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Morning Briefing

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Friday, Apr 18 2025

Full Issue

House Committee Investigates Health Care Union's Funds Management

A recent Politico investigation alleged that 1199SEIU United Healthcare Workers East President George Gresham for years used the organization鈥檚 funds to benefit himself, his family, and political allies. Gresham has "refuted" the claims. Others in the news include: Semler Scientific, Morgan Stanley, UnitedHealth, and more.

The House Committee on Education and the Workforce is calling for an investigation into 鈥渋mproper financial practices鈥 by the union 1199SEIU United Healthcare Workers East, citing recent reporting by POLITICO. In a letter Thursday to a top federal labor official, committee Chair Tim Walberg (R-Mich.) expressed concern about 鈥渘umerous troubling allegations鈥 detailed in POLITICO鈥檚 investigation, which found union President George Gresham has for years used the organization鈥檚 funds to benefit himself, his family and political allies. (Kaufman, 4/17)

In other health industry developments 鈥

More than two dozen rural hospitals in Ohio and West Virginia formed a clinically integrated network, which providers are increasingly turning to instead of health system-led acquisitions. The Ohio High Value Network, announced Thursday, is a 26-hospital collaboration designed to provide the purchasing power, patient volume and clinical expertise needed to reduce costs, reinforce alternative payment models and boost care quality. Similar coalitions formed in Minnesota and North Dakota over the past two years. (Kacik, 4/17)

Medtech company Semler Scientific has announced an offer to pay nearly $30 million to the Justice Department to resolve allegations related to how Medicare and other federal healthcare programs were billed for peripheral artery disease tests conducted using its QuantaFlo device. The Justice Department has not responded to聽the offer. If it鈥檚 rejected, the agency could proceed with a civil lawsuit under the False Claims Act, which could result in the company having to pay more. (Dubinsky, 4/17)

Morgan Stanley has hired senior dealmaker David Kostel as the vice chairman of its health-care investment banking group, people familiar with the matter said. Kostel, who had previously been global co-head of coverage and global head of health care at UBS Group AG, will join the Wall Street firm next month and will be based in New York, the people said, asking not to be identified discussing confidential information. (Davis, 4/17)

UnitedHealth Group on Thursday slashed its profit outlook for this year after the health care conglomerate said its Medicare Advantage members continued to seek more medical care than it anticipated, sending its stock tumbling. (Herman and Bannow, 4/17)

麻豆女优 Health News: Watch: Why Insurance Companies Are Denying Coverage For Prosthetic Limbs

Although knee replacements are usually covered by health insurance, amputees face roadblocks to coverage and often must prove their prosthetics are medically necessary. (Andrews, 4/18)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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