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Elevance Health sees higher revenue, lower profits in Q4
Elevance Health saw revenues climb more than 9% during the fourth quarter of 2022, hitting $39.9 billion, up from $36 billion in Q4 2021. But profit was down 16.5% year-over-year, declining from $1.1 billion last year to $949 million in 2022.
Operating…
More payer/provider transparency at point of care improves risk, quality
Increased data transparency between health plans and providers on care and coding gaps results in higher compliance, process improvement and positive behavior changes among network providers, according to a new report from information technology compan…
HHS projects savings on insulin due to Inflation Reduction Act
A new report from the U.S. Department of Health and Human Services estimates that if the Inflation Reduction Act’s provision capping the cost of insulin at $35 for a month’s supply for Medicare beneficiaries had been in place in 2020, 1.5 million senio…
Elevance Health to acquire BCBS Louisiana
Elevance Health, formerly Anthem, is poised to acquire Blue Cross Blue Shield of Louisiana, having entered into a definitive agreement this week to snag the insurer, with BCBSLA joining Elevance Health’s affiliated Anthem Blue Cross Blue Shield family …
Optum Rx launches Price Edge to offer lower prices on generics
Optum Rx, UnitedHealth Group’s pharmacy services company, has launched Price Edge, a tool that compares available direct-to-consumer pricing for traditional generic drugs with insurance pricing. The goal is to ensure members get the lowest prescription…
Harvard Pilgrim, Tufts team with Included Health on LGBTQ+ care
Two payers, Tufts Health Plan and Harvard Pilgrim Health Care, have entered into a partnership with virtual care and navigation platform Included Health in an attempt to strengthen healthcare access for those in the LGBTQ+ community.
Some may face affordability challenges after Part D redesign
Medicare Part D may be the target of reforms, but a new analysis from consulting firm Avalere has found that beneficiaries may still face challenges when it comes to affording their medications.
Tenet beating expectations; announces leadership changes
Tenet Healthcare, a 61-hospital health system based in Dallas, said it expects to exceed the midpoint of its latest FY22 Adjusted EBITDA outlook range included in its third quarter 2022 earnings release. The system also announced key leadership updates…
Providers push CMS to enact prior authorization reforms
Chiquita Brooks-LaSure, administrator for the Centers for Medicare and Medicaid Services, and U.S. Surgeon General Vice Admiral Vivek H. Murthy recently convened an in-person roundtable discussion on reforming prior authorization in federally-sponsored…
Top Stories: California files suit against drugmakers; GH Healthcare to acquire IMPACTIS
The State of California is suing pharmaceutical manufacturers. Why are they doing it? We’ll examine the answers to that and more in this week’s Top Stories, including GE Healthcare’s agreement to but French company IMPACTIS, and SickKids’ recent ransom…
