Column: This company made billions by surprise-billing helpless ER patients. Then justice arrived

  • 📰 latimes
  • ⏱ Reading Time:
  • 62 sec. here
  • 3 min. at publisher
  • 📊 Quality Score:
  • News: 28%
  • Publisher: 82%

Sverige Nyheter Nyheter

Sverige Senaste nytt,Sverige Rubriker

'Envision stands as a case study in the destructive incursion of the profit motive — actually, the profiteering motive — in American healthcare.' Column by hiltzikm:

Eli Lilly’s price cuts on insulin will increase its profits, thanks to America’s bizarre drug pricing system. Don’t mistake its move for philanthropy.that heavily influenced the legislative movement in Congress, it wasn’t unusual for emergency doctors to end their network contract with insurers.

The Yale researchers made passing mention of another player in this process: the health insurance industry, which has an interest in paying providers as little as it can get away with. It says its real problem is that regulations implementing the act have put health insurers in the driver’s seat in setting reimbursements. Provider firms have to go to arbitration to settle their differences, but that’s resulted in a logjam of arbitration cases and a backup of unpaid claims.

Column: Moderna and Pfizer are jacking up the price of COVID vaccines. The government should stop them The prearranged bankruptcy will allow both Amsurg and Envision to continue operating under the ownership of their creditors, who will take over once the latter emerges from bankruptcy in the fall. Among the new owners will be Blackstone, giving the big private equity firm a foothold in the two biggest staffing companies, Envision and TeamHealth.

The insurer, for its part, says Envision has “systematically” upcoded its reimbursement claims. The allegation is that Envision has submitted claims for more elaborate patient treatments — which warrant higher reimbursements — than the patients needed or received at the ER.

 

Tack för din kommentar. Din kommentar kommer att publiceras efter att ha granskats.
Vi har sammanfattat den här nyheten så att du kan läsa den snabbt. Om du är intresserad av nyheterna kan du läsa hela texten här. Läs mer:

 /  🏆 11. in SE

Sverige Senaste nytt, Sverige Rubriker

Similar News:Du kan också läsa nyheter som liknar den här som vi har samlat in från andra nyhetskällor.

Motor Mouth Podcast: Will EV battery subsidies doom the North American auto industry?David Booth expands on his recent column detailing the fallout from Stellantis stopping work on its Windsor EV battery factory
Källa: TheStarPhoenix - 🏆 253. / 63 Läs mer »

Tech Giants Trigger Generative AI Investment BoomVIP+ Guest Column: From Microsoft to Amazon, Google to Meta, everyone’s in on the artificial intelligence hype, and the money’s following suit.
Källa: Variety - 🏆 108. / 63 Läs mer »