Author's posts
Most employers intend to keep preventive services even after Texas ACA ruling
At the tail end of March, a ruling by a federal judge in Texas invalidated much of the Affordable Care Act’s coverage of preventive care without cost sharing, but a new survey from the National Alliance of Healthcare Purchaser Coalitions showed that ab…
Oscar Health exiting California’s ACA exchange next year
Insurtech Oscar Health signaled during an earnings call on Tuesday that it will be exiting California’s individual market beginning next year, with CEO Mark Bertolini saying the plan has fallen short of the company’s goals.
Optum’s 25% revenue growth fuels UnitedHealth Group’s Q1 earnings
Thanks in part to a 25% increase in revenue for Optum, UnitedHealth Group saw $5.6 billion in earnings during the first quarter of the year, and $91.3 billion in revenue, both far and above other major insurers, according to the company’s financial res…
Medicaid work requirements may result in 1.7M in coverage losses
At the tail end of April, Republicans in the House of Representatives passed a debt ceiling bill that includes a stipulation for states to implement work requirements for certain Medicaid enrollees.
Premier considering moves to increase value, including possible sale
Tech-driven healthcare company Premier is considering a number of potential strategic alternatives to enhance the value of the company for stakeholders, including the sale of all or part of the company, according to an announcement this week.
HCA Healthcare investing $300M in nurses’ training, education
HCA Healthcare has said it’s pledging more than $300 million in investments to support the education and training of nurses. This includes more than $200 million towards the expansion of Galen College of Nursing and approximately $136 million towards t…
Humana, Longevity Health partner on Medicare special needs plans
Health insurer Humana and Longevity Health Plan have joined forces to expand special needs health plan offerings that support the requirements of Medicare-eligible patients living in skilled nursing and senior living facilities.
The two companies have …
OIG finds $580 million in improper psychotherapy Medicare payments
The popularity and utility of telehealth has made it a more common form of healthcare delivery since the start of the COVID-19 pandemic, and telepsychiatry is one of the most used applications for the remote care technology.
Cigna logs $1.3B profit in Q1, promises transparency around PBMs
Health insurer Cigna has reported $1.3 billion in profit for the first quarter of this year, and has pledged more transparency around its pharmacy benefit manager business, which plays heavily into the company’s Evernorth subsidiary.
Cigna Chairman and…
Senators push DEA to permanently extend telehealth prescribing ability
Six U.S. Senators have penned a letter to the Drug Enforcement Agency imploring it to make permanent the flexibilities allowing physicians to prescribe controlled substances through telehealth without a face-to-face evaluation.
