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Highmark Health logs $13.6B in revenue in the first half
Citing strong performance from its business units, Highmark Health said it logged $13.6 billion in revenue during the first half of 2023, as well as an operating gain of $230 million and net income of $389 million.
The nonprofit Blues insurer attribute…
Healthcare executives’ worries about talent retention, recession beginning to ease
In assessing the biggest risks to their business, most healthcare executives say that the risk landscape is starting to ease, with recessionary fears not as prevalent as they once were and the overall picture improving for talent acquisition and retent…
Humana eyes kidney disease in 13-state Interwell Health partnership
A new partnership between Humana and kidney care management company Interwell Health will result in a new value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease (CKD), as well a…
Texas Medical Association succeeds in new legal challenge to No Surprises Act
The Texas Medical Association has once again prevailed in a legal challenge to President Biden’s No Surprises Act, with a Texas judge ruling to vacate several regulations involving payment dispute resolutions between some out-of-network providers, grou…
Americans like value-based care, but don’t like the term, survey finds
Americans are largely on board with the concept of value-based care, but there’s one thing they don’t seem to like that much: the term itself, which they either don’t resonate with or don’t understand.
That’s according to new research from United State…
Cigna to exit Kansas, Missouri ACA exchanges next year
Cigna will have a slightly reduced presence on the Affordable Care Act exchanges next year, paring its offerings down to 14 states after announcing it will not offer plans in Kansas or Missouri in 2024.
This comes despite a small expansion in North Car…
Hospital margins decline in July but stay positive
Operating margins at U.S. hospitals contracted for the first time since March, but still held positive during the month of July. According to a new Syntellis report, this drop was the first since margins rose into the black in March following more than…
CVS Health debuts biosimilars subsidiary that will compete with Humira
This week CVS Health launched Cordavis, a wholly owned subsidiary that will work with manufacturers to commercialize and/or co-produce biosimilar products for the U.S. pharmaceutical market.
The Cordavis products will be FDA approved, CVS said, adding…
Cigna to remove 25% of medical services from prior authorization
Cigna Healthcare, the health benefits provider of The Cigna Group, will be removing close to 25% of medical services from prior authorization requirements, the insurer said today.
With the removal of these 600-plus additional codes, the company has now…
Optum cuts nursing jobs at MedExpress clinics
MedExpress Urgent Care, a chain of clinics owned by Optum, itself a subsidiary of UnitedHealth Group, will be eliminating registered nursing positions at about 150 facilities as part of a broader round of layoffs at Optum, which so far has been tight-l…
