Susan Morse

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Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC 

Express Scripts, Caremark and OptumRx are suing the Federal Trade Commission for trying to “upend present day drug rebate contracts.”
The lawsuit was filed Tuesday, Nov. 19 in federal court in Missouri.
It stems from an FTC lawsuit against the same PBM…

CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery

Oak Street Health cofounder Mike Pykosz, president of CVS’ healthcare delivery arm, is departing CVS.
CVS released the news Tuesday, when it announced that Dr. Sreekanth Chaguturu will replace Pykosz and become president, Health Care Delivery, in addit…

Trump picks Dr. Mehmet Oz to head CMS

TV celebrity, cardiothoracic surgeon and former Senate candidate Dr. Mehmet Oz is president-elect Donald Trump’s pick to head the Centers for Medicare and Medicaid Services.

Elevance, UnitedHealth among insurers accused of alleged price fixing

Orthopedic providers have filed a lawsuit against Elevance, UnitedHealthcare and other insurers alleging they entered a multibillion-dollar price-fixing scheme with MultiPlan.
The complaint claims the scheme was aimed at suppressing payment rates to do…

Tenet to deploy AI platform across its physician network

Tenet Healthcare is deploying an ambient AI platform across Tenet Physician Resources.
Tenet has partnered with Commure for Commure Scribe, a platform that will integrate clinical workflows. This is expected to reduce administrative burden by streamlin…

Telehealth prescribing of controlled drugs extended through 2025

For the third time, the Drug Enforcement Administration and the Department of Health and Human Services has extended telemedicine flexibilities for the prescribing of controlled medications and certain narcotic drugs.
The extension is through December …

Trump picks RFK Jr. to lead HHS

President-elect Donald Trump has chosen Robert F. Kennedy Jr. to lead the Department of Health and Human Services, according to Reuters.

Denials top reason for eroding provider-payer relationship

A new report by the Healthcare Financial Management Association shows a deteriorating relationship between providers and payers.

Denials top reason for eroding provider-payer relationship

A new report by the Healthcare Financial Management Association shows a deteriorating relationship between providers and payers.

AMA pushes for stricter standards for hospital charity care policies

The American Medical Association has voted to support greater oversight of nonprofit hospitals’ charity care policies that justify their tax-exempt status.
The AMA wants a standardization of the financial assistance process as current criteria varies a…