Susan Morse

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Record low premiums and a stable uninsured rate mark open enrollment season

Safety net coverage worked as people lost their jobs and health insurance through their employers due to COVID-19, HHS says.

Employees want direct primary care from their employer plans

A nationwide survey shows the majority of consumers would be interested in joining a direct primary care plan if it were offered through their employer. 

Henry Ford Health System partners with GoHealth Urgent Care for in-person and virtual care

Henry Ford Health System and GoHealth Urgent Care are partnering to operate urgent care centers across southeastern Michigan. 
Three existing Henry Ford Macomb Urgent Care centers in Fraser, Chesterfield and Bruce Township will transition to the new jo…

ESRD facilities in hospitals are getting 3.3% payment bump

End stage renal disease facilities in 2022 can expect a 2.5% payment increase compared to 2021, according to the final rule released by the Centers for Medicare and Medicaid Services.

FDA authorizes emergency use of the Pfizer COVID-19 vaccine for children ages 5 through 11

Vaccines may be distributed as early as this week after the CDC signs off on their use.

Aetna launches gene therapy network as a standard medical benefit

Aetna has announced the launch of a designated network for members to access new therapies that treat and potentially cure rare genetic diseases, while managing the high cost of these therapies. 

UnitedHealth sues TeamHealth, saying it overpaid $100 million in claims

One claim for over $1,700 was for a 23-year-old man treated in the ER for indigestion after eating a chili dog, lawsuit says.

The rise of hospital at home

Hospital at Home is the trademarked name of Johns Hopkins Medicine and has been in practice in hospitals in that health system at least since 2002. 

Investment in digital health requires prioritizing capital allocation

If COVID-19 has taught us anything about how hospitals are investing for the future, it’s that digital health is here to stay, according to Mallory Caldwell, Ernst & Young U.S. health leader. 
“I think the big thing is that we have accelerated and focu…

Moody’s: Rising costs will slow hospitals rebuilding margins to pre-COVID-19 levels

Operating cash flow margins for nonprofit hospitals fell to a median 7% in 2020.