Claims Denials and Appeals – medicarereport.org

Friday, April 19, 2024

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Accountable Care Organizations (ACO)Artificial Intelligence CMS HHS Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs Prior Authorization

Eileen Cook October 11, 2023October 11, 2023 AI, Claims Denials and Appeals, CMS, Medicaid, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Medicare Part D

Lawmakers are scrutinizing managed care

(By Rylee Wilson for Becker’s Hospital Review) Federal lawmakers have been probing payers on a variety of issues in recent

Health Care Finance Health Insurance Legal Actions/Court Decisions

Eileen Cook September 15, 2023September 15, 2023 Cigna, Claims Denials and Appeals, Health care claims, Lawsuit

Cigna sued by shareholder following ProPublica report on claims denials

(By Jakob Emerson for Becker’s Hospital Review) A shareholder is suing the Cigna Group in Delaware’s Court of Chancery to

Affordable Care Act (ACA)Artificial Intelligence Health Care - General Health Insurance HHS

Eileen Cook May 26, 2023May 26, 2023 0 Comments "Denial Nurse", ACA, AI, Claims Denials and Appeals, Health Insurance companies

Denials of Health Insurance Claims Are Rising — And Getting Weirder

(By Elisabeth Rosenthal for KFF Health News) Millions of Americans in the past few years have run into this experience:

Affordable Care Act (ACA)CMS

Eileen Cook February 9, 2023February 9, 2023 0 Comments ACA, Claims Denials and Appeals, CMS

Claims Denials and Appeals in ACA Marketplace Plans in 2021

(By Karen Pollitz, Justin Lo, Rayna Wallace, and Salem Mengistu for Kaiser Family Foundation Published: Feb 09, 2023) In this