Author's posts
Humana sues over 2025 Medicare Advantage Star Ratings
Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.
HIMSSCast: AI as assistant, not replacement
Data is the lifeblood of AI, said Sundar Shenbagam, chief technology officer at Edifecs.
The challenge is having a uniform way to collect the data and maintain it to make sure it remains secure. Once that’s established, data can be managed to come up w…
Karen Lynch exits CVS, David Joyner appointed president and CEO
CVS Health President and CEO Karen Lynch is out at the company amid Friday’s release of preliminary financial guidance for the third quarter that fell short of Wall Street forecasts.
Lynch stepped down from her position per agreement with the company’s…
Elevance stock slides on lower forecast
Elevance Health has reported net income of $1 billion during the third quarter, compared to $1.3 billion during the same period in 2023, a 22.5% decrease.
However, for the nine months ending September 30, net income is $5.5 billion, an increase when co…
Medicaid to cover traditional Tribal community healthcare
For the first time, the Centers for Medicare and Medicaid Services is allowing Medicaid coverage of traditional healthcare practices provided by Indian Health Services facilities, Tribal facilities and urban Indian organizations.
BCBS reaches $2.8 billion settlement agreement
Blue Cross Blue Shield has reached a tentative agreement to pay $2.8 billion to settle an antitrust lawsuit with providers, according to records filed in federal court in Alabama on Monday.
Blue Cross Blue Shield has agreed to pay $2.8 billion to settl…
UnitedHealth Group’s Q3 earnings show impact of Change cyberattack
UnitedHealth Group’s third quarter earnings reflect the fallout of the Change ransomware attack from February, according to the Q3 earnings released Tuesday..
HIMSSCast: Is private equity the bad guy in healthcare?
There’s been lots of scrutiny around private equity investment in healthcare.
The argument against private equity is that it is concerned with short-term profits, which fits neither the nature nor culture of healthcare.
However, healthcare needs privat…
Four health systems form Longitude Health
Baylor Scott & White Health, Memorial Hermann Health System, Novant Health, and Providence have formed Longitude Health, an organization that said it would invest in solutions built by them, for patients.
The founding health system members will collect…
See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings
Only seven plans received 5 stars for Parts C and D performance in the 2025 Medicare Advantage and Part D Star Ratings released by Centers for Medicare and Medicaid Services late Thursday.
