State Intelligence — New York
Signals referencing this state across all sources.
13 signals
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STAT+: CMS extends fraud crackdown to New York’s adult day care program
CMS is cracking down on adult day cares in New York, part of a broader focus on alleged health care fraud.
Policy / Regulatory Changes · 140 signals · last 30 days -
CMS defers $1.2B in Medicaid funds from California, puts New York on notice after raid
The Trump administration is withholding additional funds from California as part of its war with certain states over Medicaid fraud.
Policy / Regulatory Changes · 140 signals · last 30 days -
New York payer says 2027 Medicare Advantage star rating will cost it $380M
Healthfirst is the latest insurer to sue the federal government in a bid to overturn its 2027 Medicare Advantage star rating it says will cost the plan more than $380 million. The New York City-based insurer, which has more than 300,000 MA enrollees, received a 3.5-star rating for 2027, down from 4.5 stars the prior […] The post New York payer says 2027 Medicare Advantage star rating will cost it $380M appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
11 payers exiting Medicare Advantage in 2027
Eleven payers are exiting the individual Medicare Advantage market for 2027, according to CMS data. Seven of the eleven are owned entirely or in part by health systems. Several other payers will stay in MA next year only through special needs plans, including Molina Healthcare, Horizon BCBS New Jersey, New York City-based MJHS Health System’s […] The post 11 payers exiting Medicare Advantage in 2027 appeared first on Becker's Payer Issues | Payer News .
Molina Healthcare + Blue Cross Blue Shield plans · 37 signals · last 30 days -
Elevance wins dismissal of provider lawsuit over $1.7M in unpaid No Surprises awards
A New York state court has dismissed a lawsuit brought by two medical practices seeking more than $1.7 million from Elevance Health subsidiaries over unpaid No Surprises Act arbitration awards, ruling that the providers failed to make a viable claim under state law. Suffolk County Supreme Court Justice Paul Hennings granted the insurer’s motion to […] The post Elevance wins dismissal of provider lawsuit over $1.7M in unpaid No Surprises awards appeared first on Becker's Payer Issues | Payer N...
Elevance New YorkElevance Health · 16 signals · last 30 days -
Elevance hit with another lawsuit over out-of-network penalty policy
Elevance Health’s out-of-network penalty policy has been met with significant resistance — and another lawsuit filed Sept. 17 is adding fuel to the fire. The Neurological Surgery Practice of Long Island filed the complaint in a New York federal court, targeting a policy that expanded to the state in July. Under the policy, network hospitals […] The post Elevance hit with another lawsuit over out-of-network penalty policy appeared first on Becker's Payer Issues | Payer News .
Elevance New YorkElevance Health · 16 signals · last 30 days -
Trump Administration Announces $76 Million to Strengthen Regional Coordination and Modernize Healthcare Technology for New York
Trump Administration Announces $76 Million to Strengthen Regional Coordination and Modernize Healthcare Technology for New York This federal investment will strengthen regional partnerships, improve coordination of care, and expand access to healthcare services for rural New Yorkers
Competitive / Operational Strategy · 36 signals · last 30 days -
United States v. Anthem, Inc.
Case 1:20-cv-02593-ALC-KHP Document571_ Filed 09/01/26 Page1of9 U.S. Department of Justice United States Attorney Southern District of New York 86 Chambers Street New York, New York 10007 September 1, 2026 Via ECF The Honorable Katharine H. Parker United States District Court 500 Pearl Street New York, New York 10007 Re: = United States of America v. Anthem, Inc., No. 20 Civ. 2593 (ALC) (KHP) Dear Judge Parker: This Office represents the Government in the above-referenced matter. We write Ori...
Anthem New YorkElevance Health · 16 signals · last 30 days -
Mount Sinai quietly stops accepting some new patients with government-backed plans
New York City-based Mount Sinai Health System is no longer accepting some new patients with government-backed health coverage, according to since-removed notices on its website. An archived webpage shows how Mount Sinai stopped accepting new patients with Centene’s Fidelis Care Medicaid, exchange and Medicare Advantage coverage, as well as Wellcare Medicare Advantage coverage, as of Aug. 1. […] The post Mount Sinai quietly stops accepting some new patients with government-backed plans appeare...
Centene · 13 signals · last 30 days -
Luigi Mangione admits he shot UnitedHealthcare CEO
Luigi Mangione has pleaded guilty to federal stalking charges in connection with the December 2024 killing of UnitedHealthcare CEO Brian Thompson outside a Midtown Manhattan hotel, the New York Times reported. “I shot Mr. Thompson in Manhattan,” Mr. Mangione told the judge Aug. 14. “I understood that my actions would place him in fear of […] The post Luigi Mangione admits he shot UnitedHealthcare CEO appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare New YorkUnitedHealthcare · 46 signals · last 30 days -
EmblemHealth, NYC reach $53M copay settlement with Medicare retirees
EmblemHealth and New York City have agreed to settle a class action over $15 copays the city imposed on Medicare-eligible retirees enrolled in its GHI Senior Care plan. The proposed settlement, filed July 30, caps the defendants’ liability at $53 million and locks in the copays at $15 through 2027. Five retirees and the NYC […] The post EmblemHealth, NYC reach $53M copay settlement with Medicare retirees appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Hospitals promise AI partnership. Nurses want it in writing
Nurses in New York and California have secured multiyear labor contracts with provisions ensuring they have a say in how AI is deployed.
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Full-body scan startup Neko Health scores $700M to break into the U.S. market
Tech-enabled preventive health startup Neko Health banked $700 million to break into the U.S. market with plans to open a New York City clinic later this year.
SCAN New YorkSCAN Health Plan · 12 signals · last 30 days