Evan Sweeney

Author's posts

Cerner sinks $266M into Lumeris as part of strategic partnership targeting Medicare Advantage plans

Cerner will become a minority owner in Lumeris’ parent company as part of a 10-year strategic partnership focused on value-based care payment arrangements, particularly in the Medicare Advantage space. The two companies plan to release a new joint offe…

CMS suspends $10.4B in risk adjustment payments to insurers

Over the weekend, CMS announced it was freezing billions in risk adjustment payments to insurers on the ACA marketplace, citing a New Mexico court ruling from March. AHIP said the decision would create more market uncertainty and increase premiums.

Harvard researcher tells Congress surprise billing ‘ought to be illegal,’ urges federal policy shift

Approximately 1 in 7 patients who visit the emergency department will be stuck with a surprise bill, according to Ashish Jha, M.D., director of the Harvard Global Health Institute. “I think this is an outrage,” he told members of the Senate HELP Commit…

Amazon’s acquisition of online pharmacy PillPack spooks retail drugstores

After months of speculation, it finally happened: Amazon jumped headlong into the drug distribution business with its acquisition of PillPack, an online, mail-order pharmacy. The news sent shares of Walgreens, CVS and Rite Aid plummeting, even as Walgr…

Coalition of ACOs, IT organizations throw support behind a CMS data-sharing mandate

More than 50 ACOs, providers, payers and patient advocacy groups signed on to a letter calling for CMS to include data sharing as a requirement to participate in Medicare and Medicaid. The letter said the shift “represents an important first step in fo…

AHA ‘strongly opposes’ interoperability as a Medicare requirement

Responding to a request for information from CMS, the American Hospital Association said it “strongly opposes” revising Medicare Conditions of Participation to include interoperability requirements. The hospital association argued that interoperability…

AHIP18: How Intermountain plans to fight pharmaceutical monopolies as a generic drugmaker

After watching Martin Shkreli raise the price of a drug by more than 550% in 2015, Intermountain’s Dan Liljenquist had the same thought as the rest of America: Is this really happening? So the system decided to create a nonprofit generic drug company that Liljenquist calls a “first-of-its-kind societal asset.”

AHIP18: Atul Gawande echoes no ‘instant solutions’ from Amazon-Berkshire-JPMorgan venture

The new CEO of the Amazon-Berkshire-JPMorgan healthcare venture offered no specifics on his goals for the organization but acknowledged his presentation at AHIP about healthcare’s inefficiencies would “take on some greater significance.” He also temper…

How CVS Health boosted specialty medication adherence with secure messaging, digital engagement

After an initial pilot showed a 30% jump in optimal medication adherence for cancer patients, CVS Health rolled out a secure messaging platform across its specialty division, with customized alerts on side effects and lab draws. “The current digital interaction wasn’t enough,” Surya Singh, CMO of Specialty for CVS Health, told FierceHealthcare.

Trump administration issues proposed rule to expand short-term insurance plans

A proposed rule issued by three federal agencies on Tuesday would expand limits for short-term health insurance plans from three months to 12 months. CMS’s Seema Verma dismissed concerns that the policy shift would destabilize the individual market by …