7 updates on hospital-payer relationships

Morgan Haefner - Print  | 

Here are seven recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

1. Chicago hospital to consolidate ICU, lay off staff because insurers owe $13M
Chicago-based Loretto Hospital is consolidating its intensive care unit and laying off an undisclosed number of employees as insurance reimbursement lags.

2. Anthem ordered to testify on WellStar dispute            
Georgia's insurance commissioner issued an order May 10 that requires Anthem to testify at a hearing over its dispute with Marietta, Ga.-based WellStar Health System.

3. Private insurers pay hospitals 2.4 times what Medicare pays            
Hospitals were paid, on average, 241 percent of Medicare rates for services provided to privately insured patients in 2017, according to a RAND Corp. study done in collaboration with the Employers' Forum of Indiana.

4. WVU Medicine to acquire health plan: 5 things to know    
The Health Plan, a West Virginia-based health insurer, will integrate with West Virginia University Health System, a nine-hospital system in Morgantown, the organizations said May 7.

5. WellSpan, Capital BlueCross partner for long-term agreement            
WellSpan Health, an eight-hospital system based in York, Pa., partnered with Pennsylvania health insurer Capital BlueCross to coordinate care delivery and financing.

6. HCA hospitals won't get full $150M in Aetna arbitration case           
Aetna will not have to pay Florida hospitals owned by Nashville, Tenn.-based HCA Healthcare $150 million related to an arbitration case, according to a Securities and Exchange Commission filing from Aetna's parent company, CVS Health.       

7. Florida hospital sues Aetna over readmission payment policy           
Lakeland (Fla.) Regional Health filed a lawsuit against Aetna claiming the insurer arbitrarily denied payment for readmitted patients.

More articles on payers:
Judge steps down from UnitedHealth case over 'immoral' denial of cancer treatment
House Democrats unveil Medicare expansion plan: 8 things to know
Humana posts $566M profit in Q1

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