MalloryHackett

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Humana adds two new value-based payment programs for select Medicare Advantage plans

The programs are for coronary artery bypass grafting and shoulder replacements, and incentives clinicians to improve patient care and lower costs.

The overall outlook for 2020 healthcare revenues improves following second quarter results

Moody’s warns of challenges ahead due in part to the repayment of Medicare advances, which could lead to less favorable liquidity.

UHS founder and CEO Alan Miller to step down in January after four decades of service

He will be succeeded by his son and company president Marc Miller, who has led business operations since 2009.

COVID-19 is expected to impact operating margins for the long term, finds Fitch

Fitch found that operating margins and operating EBITDA increased in 2019 to 2.3% and 8.7%, respectively, up from 2.1% and 8.6% the year prior.

Low-spending Medicaid managed care plans lead to negative health outcomes, research suggests

Individuals enrolled in low-spending plans generated less healthcare spending, used high-value drugs and services less and were less satisfied.

Humana taps Salesforce Health Cloud to launch coordinated care platform

Humana and Salesforce also plan to develop healthcare solutions using the Healthcare Innovation Lab, based in Humana’s studio_h in Boston.

Dramatic procedure price differences in Ohio relate to larger price issues

Despite policies that try to drive prices down by giving consumers information, price transparency in healthcare does not work, the report says.

CMS proposes rule on pathway to Medicare coverage for innovative technology

The proposed rule has been commended by the Advanced Medical Technology Association for getting innovative technology to patients that need them.

Out-of-network providers charge significantly more than the commercial price for COVID-19 tests

In response to what AHIP said was price gouging, the organization has called for policy changes to stop the practice from continuing.

Operation Warp Speed clinical trials have robust participation from diverse subjects, officials say

The project expects two more trials to enter phase three by mid-September, with results from the first trials expected between October and December.