CMS proposes stricter exchange broker oversight
October 04, 2024 05:45:45 PMFederal authorities are cracking down on agents and brokers switching exchange customers' coverage without their consent.
Village Medical president named CEO at Presbyterian Healthcare
October 04, 2024 03:44:17 PMDr. Rishi Sikka was named president of primary care provider Village Medical last October.
Here's where healthcare hiring is rising and falling in 2024
October 04, 2024 12:56:34 PMThere's been a small decrease in overall healthcare hiring this year but hospitals are bucking the trend.
Where rural hospitals are being built
October 04, 2024 05:00:00 AMNew full-service hospitals with inpatient beds are rare in rural America. But some communities in Wyoming, Kansas and Georgia are defying the trend.
Hospital-at-home nets mixed scores in CMS report
October 04, 2024 05:00:00 AMPatients and caregivers said hospital-at-home was less stressful than facility-based care, according to a CMS report on Acute Hospital Care at Home.
Top digital health funding: General Catalyst backs dementia care
October 04, 2024 05:00:00 AMAn oncology care company and an autonomous medical coding company also secured financing this week.
PBMs Express Scripts, OptumRX, CVS Caremark sued by Texas AG
October 04, 2024 05:00:00 AMTexas Attorney General Ken Paxton alleges several major manufacturers and pharmacy benefit managers have driven the costs of insulin up by 1,000%.
Telehealth opioid treatment companies urge DEA for leniency
October 04, 2024 05:00:00 AMCompanies treating opioid addiction solely through virtual platforms are concerned over rumored DEA prescribing proposals.
How stalled private equity oversight bills may sway M&A
October 04, 2024 05:00:00 AMCalifornia is the sixth state this year where legislation designed to bolster oversight of healthcare transactions involving private equity stalled.
UnitedHealthcare sues over Medicare Advantage ratings downgrade
October 03, 2024 03:00:28 PMThe suit alleges CMS downgraded the insurer based on one phone call.
Eli Lilly weight-loss drug shortage ends, shaking up telehealth
October 03, 2024 10:19:04 AMCompounded versions of popular weight-loss drugs attracted telehealth companies that marketed services to connect patients with healthcare providers.
What a Harris or Trump win means for the ACA, health insurance
October 03, 2024 05:00:00 AMVice President Kamala Harris and former President Donald Trump can be expected to pick up where their administrations left off, but twists are likely.
4 steps to shore up health equity using AI
October 03, 2024 05:00:00 AMHealth systems should be collecting diverse data and creating governance structures to account for health equity in their AI use, according to experts.
Feds back healthcare workers in noncompete lawsuit
October 02, 2024 01:40:21 PMA Justice Department court filing highlights state and federal policymakers' growing interest in clamping down on noncompetes.
Healthcare hiring slows, raising concerns for US job market
October 02, 2024 11:04:56 AMCompanies added just 30,900 healthcare workers to payrolls in August, the least in more than two years.
General Catalyst-backed Commure acquires AI documentation company
October 02, 2024 10:29:57 AMCommure announced the all-cash, $139 million deal with Augmedix in July.
CVS execs have been weighing options for months amid rising costs
October 02, 2024 09:45:20 AMCVS has been reviewing its strategic options for months as rising medical costs in its Aetna insurance arm weigh on the healthcare conglomerate.
Humana plunges as Medicare star ratings drop threatens revenue
October 02, 2024 08:39:47 AMAbout a quarter of members in plans that Humana manages for the US Medicare program for the elderly were in four-star rated plans, down from 94%.
CMS keeps raising the bar for Medicare Advantage star ratings
October 02, 2024 05:00:00 AMHigher "cut points" mean Medicare Advantage insurers will continue to have a tough time earning top star ratings — and the bonus payments that go along with them — next year.
Why Labcorp, Quest Diagnostics are buying hospital labs
October 02, 2024 05:00:00 AMMore hospitals are partnering with independent laboratories to handle outreach orders to drive down costs.
How CVS Health, Aetna got here
October 01, 2024 01:26:08 PMCVS Health and their subsidiary Aetna have faced severe headwinds to achieving profitability. Here are the key events that led them to recent job cuts and reportedly considering a break up.
Tenet sells majority stake in 5 hospitals to Orlando Health
October 01, 2024 11:53:06 AMTenet will provide revenue cycle management services to the hospitals through a subsidiary.
Blue Shield of California to bypass PBMs with Humira biosimilar
October 01, 2024 10:55:50 AMBlue Shield of California struck an unusual deal to buy a lower-cost version of Humira directly from a manufacturer, bypassing the giant PBMs.
CVS Health to cut 2,900 corporate jobs
October 01, 2024 10:44:03 AMCVS Health said Tuesday the 2,900 jobs will be at the corporate level and the cuts won't impact frontline workers.
5 VCs on the election and digital health investing
October 01, 2024 05:00:00 AMHere is how five venture capital investors see the rest of 2024 playing out.