By Andy Miller and Rebecca Grapevine
The corporate parent of a large Georgia insurer has agreed to pay a total of more than $140 million to two states over a billing dispute involving Medicaid pharmacy benefits.
Ohio will receive $88 million and Mississippi $55 million from St. Louis-based Centene, which is the parent company of Peach State Health Plan, an insurer in the Georgia Medicaid program.
Georgia may seek similar compensation.
The Columbus (Ohio) ...
HCA Healthcare’s “activation” fees for trauma care in Georgia are double those at other hospitals in the state, according to a Kaiser Health News report this week.
The company’s Georgia fees of about $15,000 are actually lower than those in most other states where HCA operates trauma hospitals, the KHN analysis found. Those activation fees elsewhere run as high as $50,000 per patient and are sometimes 10 times greater than those ...
Three months ago, two Northside hospitals in Gwinnett County went out of network with UnitedHealthcare, affecting thousands of the insurance company’s members.
Looming now is the potential for other Northside hospitals — including the health system’s flagship facility in Atlanta — to drop off the United provider network as well, with possibly more patients affected.
The existing contract between the insurer and the Northside hospitals in Atlanta, in the Forsyth County seat ...
The term “social determinants of health’’ refers to conditions under which people live and work that can affect their health risks and outcomes.
These non-medical factors, positive and negative, can include safe housing and transportation; discrimination and violence; education; access to nutritious foods and physical activity; and pollution in air and water.
Negative conditions can cause health disparities and inequities. For example, if people don’t have access to grocery stores offering healthy ...
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