Fraudsters, beware! Health IT firm launched in Georgia is after you
Health care fraud is estimated to cost the nation at least $68 billion annually — with some estimates at $230 billion or more. Musheer Ahmed wants to lower those fraud figures significantly. Ahmed has started a health information technology company to detect fraud in medical billing practices. He started... Read more
People who got coverage through ACA wonder about the future
Debra Wood went to the emergency room four years ago because her abdomen was swollen and acutely painful. That led to a 12-day stay in the hospital. While she was there, she also learned that she had diabetes. Wood had no health insurance at the time, and after being... Read more
Anthem talk of pullout puts a cloud over ACA exchanges
Is Georgia’s health insurance exchange heading for another big insurer pullout? A research report last week indicated that the parent company of Blue Cross and Blue Shield of Georgia may be moving toward withdrawing from a large percentage of exchange markets nationally. In Georgia, Blue Cross is currently the... Read more
Feds look at ACA provision as possible way to lower premiums
Alaska’s “reinsurance’’ program is being touted by the White House as a state-based innovation that can lower premiums and buttress the health insurance market. The head of the U.S. Department of Health and Human Services, Tom Price of Georgia, said Monday in a statement that a provision of the... Read more
Senate panel hears surprising testimony on surprise medical bills
Physician, hospital and insurer groups each expressed concerns Tuesday about Georgia Senate legislation that aims to prevent “surprise billing’’ of patients. The Senate Health and Human Services Committee heard testimony on a proposal to halt these medical bills, which can come from ER doctors, anesthesiologists, radiologists, pathologists and others... Read more

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