Fultonham
Fultonham, OH · Health
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WHIZ
Genesis Remains in Network with Aetna and UnitedHealthcare MA Plans
ZANESVILLE, Ohio-– Genesis HealthCare System will remain in-network with Aetna Medicare Advantage and UnitedHealthcare Medicare Advantage Plans through 2027, according to a press release. Genesis will be out-of-network with Medical Mutual of Ohio Medicare Advantage in 2027. Genesis is canceling its remaining insurance information events. Community members who would...
NewsForce 24/7
Columbus Says No City Money Funds Ghana Nursing Program Moreno Attacked
COLUMBUS — No Columbus city money is being used for a new program building a pipeline for nurses from Ghana to come to Columbus, according to a fact check published Oct. 29 by The Columbus Dispatch, which found that a claim by U.S. Sen. Bernie Moreno conflated two separate efforts. Moreno, a Republican, attacked Columbus […]
hoodline.com
NewsForce 24/7
Belpre Women’s and Children’s Hospital Stalls as Ohio Awaits Federal Approval
Construction of Memorial Health System’s new women’s and children’s hospital in Belpre is on hold while Ohio waits for the Centers for Medicare and Medicaid Services to greenlight a rural hospital funding program, The Columbus Dispatch reported Oct. 28. The Marietta-based health system broke ground on the hospital in 2024 and had first expected to […]
Times Recorder
Genesis reaches deals with Aetna, CareSource after dispute over denied claims
ZANESVILLE – Genesis HealthCare System has reached new agreements with two health insurance providers, CareSource and Aetna. They come nearly two months after Genesis announced that 9,000 denied and disputed claims from four providers and millions of dollars in losses had weighed on future contracts. CareSource Medicaid, Next Generation MyCare Ohio Plan and Aetna Medicare Advantage members will now maintain in-network access to Genesis through 2027 under the new deals, according to a release from Genesis HealthCare System. Genesis previously said it would end contracts for Medicare Advantage plans under Aetna, UnitedHealthcare and Medical Mutual of Ohio and Medicare Advantage and Medicaid plans under CareSource on Jan. 1, unless new agreements were reached. Genesis anticipates releasing another announcement on the other insurance plans in the near future. Existing coverage for the remaining plans will remain unaffected through Dec. 31. If no agreements are reached, then those insurance plans would become out-of-network for nonemergency care at Genesis on Jan. 1. Emergency care will remain covered at in-network rates regardless of contract status, Genesis previously said. More: Genesis says 9,000 denied claims could mean dropping four insurers' contracts It was necessary to address the rising coverage denials and payment disputes, Genesis announced
highlandcountypress.com
Hillsboro woman sentenced in Medicaid fraud case
A Hillsboro woman was sentenced this month on a misdemeanor charge of Medicaid fraud and paid over $4,000 in restitution following an investigation announced by the Ohio Attorney General’s Office in August. As previously reported, indictments filed in August by the office of Ohio Attorney General Andy Wilson accused...
1808Delaware
Lewis Center Doctor Pleads Guilty In $1.6M Medicaid Scheme
A Columbus doctor and his clinic’s office manager have pleaded guilty in connection with a scheme that defrauded Medicaid of more than $1.6 million, Ohio Attorney General Andy Wilson announced today. Dr. Patrick Muffley, 56, of Lewis Center, pleaded guilty on Oct. 19 to felony theft and Medicaid fraud...