Jeff Lagasse

Author's posts

Provider investment needed to close digital divide

There’s a digital divide occurring in healthcare. This divide can refer to a gap between patient groups that have access to digital health technologies and those that don’t. It can also refer to the growing gap between healthcare organizations that are…

Provider investment needed to close digital divide

There’s a digital divide occurring in healthcare. This divide can refer to a gap between patient groups that have access to digital health technologies and those that don’t. It can also refer to the growing gap between healthcare organizations that are…

Most rural healthcare providers optimistic about finances

The vast majority of rural healthcare organizations have expressed optimism about their financial viability.
In a new Wipfli poll, 72% of respondents said they were “cautiously optimistic” and 24% saying they were “completely optimistic.”

Centene reports $283 million in Q4 profit

Centene logged $283 million in profit during Q4 2024, marking a sizable increase from the insurer’s Q4 2023 profits of $45 million.
Revenue also increased slightly year-over-year (YOY), from $39.5 billion to $40.8 billion. 
For the year, Centene pulled…

Cigna to accelerate prior authorization and tie executive pay to member satisfaction

Cigna Healthcare, the health benefits division of the Cigna Group, has begun a multi-year campaign to improve the experience for physicians and patients, in part by changing the prior authorization process.

Bill seeks to boost nursing workforce by supporting preceptors

Lawmakers, led by Virginia Congresswoman Jen Kiggans, have introduced the PRECEPT Nurses Act, a bipartisan bill that seeks to address the country’s nursing shortage by establishing a $2,000 tax credit for nurses who serve as a clinical preceptor to nur…

Healthcare.gov plans denied 20% of claims in 2023

Insurers of qualified health plans (QHPs) sold on Healthcare.gov denied an average of 20% of all claims in 2023 – 19% of in-network claims and and 37% of out-of-network claims, finds a new KFF survey.
The in-network denial rate ranged widely, with sign…

Prisma Health opens $3.7 million behavioral health facility

Prisma Health, headquartered in Greenville, South Carolina, will triple patient access to outpatient behavioral health services in upstate South Carolina with the opening of its new $3.7 million Behavioral Health and Wellness Pavilion.
The opening took…

Many independent pharmacists will not stock drugs in the price negotiation program

The National Community Pharmacists Association has submitted comments to the Centers for Medicare and Medicaid Services warning that more than 90% of independent pharmacies may decide, or have already decided, to not stock drugs in the Medicare Drug Pr…

Medicare Advantage insurers made about 50 million prior authorization determinations in 2023

Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting steady increases over the past few years as the number of MA enrollees has grown, according to a new KFF analysis.