News From Around the Web
> Some Kansas health insurers are seeking legal permission to sell network-only plans known as "exclusive provider organization" plans, which provide no reimbursement for out-of-network healthcare except in the case of emergency, KCUR.org reports. Article
> A new report from Standard & Poors found three common themes in the New York health insurance marketplace: Steep declines in the number of uninsured; weak operating performance for insurance companies in the individual market; and lingering uncertainties about the ACA premium-stabilization programs. Report (Subscription required)
> St. Louis-based health insurer Centene Corp. said that it projects its 2015 revenue to be in line with its previous guidance, expecting to report a profit of $3.03 a share when it releases its earnings results Feb. 9, according to the Wall Street Journal. Article
AntiFraud News
> The push for healthcare providers to adopt electronic health records has been fueled by promises of improved efficiency and usability, greater accessibility to health information, and in some cases, better patient care, but the actual use of EHRs has produced mixed results with vulnerabilities still plaguing many systems. Article
> A managed care organization that specializes in long term care in New York City has agreed to pay $47 million for enrolling ineligible beneficiaries in the plan, and as part of the settlement, CenterLight Healthcare admitted to improperly enrolling more than 1,200 individuals in its Managed Long-Term Care Plan. Article
And finally… Cannon vs. refrigerator. Article