Jeff Lagasse

Author's posts

Surgeries cost more at in-network hospitals than at independent facilities

Surgical procedures at in-network hospitals carry a far higher cost than at independent hospitals, a trend that held true for 15 of 16 surgical procedures analyzed in a new study published in JAMA Network Open.

Medicare Advantage still growing, but the growth is slowing

Medicare Advantage continues to grow, hitting record enrollment this year and increasing overall program participation by 5.5% while adding 1.5 million beneficiaries. But according to data from Chartis, the pace of this growth is slowing.

Medicare Advantage plans denying more inpatient claims

Healthcare systems have found themselves in precarious financial standing due to a dramatic increase in the number of inpatient claims being denied by health insurers based on the lack of medical necessity, according to data collected by accounting and…

Value-based Medicare Advantage models see better outcomes, finds Optum

Value-based Medicare Advantage models see better outcomes and better efficiency for patients, both in general and across specific metrics such as avoidable emergency department visits and readmissions, according to a new study commissioned by Optum and…

Most adults unaware of Medicaid eligibility redeterminations

As recently as December, about six in 10 Medicaid-enrolled adults said they’re not aware of impending Medicaid redeterminations that could potentially put their eligibility in jeopardy, finds a new poll from the Urban Institute and Robert Wood Johnson …

Moderna to keep COVID-19 vaccine cost-free after PHE ends

Moderna, which along with Pfizer had manufactured the vast majority of COVID-19 vaccines in the United States, has said it will continue to offer its vaccine at no cost when the public health emergency ends.

Elevance Health acquires specialty pharmacy company BioPlus

Elevance Health has finalized its acquisition of BioPlus, a specialty pharmacy subsidiary of CarepathRx and a portfolio company of Nautic Partners, the insurer announced this week.

Top Stories: Samsung teams with Natural Cycles on menstrual health; UHC members can earn $1K through rewards program

New consumer technology seeks to facilitate women’s health. What does it entail? We’ll look at that and other health tech news in in this technology-focused edition of Top Stories, including UnitedHealthcare’s wearable rewards program, and six organiza…

Half of Washington healthcare workers likely to quit, poll finds

The hospital staffing crisis in Washington could push the state’s healthcare infrastructure to the brink without the passage of safe staffing standards to help reduce burnout and improve workplace safety, finds a new poll conducted by the WA Safe + Hea…

Humana Foundation rolls out strategy to eliminate barriers to equity

The Humana Foundation, the philanthropic arm of Humana, has announced a new strategy to advance health equity by eliminating what it considers unjust and unnecessary barriers in healthcare.