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Employer coverage of GLP-1 weight loss drugs expected to double
While 81% of human resource decision-makers feel their employees would be interested in GLP-1 weight loss medications, only 25% cover GLP-1s currently – but that figure is expected to double next year, according to a new survey from Accolade.
GLP-1 med…
Telehealth filling critical need for pediatric mental health, study finds
Pediatric telehealth for mental health needs filled a critical deficit in the immediate period following the emergence of COVID-19, and continues to account for a substantial portion of pediatric mental health service utilization and spending, accordin…
Evernorth eyes behavioral health with care management program
In an effort to better align on quality care and reimburse providers for delivering improved health outcomes, Evernorth Health Services is launching a measurement-based care program for its behavioral health network.
This, said Evernorth, represents th…
OIG: Aetna may have received more than $25 million in MA overpayments
A new audit by the Department of Health and Human Services’ Office of the Inspector General has found that health insurer Aetna received about $25.5 million in Medicare Advantage overpayments in 2015 and ’16.
Brightside Health to offer telemental health through Medicare, Medicaid
Mental Health provider Brightside Health is teaming with Optum and other healthcare organizations to offer telehealth-based mental healthcare to Medicare and Medicaid beneficiaries.
In addition to Optum – through which Brightside will serve UnitedHealt…
ProHealth Care teaming with Optum on revenue cycle, other tech
ProHealth Care, based in Wisconsin, is teaming up with Optum, part of UnitedHealth Group, on revenue cycle management and other technology in an effort to shore up its tech solutions and enhance patient care.
HHS proposed rule to update policies on research misconduct
The Office of Research Integrity has issued a Notice of Proposed Rulemaking (NPRM) to update the 2005 Public Health Service Policies on Research Misconduct. The current regulation establishes the requirements for addressing research misconduct in PHS-f…
AI is creating a complex landscape for healthcare executives
Artificial intelligence, as an emergent technology, is poised to transform healthcare in a number of ways. There are a lot of expectations being placed on the technology, and in some cases it can deliver. It has shown promise in crunching large amounts…
Molina loses Medicaid long-term services contract in Indiana
Molina Healthcare will cease administering a long-term services Medicaid contract called Indiana Pathways for Aging, according to regulatory filings published this week.
Court strikes down HHS rule allowing insurers to exclude copay assistance
A federal judge has struck down a Trump administration rule that allowed health insurers to exclude drug manufacturer copay assistance towards a beneficiary’s out-of-pocket costs.
Under the Trump rule, these “copay accumulator” policies meant patients …
