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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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All lanes blocked on I-84 in Payette County due to multiple brush fires, officials say

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All lanes blocked on I-84 in Payette County due to multiple brush fires, officials say


UPDATE – 8:30 p.m. 7/7/26- IDL has mapped the fire at 4 acres. It has been ruled human-caused.

ORIGINAL STORY

The Idaho Department of Transportation says all lanes are blocked on I-84 south of New Plymouth due to multiple nearby brush fires.

ITD says all lanes of travel have been blocked from US-30 to Black Canyon Road. The brush fires are located between milepost 9 and milepost 12, officials say.

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Drivers are being advised of travel danger and asked to consider an alternate route.

Idaho Department of Lands has mapped the fire at 0.10 acres. The cause is undetermined.





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Idaho Falls man charged with first-degree arson, allegedly placed rag into toaster prior to fire

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Idaho Falls man charged with first-degree arson, allegedly placed rag into toaster prior to fire


IDAHO FALLS — A 37-year-old Idaho Falls man is facing felony arson charges after he allegedly set a toaster on fire that caused damage to a home. According to court documents, an officer with the Idaho Falls Police Department was dispatched to a home on June 9 due to a man making suicidal threats after […]



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Idaho mother who said her toddlers died after vaccinations accused of suffocating them, charged with murder | CNN

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Idaho mother who said her toddlers died after vaccinations accused of suffocating them, charged with murder | CNN



AP — 

An Idaho woman who said her toddler twins died last year after being vaccinated faces murder charges connected to their deaths, authorities said.

A grand jury indicted Andrea Shaw, who is accused of suffocating her 18-month-old twins in May 2025, on two counts of first-degree murder on June 29, according to court records and a statement from the Payette Police Department.

While appearing last year on an internet show produced by Children’s Health Defense — an anti-vaccine group founded by Health and Human Services Secretary Robert F. Kennedy Jr. — Shaw said her twins died after getting vaccinated. Kennedy has not been affiliated with the group since December 2024, when he formally resigned as chairman to join President Donald Trump’s administration.

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Shaw, 23, was arrested by Boise police officers Tuesday and arraigned Thursday. She is being held on a $2 million bond and could face life in prison or the death penalty if convicted or if she pleads guilty to first-degree murder. Her next court appearance is July 14.

Joe Filicetti, an attorney representing Shaw, wrote in a text message that she “denies anything and everything” and that the state “cannot prove” the criminal charges.

“We will defend her with wholeheartedness,” Filicetti added.

The Payette Police Department and the Payette County prosecutor’s office declined to comment Monday.

During her May 2025 appearance on the Children’s Health Defense show, Shaw said she found her twins dead in their room days after they got vaccinated for the flu and other diseases.

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“They had got their shots at the same time by two nurses at the same time,” Shaw said. “And they got sick.”

Medical experts point out that the childhood vaccines at issue — hepatitis A, influenza and DTaP — are safe and effective for kids and recommended by various medical groups.

Shaw is also a plaintiff in a federal lawsuit brought by Children’s Health Defense and others against the American Academy of Pediatrics. The lawsuit, which was filed in January in federal court in Washington, accuses the American Academy of Pediatrics of racketeering for its “central role in an enterprise that has defrauded American families about the safety of the childhood vaccine schedule for several decades.” In the lawsuit, Shaw is described as a mother “whose children died following routine vaccinations administered according to AAP guidelines.”

The American Academy of Pediatrics has asked the court to dismiss the suit, asserting in an April court filing that it is the “latest missive in a campaign targeting” the academy and its “use of science-backed evidence in vaccine policy.”

In January, pediatricians and other experts became alarmed when US health officials made broad changes to childhood vaccine guidance, dropping several universal recommendations. Kennedy, who helped lead the anti-vaccine movement for years, said the changes better align the US with peer nations “while strengthening transparency and informed consent.”

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In March, a federal judge blocked the changes and said Kennedy likely violated federal procedures in revamping a key vaccine advisory committee. But the judge’s order is not the final word; the blocks are temporary, pending either a trial or a decision for summary judgment.



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