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Molina amends terms for Bright Healthcare Medicare Advantage acquisition
Molina Healthcare has amended its purchase agreement for the acquisition of Bright HealthCare’s California Medicare Advantage business.
The purchase price for the transaction, net of certain tax benefits, is reduced from the previously announced $510 m…
Jefferson Health, Lehigh Valley Health Network set to merge
Jefferson and Lehigh Valley Health Network have signed a non-binding letter of intent to combine, creating an integrated care delivery system that includes a national research university, as well as an expanded nonprofit health plan.
The merger would c…
COVID-19, RSV, other viruses buckling workforce in Fresno County
With hospitals operating at between 20-40% capacity, officials in Fresno County, California are warning of severe working conditions and are urging the public to avoid checking into the emergency room for nonemergency issues.
Humana sued for allegedly using AI for Medicare Advantage denials
Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company’s nH Predict AI model was used to deny care to Medicare Advantage members.
The lawsuit accuses H…
Medicare beneficiaries lack access to opioid treatments
Medicare beneficiaries aren’t getting the treatments they need for opioid use disorder and many are dying due to fentanyl, with fewer than one in five enrollees receiving medication to treat their disorder, according to a new report from the Department…
JN.1 COVID-19 variant comprising 21% of new cases
The Centers for Disease Control and Prevention is closely monitoring JN.1, currently the fastest-growing COVID-19 variant in the U.S., representing about 21% of new cases, according to the agency’s numbers.
LMH Health fires CFO after investigation into felonies
LMH Health, based in Lawrence, Kansas, terminated their chief financial officer, Mike Rogers, in October, and this week the hospital revealed the unusual reason why: Rogers was operating under an assumed name and hid the fact that he was a convicted fe…
Optum Rx debuts weight management program
Optum Rx has debuted a new weight management and wellness support program called Weight Engage, which will be available to consumers of plan sponsors, including employers, beginning January 1.
HHS finalizes interoperability, algorithm transparency final rule
The U.S. Department of Health and Human Services, through the Office of the National Coordinator for Health Information Technology, today finalized its Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency…
AMA finds commercial, MA markets highly concentrated among insurers
The American Medical Association today identified the industry giants with the biggest shares of the markets for commercial health insurance, Medicare Advantage, and public health exchanges, with UnitedHealthcare and Elevance Health representing the la…
