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Medicare Advantage plans get proposed 4.3% pay hike
Medicare Advantage plans get a 4.3% pay hike in a proposal released by the Centers for Medicare and Medicaid Services on Friday.
If finalized, the proposed 2026 Advance Notice would result in a net increase of over $21 billion to MA plans in 2026.
Duke Health and Abridge partner on AI for clinical documentation
Duke Health is the latest health system to partner with Abridge on generative AI for clinical documentation.
Duke Health, headquartered in North Carolina, and Abridge signed an enterprise-wide agreement in late December to deploy the AI platform to 5,0…
Record-setting enrollment for Affordable Care Act coverage
The Centers for Medicare and Medicaid Services reports that close to 24 million people have selected a health plan for 2025 during the Affordable Care Act open enrollment period.
Senate report slams private equity’s ownership of hospitals
A bipartisan Senate report on private equity ownership of two health systems shows PE investment puts a priority of profit over patient health and hospitals finances.
CVS unveils new prescription drug reimbursement model
CVS Health has announced that all commercial prescriptions dispensed through its pharmacies will be now contracted through the company’s CostVantage reimbursement model.
The model removes market reliance on cross-subsidization caused by market basket a…
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
The Mayo Clinic and Mayo Clinic Hospital in Rochester, Minn. is suing Sanford Health Plan over a patient’s unpaid medical bill.
Mayo demands $750,000 in the civil complaint filed December 13 in Minnesota.
Mayo alleges that Sanford in South Dakota is r…
CareSource completes affiliation with one of the last Affordable Care Act co-ops
CareSource in Ohio has completed the acquisition of Common Ground Healthcare Cooperative (CGHC), the only insurer to have continuously served the Affordable Care Act marketplace in Eastern Wisconsin since 2014, according to CGHC.
Common Ground Healthca…
Ardent Health continues expansion of urgent care clinics
For profit Ardent Health has acquired 18 urgent care clinics across New Mexico and Oklahoma from NextCare Urgent Care.
The transaction includes six urgent care clinics in New Mexico, which will operate as part of Lovelace Health System, and 12 clinics …
CVS announces layoffs due to loss of Kansas Medicaid contract
Layoffs continue for CVS Health as Aetna has announced that 164 employees would be let go as of February 15, 2024.
Elevance closes deal to buy IU Health Plans
Elevance has completed its acquisition of Indiana University Health Plans for an undisclosed amount.
The closing was announced Tuesday by Elevance, the parent company of Anthem Blue Cross and Blue Shield.
IU Health Plans will now operate as part of An…
