New policies for Affordable Care Act Marketplaces, announced by the Department of Health and Human Services and the Centers for Medicare and Medicaid Services, are intended to make it easier for low-income people to enroll in coverage, the agencies sai…
Spending on GLP-1 drugs under the Medicare Part D program has increased dramatically in recent years, and the annual cost of these drugs in the United States – upwards of $11,000 at recent list prices – has raised concerns about the fiscal impact of b…
John Rex, chief financial officer for UnitedHealthGroup, has been named the organization’s new president, and succeeded former president Dirk McMahon, effective Monday.
The Department of Health and Human Services and the Centers for Medicare and Medicaid Services have released new guidance to reiterate, and provide clarity, regarding hospital requirements for informed consent from patients as it relates to medical pro…
Pelago, a digital clinical partner to U.S. businesses and health plans for substance use management, announced $58 million in new funding that now brings total funding to $151 million, which will be used to expand offerings for payers and employers.
Th…
A new draft 2024–2030 Federal Health IT Strategic Plan has been released by the Department of Health and Human Services through the Office of the National Coordinator for Health Information Technology (ONC), which outlines federal health IT goals that …
The Centers for Medicare and Medicaid Services has issued a proposed rule to update Medicare payment policies and rates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) for fiscal year 2025, with CMS proposing to update the…
The federal government reported an estimated $236 billion in “improper payments” during fiscal year 2023, and of that amount, more than $100 billion came from Medicare and Medicaid, according to the U.S. Government Accountability Office.
Such payments …
Kaiser Permanente and Town Hall Ventures are launching an organization called Habitat Health, which is designed to help older adults overcome the challenges of aging at home.
Operating as a Program of All-Inclusive Care for the Elderly, Habitat Health …