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Insurer asks Idaho Department of Insurance to investigate hospital billing practice – East Idaho News

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Insurer asks Idaho Department of Insurance to investigate hospital billing practice – East Idaho News


POST FALLS (Idaho Capital Sun) — A major Idaho health insurer this week asked the Idaho Department of Insurance to investigate the billing practices of a new North Idaho hospital.

Blue Cross of Idaho claims that Post Falls ER & Hospital has refused offers to be part of the insurer’s network of in-network providers, and has instead relied heavily on a last-resort financial protection that lets health care providers dispute insurer payments.

Blue Cross of Idaho Chief Strategy Officer Drew Hobby said the insurer wants to protect consumers from rising health care costs.

“We have a responsibility to help Idahoans get access to high quality, affordable care. And we’re very concerned and alarmed with this process, which we would say is driving up unreasonable costs and unreasonable rates to Idahoans,” he told the Idaho Capital Sun in an interview.

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The Idaho Department of Insurance is reviewing the issue, agency spokesperson Julie Robinson said in a statement.

The Post Falls ER & Hospital opened in 2024. The facility was Nutex Health Inc.’s first micro-hospital in Idaho.

Post Falls ER & Hospital could not be immediately reached for comment.

Outside of the Post Falls ER & Hospital, 100% of hospitals in Idaho are in Blue Cross’s network, Hobby said. Blue Cross also asked the Department of Insurance to help get the hospital’s owners to meet with Blue Cross.

What is the billing practice Blue Cross wants Idaho to investigate?

In its letter to the Idaho Department of Insurance, Blue Cross asked for a probe into whether the Post Falls ER & Hospital has misused a process called independent dispute resolution.

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The process, created by the federal No Surprises Act, allows health care providers to challenge denials and payments by health insurers for services that are out of network, triggering arbitration to decide the final payment.

Each week in recent months, Blue Cross received an average of 75 dispute requests from the hospital, the insurer said in its letter. That is much more than the insurer says it received from all other health care entities in Idaho. On average each month, Hobby said Blue Cross only received 14 dispute requests from other providers in Idaho.

“Compared to the rest of providers that we work with … the volume is alarming,” Hobby said.

The payments sought in that process are often high, Blue Cross told the Department of Insurance. One example Hobby shared was a claim for nearly $2,900 to treat a runny nose, which was well over the $376 that is the median commercial rate for nasal congestion.

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Idaho

Idaho state troopers identify Billings man missing in traffic accident

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Idaho state troopers identify Billings man missing in traffic accident


The Idaho State Police say that Robert Giesick, 40, from Billings is the man missing in a crash on State Highway 55 near Cascade, about 80 miles north of Boise.

A pick-up truck driven by Giesick ended up in the Payette River after a head-on crash with another pick-up truck.
Watch Idaho crash story here:

Idaho state troopers identify Billings man missing in traffic accident

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“I was able to find some people that saw a male, an adult man, swimming for the shore from the truck,” said Idaho State Trooper Richard Knapp, who attempted to rescue Giesick. “Unfortunately he didn’t make it. He got swept downriver. Witnesses lost sight of him, and that was the last time anybody saw him.”

Knapp says search crews looked extensively for the 40-year-old, but after 24 hours, it became a recovery effort for the Idaho Mountain Search and Rescue Unit.

After that on Monday came the monumental task of removing the pickup truck from the raging water.

“It was an intensive a recovery, honestly, our operators were tested, their knowledge was tested,” said Mark Boisvert, Code Red Towing owner. “They said it was a very extreme recovery for them, more than usual.”

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Boise lawyers give advice on how to comply with new bathroom bill

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Boise lawyers give advice on how to comply with new bathroom bill


Idaho business owners have less than a month to decide how to comply with a new state law criminally banning trans people from using restrooms that align with their gender identity.

The law is set to take effect July 1, which would make it a misdemeanor for the first offense and a felony for subsequent offenses within five years.

It’s currently being challenged in federal court by the ACLU of Idaho.

On Tuesday, a panel sponsored by Idaho Employment Lawyers encouraged companies to prepare now as if the law will remain in effect as litigation continues.

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Cody Earl, a lawyer for St. Luke’s Health System who spoke on the panel in his personal capacity, said there are several paths businesses can take.

Converting all bathrooms into single-use, gender-neutral facilities is one option, though it could be costly for larger businesses. Earl said companies could take other steps to make the transition more affordable.

“Even if it is a gender-specific restroom, [adding signage] that indicates where the closest gender-neutral restroom is so you could at least show that you’re giving employees an option or a choice,” he said.

Simply adding locks and only allowing one person at a time to a multi-stall bathroom is another choice, though panelists said that could be problematic for businesses with large amounts of customers, like restaurants and bars.

Idaho Employment Lawyers owner Pam Howland said companies also need to consider how this will affect their staff.

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“This could definitely create some culture issues,” said Howland. “Do you have the policies you need to ensure your expectations as an employer of respect and civility are being followed? Possibly code of conduct provisions related to that? How about privacy?”

Those policies could include limiting or outright banning recording at the workplace.

Another legal wrinkle to complying with the law, the panel said, is that precedent in both the U.S. Supreme Court and 9th Circuit Court of Appeals prohibit discrimination based on someone’s gender identity.

Gender dysphoria, a mental health designation that causes severe distress to someone when their sex doesn’t align with their gender identity, has been considered a protected condition under the Americans with Disabilities Act in certain cases.

Republican state lawmakers argued earlier this year that Idaho needs to take this first-in-the-nation step to protect women and girls when they use the restroom in private businesses.

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A 2025 study out of UCLA hasn’t found any increased risk to safety by allowing transgender people to use restrooms aligning with their gender identity.

A federal court in Boise will hear arguments over whether to approve or reject a preliminary injunction on June 5.

Copyright 2026 Boise State Public Radio





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Idaho Remains Red, White, and Blue for America 250

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Idaho Remains Red, White, and Blue for America 250


Remember that 250 years ago, nobody had ever heard of Idaho, and the name was mostly made up by an entrepreneur who impressed the federal government with an exaggeration about his knowledge of indigenous culture.  But a large number of people who live in the state can trace ancestry to the colonial era, and I believe most Americans still have a love of country, even if some polls give an indication they may not quite know how to express it.

I Was at the Heart of the Bicentennial

Looking back 50 years, I was in Washington, D.C. at the beginning of July.  Washington also didn’t exist in 1776.  My memory is that its reputation as a hot, sticky swamp was well earned.  I traveled there with a history club from school.  On a rattling old yellow bus.  The city was packed, and many of the people on the streets were foreign tourists.  It told me that despite the anti-Americanism common on streets elsewhere around the world, we were still fascinating others.

We’re Still One Nation

1976 was a unifying experience and followed a very turbulent previous 15 years.  Some people fear the 250th jubilee won’t bring us together.  Look, those rent-a-mobs you see on TV and online are actually a small fraction of America.  Picnics in the park don’t make news.  Riots and tear gas get the attention of newsrooms.  There are still far more picnics.

The recent Memorial Day commemorations were reverential.  Independence Day 2026 is going to be a party.  The media focus will be on President Trump and a festival far away.  Meanwhile, across Idaho, grills will be fired up, and we’ll be proud to be Americans.

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