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Payment decrease could be a ‘death knell’ for UnitedHealth, Amedisys deal

A managing director at financial services company Raymond James is questioning whether the recently proposed 6.4% payment decrease for home health services could scuttle UnitedHealth’s interest in acquiring Amedisys.

UnitedHealth Group CEO Andrew Witty addresses backlash against insurer

In an op-ed published in The New York Times on Friday, UnitedHealth Group CEO Andrew Witty addressed the backlash against the insurer following the shooting death of UnitedHealthcare CEO Brian Thompson.

Luigi Mangione identified as person of interest in fatal shooting of UnitedHealthcare CEO

Police have arrested a person of interest in Wednesday’s fatal shooting of UnitedHealthcare CEO Brian Thompson.
Police arrested Luigi Mangione, 26, in Altoona, Pennsylvania Monday morning after a McDonald’s employee recognized him from photos circulati…

Walgreens pays $100 million to settle class action drug case 

Walgreens is paying $100 million to settle a seven-year old class action lawsuit alleging the company inflated drug prices.
Walgreens denies wrongdoing.
The class action suit, Russo v. Walgreens Co., dragged out over seven years in “hard-fought litigat…

Finance executives address the three big challenges for revenue

LAS VEGAS – A panel of revenue cycle experts spelled out their biggest challenges during the HFMA Annual Conference in Las Vegas on Tuesday.  
The big three are staffing, denials and prior authorization. None likely surprised the standing-room only aud…

HIMSSCast: Biden’s executive order on AI is just the beginning

President Biden’s Executive Order on AI released last fall is one of the broadest steps ever taken on AI safety and security, said Jennifer Walsh, director of Public Affairs at Foley & Lardner. It has national security implications as well as patient a…

CVS reports $900M cost, lower projections due in large part to high Medicare Advantage utilization

Healthcare benefits medical costs, primarily due to higher-than-expected Medicare Advantage utilization, came in approximately $900 million above expectations, according to CVS Health CFO Tom Cowhey speaking during the company’s Q1 earnings call on Wed…

Humana’s 2025 earnings, pricing decisions and membership may take hit from MA rate notice

Humana, one of the biggest players in the Medicare Advantage market, raised its 2024 individual Medicare Advantage annual membership growth by 50,000 to now anticipate annual growth of approximately 150,000, or 2.8%, the company said this week during i…

Primary care goes up against the healthcare disruptors

ORLANDO – The future of primary care and how retailers are disrupting the traditional experience was the focus of a fireside chat between Dr. Amy Compton-Phillips, chief physician executive at Press Ganey and Sashi Moodley, chief medical officer at Wal…

Ascension Michigan to integrate with Henry Ford Health 

Henry Ford Health and Ascension Michigan have signed an agreement to integrate Ascension’s southeast Michigan and Genesys healthcare facilities and assets with Henry Ford’s. 
The expanded organization, to be branded Henry Ford Health, would remain head…