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CVS Health takes in $2.3 billion in profit during Q3
CVS Health logged strong earnings and revenue performance during the third quarter, hitting $2.3 billion in profit, the company said this week.
Total revenues increased to $89.8 billion, for the quarter and $264 billion for the year, up 10.6% compared …
Nostrum to pay up to $50 million for allegedly underpaying Medicaid drug rebates
Missouri- and New Jersey-based drugmaker Nostrum Laboratories and its founder and CEO, Dr. Nirmal Mulye, have agreed to pay a minimum of $3,825,000 – and up to $50 million if certain financial contingencies are met – to resolve allegations that they vi…
Private insurers’ prices differ based on region
Prices negotiated by health insurers show a wide amount of variation between geographic locations, with a new study in JAMA Health Forum showing that these price variations often occur with the same insurer, costing more in one locale than in another.
CMS bumps ESRD facility payments by 2.1%
In a final rule, the Centers for Medicare and Medicaid Services is increasing the end-stage renal disease (ESRD) prospective payment system (PPS) base rate to $271.02, increasing total payments to ESRD facilities by about 2.1% in an update to payment r…
UnitedHealthcare is expanding individual, family plans on the marketplace
UnitedHealthcare has announced it is expanding its Individual and Family Affordable Care Act Marketplace Plans from 11 to 26 states in 2024.
The expansion increases its ACA footprint from 177 to 1,032 counties.
Court upholds $2.7 billion Blue Cross antitrust settlement
An 11th Circuit panel in Atlanta has upheld a class action settlement in a $2.7 billion antitrust case against the Blue Cross Blue Shield Association, which means benefits will now be distributed to the subscribers who sued Blue Cross more than a decad…
More than 2 million people could be covered under Medicaid expansion
More than 2 million people would gain healthcare coverage in 2024 if 10 states were to expand Medicaid eligibility, finds a new analysis from the Urban Institute and the Robert Wood Johnson Foundation.
Independent pharmacies accuse Express Scripts of price fixing in lawsuit
A handful of independent pharmacies are suing Express Scripts for allegedly signing a three-year deal with pharmacy benefit manager Prime Therapeutics to fix reimbursement rates, a violation of the Sherman Act.
Blue Cross NC to acquire FastMed’s North Carolina locations
Blue Cross and Blue Shield of North Carolina has agreed to acquire all North Carolina-based locations of FastMed, a company that offers telehealth, urgent and primary care, occupational health and preventive services.
In all, Blue Cross NC will acquire…
Physician cash compensation increasing and projected to rise
Cash compensation for medical and surgical specialists climbed higher in 2023 and will only increase over the next several years, finds a new physician compensation report from SullivanCotter.
