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      Perrigo sells generic drug business for $1.55 billion
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      Tensions over vaccine equity pit rural against urban America
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      Tensions over vaccine equity pit rural against urban America
      States easing virus restrictions despite experts' warnings
      Average nursing home nursing staff turnover exceeds 100%, report finds
    • The Check Up: Dr. Marc Boom
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      The Check Up: Dr. Imran Andrabi of ThedaCare
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      Low 2020 utilization could affect insurer profits for the next two years, analysts say
      CMS: Group health plans must cover COVID-19 diagnostic testing
      High MLRs inspire insurers to focus on quality improvements
    • Pandemic raises questions about impact of Medicare payment restructuring in post-acute
      Proposed overhaul of Arkansas Medicaid expansion unveiled
      States easing virus restrictions despite experts' warnings
    • UPMC's patient volumes stabilize, boosting 2020 profits
      Genomics firms taking advantage of SPACs trend to go public faster
      COVID-19 could dent hospital revenue by at least $53 billion in 2021, AHA says
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      Breaking the cost curve
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      Improvements to benefits data can enhance ePrescribing and the patient experience
      Oscar Health's $1B IPO sets the stage for more health tech exits in 2021
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      The digital divide becomes a new social determinant of health
    • Tensions over vaccine equity pit rural against urban America
      Utah cancels vaccine appointments after registration error
      Connecticut is doling out vaccines based strictly on age. It's simpler, but is it fair?
      Great-granddaughter of Tuskegee study victim gets vaccine
    • Alicia Wilson
      Q&A: Emerging leader Alicia Wilson on staying close to home
      Michael Jordan, Novant team up to address health equity
      Former Ascension CEO, the first to lead the health system, passes away
      Biden's pick to head CMS would be first Black woman to hold post
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      The digital divide becomes a new social determinant of health
      Ascension’s St. Mary’s Hospital Surgery Center at Towne Centre and Allegheny Health Network’s Bethel Park surgery center
      Hospitals see opportunity, risk in ambulatory surgery centers
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      UPMC pilots machine learning, telehealth to inform patient transfers
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      Digital check-ins, connected inhalers help control asthma
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      Chatbots, texting campaigns help manage influx of COVID vax questions
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      Rising prescription copays drop adherence, spike mortality, research shows
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      Patient-reported outcomes tool for hernia surgery helps physicians improve care
      Highmark Health inks six-year cloud, tech deal with Google
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      Amazon, JPMorgan Chase, Berkshire Hathaway disband Haven
      Digital pathways poised to reshape healthcare continuum in 2021
    • Dr. Daniel Hall
      UPMC pilots machine learning, telehealth to inform patient transfers
      A woman being recorded using her inhaler on a smartphone.
      Digital check-ins, connected inhalers help control asthma
      Humana partners with in-home provider for 24/7 care
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      Chatbots, texting campaigns help manage influx of COVID vax questions
    • Bundled payments reduce surgery costs by 10.7%
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      CMMI's geographic direct contracting model needs an overhaul, experts say
      Hospitals fight UnitedHealthcare policies over lab test, specialty drug payments
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      Ending racism is a journey taken together; the starting point must be now
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      In-person visitation must be part of the national COVID-19 response
      We've lost so much to the pandemic, but we've also made gains that will endure
      Medical groups key to meeting president's vaccine pledge
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      Beyond the Byline: How residents' stories shape our coverage of the vaccination rollout in nursing homes
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      Beyond the Byline: Verifying information on the chaotic COVID-19 vaccine rollout
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      The Check Up: Dr. Marc Boom of Houston Methodist
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Modern Healthcare Staff

Shelby Livingston

Former Reporter

Insurance

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Recent Stories
A 65 Forward senior-care clinic
Caring for oldest, sickest patients now a growth business

Medicare Advantage patients are the unlikely focus of a handful of primary-care growth companies, and a few health systems too.

Anthem to pay $594 million in Blues antitrust settlement

Anthem, a Blue Cross and Blue Shield plan that operates in 14 states, recorded the $594 million charge in the third quarter of 2020, though the settlement still must be approved by a federal court.

Ballad Health hospitals postpone elective procedures amid COVID-19 surge

Rural hospital chain Ballad Health is poised to postpone elective procedures at three of its Tennessee hospitals following a spike in COVID-19 cases. 

Investor scores $100 million payout from bet on insurers' lawsuits

A specialized investor that bet health insurers would prevail in a challenge over unpaid Affordable Care Act funds is now reaping rewards from the firm's gamble.

CMS approves Georgia's partial Medicaid expansion with work requirement

The federal government approved Georgia's plan to partially expand Medicaid to an additional 65,000 adults on the condition that they work, job-train, volunteer or pursue education for at least 80 hours a month.

UnitedHealth third-quarter earnings decline suggests COVID-19 boon is subsiding

UnitedHealth Group reported lower earnings in the third quarter of 2020 compared with a year ago, suggesting that the period of record profits large health insurers reaped early in the COVID-19 pandemic may have ended.

Fewer Medicare Advantage plans score high quality ratings

Fewer Medicare Advantage plans scored high quality ratings for their 2021 plans than the year before, according to the latest federal data.

Job-based premiums continue to rise faster than wages, inflation

Annual premiums for job-based family coverage rose to $21,342 on average this year, according to a Kaiser Family Foundation survey.

Cigna becomes third major payer to restrict MRIs, CT scans at hospitals

In August,Cigna began restricting coverage for most advanced imaging, such as MRIs and CT scans, when performed in a hospital-based department or facility.

Medicare Advantage startup Clover Health to go public

Medicare Advantage startup Clover Health is slated to become public through a merger with Social Capital Hedosophia Holdings Corp. III, a special purpose acquisition company.

Medicare Advantage insurers plan for bigger footprints, more telehealth

Medicare Advantage insurers are pushing into new territories and introducing new benefits in 2021, as they try to attract more members in the rapidly growing, lucrative market.

Ohio searches for new managed-care insurers amid Medicaid overhaul

Ohio is on the hunt for health insurers interested in serving the state's 2.6 million Medicaid members.

Anthem settles last 2015 cyberattack probe for nearly $40M

Anthem agreed to pay $39.5 million to settle an investigation by state attorneys general into the massive 2015 cyberattack that exposed the personal information of nearly 79 million of the health insurer's members and employees.

Why Molina is on a Medicaid plan buying spree

Molina Healthcare is on a roll. The health insurer plans to buy Affinity Health Plan, a small Medicaid company in New York, which would mark the fifth acquisition deal that Molina has disclosed this year.

Short-term plans spent little on medical claims in 2019

Short-term health plans continued to spend few dollars on members' medical claims in 2019 as enrollment in the skimpy policies ballooned, according to the latest data from the National Association of Insurance Commissioners.

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