Author's posts
CMS prods states to examine auto-renewal as possible cause of Medicaid disenrollments
The Centers for Medicare and Medicaid Services has sent a letter to Medicaid directors in all 50 states directing them to determine whether they have an eligibility systems issue that could cause people, especially children, to be disenrolled from Medi…
Emergency medicine physicians top list of most burned-out specialties
As the demands of the medical field continue to intensify, physicians practicing in some specialties find themselves grappling with the harrowing consequences of excessive stress, long hours and emotional exhaustion – and this burnout is having an effe…
Almost 80% of healthcare organizations experienced cyber incidents in the past year
More than three quarters (78%) of respondents to a new Claroty survey experienced a minimum of one cybersecurity incident over the last year, which impacted a broad range of asset types, including IT systems, sensitive data, medical devices and buil…
AHA presses CMS to do more on cost sharing, junk plans
The American Hospital Association has lauded efforts by the Centers for Medicare and Medicaid Services to limit short-term “junk” health plans, but is pressing the agency to do more on the issue of unaffordable cost sharing, “even in ACA compliant heal…
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…
