Health Insurance

Hospitals’ revenues continue to decline due to increasing delays and denials by commercial insurers

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Crowe RCA software monitors every patient financial transaction from more than 1,800 hospitals and 200,000 physicians nationwide for the purposes of automating hindsight, providing accounts receivable valuations and analyzing net revenue. Crowe leverages data gathered from clients on the Crowe RCA platform to monitor payor behaviors both within specific markets and nationally. Insights gleaned from … Read more

Sun Life U.S. annual high-cost claims report shows 45% increase of million-dollar+ claims

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Million-dollar+ claims rose from 109 claims per million members in 2019 to 158 claims per million in 2022 WELLESLEY, Mass., May 17, 2023 /PRNewswire/ — Sun Life U.S., the largest independent provider of medical stop-loss insurance in the country, has released its 11th annual High-cost claims and injectable drug trends analysis report, analyzing its extensive … Read more

Washington Residents At Risk of Losing Medicaid Coverage as First Deadline Approaches the End of May

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Coordinated Care encourages Washington Apple Health (Medicaid) beneficiaries to act early to confirm eligibility TACOMA, Wash., May 17, 2023 /PRNewswire/ — As a leading Medicaid managed care provider in Washington, Coordinated Care is committed to ensuring Washingtonians have access to high-quality, affordable health coverage. In line with its mission, Coordinated Care is providing its Medicaid … Read more