US healthcare history that a federal ERISA court grants a permanent injunction against a violative insurance company or health plan.
Continue reading BCBS Over-Payment Practice Dealt Death Blow
Is Medicare +25% Reasonable?
Is 125% of Medicare a reasonable reimbursement rate? Patrick Rooney thought so back in the 1980’s. Many believe it still is.
Several of the BUCA’s pay less than that for out-of-network provider pricing. We have seen some of the BUCA’s pay out-of-network hospitals 105-110% of Medicare.
Our book of business primarily employs reference based pricing strategies paying hospital / facilities 120% of Medicare since 2007. – Bill Rusteberg