News
After health subsidies expire, marketplace enrollment takes a big dip in Ohio
2+ hour, 32+ min ago (557+ words) OHIO, USA " Editor's note: This story was originally published by the Ohio Capital Journal and was republished under a Creative Commons license. You can read the original here. Far fewer Ohioans enrolled in insurance marketplaces after Republican-controlled U.S. Congress allowed subsidies…...
Toledo provider owes $1.87M for Medicaid overpayments
1+ mon, 3+ week ago (421+ words) TOLEDO, Ohio " A Toledo-based behavioral health agency must repay nearly $1.87 million to the state after a Medicaid audit found widespread billing and documentation violations - findings the agency's CEO disputed, calling them clerical errors rather than evidence of overbilling. The audit…...
Mercy Health warns Humana patients could lose in-network access by December
3+ mon, 2+ week ago (335+ words) TOLEDO, Ohio " Mercy Health issued a notice to thousands of Humana members in the Toledo area that they could lose access to their Mercy Health doctors and facilities if ongoing contract negotiations fail to reach an agreement by December 1, 2025. The…...
ProMedica could become out-of-network for Medical Mutual patients in 2026 if no new contract is signed
5+ mon, 3+ week ago (474+ words) TOLEDO, Ohio " Editor's note:An earlier version of this story incorrectly stated that Medical Mutual notified patients about potential coverage changes. The notification was sent by ProMedica. Medical Mutual first publicly commented on the status of negotiations on Monday. A…...