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Centene to pay $13.7 million in New Mexico prescription drug price transparency suit
Managed care company Centene has agreed to pay $13.7 million to New Mexico to settle an investigation into its subsidiaries’ inflationary pricing and reporting of pharmacy benefits in the state’s Medicaid program, which is overseen by the state’s Human…
Survey shows 13% of Medicare Advantage enrollees had a claim or pre-authorization request denied
A spotlight has been put on Medicare Advantage denials for claims and pre-authorizations since an Office of the Inspector General report that found MA plans denied requests that met original Medicare coverage rules.
Providence launches software data analytics firm Advata
Health system Providence has launched software analytics company Advata by combining KenSci, Colburn Hill Group, Lumedic and three other companies. The new firm will focus on revenue cycle management solutions back-office management, population health …
Revenue cycle leaders express concern over price transparency rule
Although hospitals see value in price transparency, a majority are concerned about significant challenges around deployment of CMS’ price transparency regulation, according to a KLAS survey of 66 revenue cycle leaders.
The regulation stipulates hospi…
House Democrats are calling on HHS to end ‘junk plans’
House Democrats are calling on the Department of Health and Human Services to end so-called “junk plans.”
NVIDIA releases AI-based healthcare tools for hospitals, research organizations
Chipmaker NVIDIA announced the launch of FLARE (Federated Learning Application Runtime Environment), an open-source software platform offering a common computing foundation designed to improve collaboration on AI model development in healthcare.
Healthtech companies reap benefits of robust year in venture capital funding
Venture capital investment in global healthtech companies is projected to reach $42 billion by the end of the year, according to Silicon Valley Bank’s latest report, “The Future of HealthTech.”
The first three quarters of 2021 closed with what SVB call…
Staff shortages and supply chain woes threaten profit margins
Labor shortages and supply chain challenges are a rising threat to profit margins for U.S. healthcare and pharmaceutical companies, according to a new report from Fitch Ratings.
CVS to close 900 stores over three-year period
The nation’s largest pharmacy chain CVS plans to close 900 stores nationwide in the next three years as it restructures itself to offer more health services in the remaining locations.
CVS Health will create three new distinct store formats aimed at dr…
CVS to close 900 stores over three-year period
The nation’s largest pharmacy chain CVS plans to close 900 stores nationwide in the next three years as it restructures itself to offer more health services in the remaining locations.
CVS Health will create three new distinct store formats aimed at dr…
