If the largest private payer finds the trip was not an emergency, the visit will be "subject to no coverage or limited coverage," the provider alert states. Anthem faced backlash for a similar policy several years ago.
The new research comes roughly a week after Democrats revived efforts to draft legislation enacting a Medicare-like public option, a bid to winnow the nation's uninsured rate and lower healthcare costs.
Tenet-owned Baptist Health system in Texas is offering up to $20,000 for new nurses and other workers. Nurses who treated COVID-19 patients are in demand, Iman Abuzeid, CEO of nurse staffing platform Incredible Health, said.
Data and analytics will play a key role in reducing health disparities and supporting chronic disease management post-pandemic, CVS Caremark's chief medical officer argues.
The state will bid out the business to private insurance carriers instead of doing the work in-house. Medicaid managed care organizations Centene, UnitedHealthcare and Anthem will be required to submit a bid.
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