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OIG: Part D plan preference for pricey hepatitis C drugs led to higher Medicare spending

Some Medicare Part D plans left behind millions of dollars in savings because they didn’t cover generic versions of expensive hepatitis C drugs in 2019, in part due to the structure of the Part D program itself, finds a new report from the Department o…

Humana acquiring Inclusa, expanding Medicaid services in Wisconsin

Humana is set to acquire Wisconsin-based managed care organization Inclusa in an effort to expand its Medicaid presence in that state. Inclusa provides long-term care services and supports to approximately 16,600 older adults and adults with disabiliti…

BCBS Michigan debuts Maven-powered family building, maternal program

Ahead of this year’s open enrollment, Blue Cross Blue Shield of Michigan is teaming with Maven Clinic to launch a new family building and maternity support program.
It includes a personalized digital care app to help guide members through family planni…

CDC revises guidance on COVID-19 isolation, testing

The guidance around COVID-19 continues to evolve, with the Centers for Disease Control and Prevention now saying that isolation is no longer necessary for a person exposed to someone with the coronavirus. This applies to anyone, whether vaccinated or not.

GoHealth lays off 20% of workforce after poor second quarter

Health insurance broker GoHealth has laid off 20% of its workforce after a rough financial quarter, in which the company’s net loss increased nearly six-fold.

UnitedHealthcare announces $11M in grants to expand access to care, address SDOH

UnitedHealth Group subsidiary UnitedHealthcare is donating $11 million in grants through its Empowering Health program across 11 states to expand access to care and address the social determinants of health, focusing on uninsured people in underserved …

FDA authorizes EUA for monkeypox vaccine to increase supply

The U.S. Food and Drug Administration has issued an emergency use authorization for the JYNNEOS vaccine, allowing healthcare providers to use the vaccine by intradermal injection for those 18 and older who are at high risk for monkeypox infection.
This…

Cerner will pay $1.8 million in racial discrimination case

Cerner has agreed to pay $1.8 million in back pay and interest after the U.S. Department of Labor claimed the healthcare and information technology company discriminated against hiring Black and Asian applicants from 2015 to 2019.

Just 3% gained ACA plans after leaving Medicaid, CHIP

A meager 3% of Americans obtained health coverage through the Affordable Care Act exchange within one year of leaving Medicaid or the Children’s Health Insurance Program, according to new findings published by the Medicaid and CHIP Payment and Access C…

Clover Health co-founder Andrew Toy to take reigns as CEO in 2023

Clover Health co-founder and President Andrew Toy will take the reins as CEO of the insurtech company when current CEO Vivek Garipalli transitions out of the role at the end of the year. Garipalli will stay on with the company as its executive chairper…