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AHA HIGHLIGHTS REPORT SHOWING THAT HOSPITALS STRUGGLE TO COLLECT PAYMENTS FROM COMMERCIAL INSURERS

An American Hospital Association post highlighted findings from a Crowe Research report (“the Report”) showing that one in three inpatient claims submitted by providers to commercial insurers was not paid for over three months and that 15% of inpatient and outpatient claims were initially denied.  The AHA post also highlighted the Report’s findings that: claims …

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IVY CREEK HEALTHCARE HONORS LOCAL FIRST RESPONDERS AND HOSPITAL STAFF AFTER HEROIC RESPONSE TO TRAGIC SHOOTING

Last month after a tragic mass shooting in Dadeville, Alabama, 15 of the gunshot victims were brought by ambulance and private vehicle to Lake Martin Community Hospital in Dadeville for treatment.  Last week, Ivy Creek recognized those first responders with a special lunch.  Without the outstanding work of Lake Martin Community Hospital and the other …

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175 PHYSICIAN GROUPS FIERCELY OPPOSE NEW UNITEDHEALTHCARE POLICY REQUIRING PRIOR AUTHORIZATION FOR GI PROCEDURES

In a strongly worded letter sent to UnitedHealth Group’s CEO on May 8, 2023, 175 state and specialty medical associations and physicians’ groups have opposed United’s new policy requiring prior authorization for most GI endoscopic procedures, including colonoscopies, and urged United not to implement the policy as scheduled on June 1, 2023. The letter states …

175 PHYSICIAN GROUPS FIERCELY OPPOSE NEW UNITEDHEALTHCARE POLICY REQUIRING PRIOR AUTHORIZATION FOR GI PROCEDURES Read More »

THE CIGNA GROUP REPORTS STRONG PROFITS FOR THE FIRST QUARTER OF 2023, BEATING ANALYSTS’ EXPECTATIONS

Beating analysts’ expectations, the Cigna Group reported strong profits of $1.3 billion and revenues of $46.5 billion for the first quarter of 2023. Cigna revenues were stronger than analysts expected in all market segments, but were particularly strong in its health insurance business, Cigna Healthcare.  Cigna Healthcare’s first quarter revenues of $12.7 billion were up …

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CVS, WHICH INCLUDES AETNA, REPORTS STRONG FIRST QUARTER REVENUES AND PROFITS

CVS Health Corporation reported strong first quarter 2023 profits of $2.1 billion. It also reported strong first quarter revenues of $85.3 billion, up 11% from the prior year quarter. Both CVS’s first quarter profits and revenues beat analysts’ expectations. Revenues were also sharply up at CVS’s health care benefits segment, which includes Aetna.   CVS reported …

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HEALTH INSURERS POST STRONG PROFITS FUELED BY LOW MEDICAL COSTS

The health insurers who have reported first quarter 2023 earnings – Elevance Health (Anthem), Humana, UnitedHealth Group, and Centene – have reported strong revenues and profits. These profits have been fueled, in part, by low medical costs, including lower payments to providers than anticipated.  One of the ways that health insurers reduce their healthcare costs …

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ELEVANCE HEALTH (ANTHEM) POSTS STRONG FIRST QUARTER PROFITS, BEATING ANALYSTS’ EXPECTATIONS

Elevance Health, Inc. (formerly known as Anthem) reported strong first quarter 2023 profits with double-digit growth in profits, operating revenue, and adjusted earnings per share.  Elevance reported profits of $2 billion, an increase of 11% over the prior year quarter’s profits. Elevance’s first quarter operating revenues were also sharply up, growing 10.5% over the prior …

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IVY CREEK’S LAKE MARTIN COMMUNITY HOSPITAL TREATS VICTIMS OF DADEVILLE MASS SHOOTING

In the wake of the tragic mass shooting in Dadeville, Alabama, 15 of the gunshot victims were brought by ambulance and private vehicle to Lake Martin Community Hospital in Dadeville for treatment.  Thanks to the extraordinary work of Lake Martin Community Hospital and its doctors, nurses and staff, six of those patients have been treated …

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