Jeff Lagasse

Author's posts

Hospital finances beginning to stabilize, though margins still down, finds Kaufman Hall

Hospital margins are still struggling, but they’re beginning to stabilize, according to Kaufman Hall’s National Hospital Flash Report for March.
Margins in February were down slightly from the previous month, representing the eighth straight month in w…

Top Stories: Ohio AG’s lawsuit accuses PBMs of raising drug prices

The attorney general of Ohio is accusing pharmacy benefit managers of illegally driving up drug prices. What are the details? We’ll examine that and other issues in this week’s Top Stories, including Better Therapeutics’ recent layoffs, and clinicians …

Bipartisan legislation takes aim at Medicare Advantage upcoding

New legislation introduced in the Senate by Bill Cassidy (R-LA) and Jeff Merkley (D-OR) seeks to curb overpayments to Medicare Advantage plans by imposing changes to MA risk adjustment.

Centene appoints Tanya McNally to SVP, Chief People Officer

Insurer Centene has appointed Tanya McNally to the role of senior vice president and chief people officer, the company announced this week.
As chief people officer, McNally will lead the Human Resources function and “drive strategies to optimize employ…

HIMSS23: Clinical history data key to quality care

Is big data too big? Next month, Kristen Mclaughlin and Nitin Gupta will attempt an answer.

Mark Bertolini named new CEO of Oscar Health

Insurtech Oscar Health has named Mark Bertolini as its new chief executive officer, with Bertolini slated to officially take over the role on April 3. 

Ohio AG files suit against Express Scripts and others over drug prices

In a lawsuit filed this week, Ohio Attorney General Dave Yost accused pharmacy benefit managers Express Scripts and Prime Therapeutics of using a little-known, Switzerland-based company to illegally drive up drug prices and ultimately push those higher…

Bipartisan bill looks to have Medicare cover breakthrough medical devices

A new bipartisan bill, the Ensuring Patient Access to Critical Breakthrough Products Act, has been introduced by lawmakers looking to require Medicare to cover new breakthrough medical devices for four years.

Quantum computing comes to the Mayo Clinic; Maven Clinic nabs Naytal

Quantum computing is now a reality in healthcare. How did this come to be? Jeff Lagasse with Healthcare Finance News gets to the bottom of that and more in this week’s Top Stories.
In this episode: 

Consumers find success in medical bill disputes

Most consumers don’t negotiate or challenge the medical bills they receive, but if they do challenge a bill, about 78% in a new survey prevailed in getting the disputed charges reduced or removed.
AKASA, a developer of AI for healthcare operations, ask…