Jefferson Health Plans joins the chorus of insurers who have filed complaints since the 2027 star ratings were released in October.

The money comes from the Rural Health Transformation Program, a federal initiative scheduled to release awards to states on an annual basis until 2030. Funds are distributed based on progress reports submitted by states that show a roadmap for how patient care delivery in rural areas is being improved.

The decision means Island Peer Review Organization and Network Medical Review will no longer be able to participate in the Independent Dispute Resolution process, which makes rulings on reimbursement conflicts between healthcare payers and providers.

The scheme, which has resulted in two guilty pleas to date, allegedly involved the promise of “free cellphones” as a pretense to get Medicare insurance information from patients, which was then used to bill government programs for unnecessary HIV drugs.

The AI is backed by an LLM and includes an interface allowing for both voice and text chat. It’s available now to anyone who uses the Mayo Clinic Platform, the nonprofit health system’s tech innovation hub.

The “Lower Premiums, Faster Payments Act” from Rep. Frank Pallone (D-NJ) would eliminate the independent dispute process completely. Its proposal comes after recent indication that the No Surprises Act lacks teeth.

The money will be sent to eligible Medicare Part B members to offset a month of premiums. Payments will be taken from the Medicare Improvement Fund, used to enhance the program.

The Israel-based company has been plagued by troubles in recent months including construction delays, regulatory hurdles and an investor lawsuit, forcing it to seek solutions. 

The device in question is a microaxial heart pump for the treatment of acute myocardial infarction-related cardiogenic shock.