Author's posts
What 2024 holds for healthcare investment
Mergers and acquisitions are expected to rebound in 2024 after M&A activity fell to its lowest level in 10 years globally in 2023, according to Reuters.
Dealmaking last year was weighed down by high interest rates, economic uncertainty and a regulatory…
New CMMI model integrates physical and behavioral health
The Centers for Medicare and Medicaid Services has announced a new model to test approaches for addressing behavioral and physical health, as well as social needs, for people with Medicaid and Medicare.
The model will launch in the fall 2024 and is an…
HIMSSCast: How providers can improve the patient experience
Every two years RevSpring, a company focused on billing and engagement, takes the pulse of the patient in its Voice of the Patient Survey to find out what’s changed and what’s remained the same in the care experience.
Mastercard introduces immediate claims payment process
Mastercard has announced a medical claims payment partnership in India using its virtual card technology.
Mastercard has teamed with financial institutions and Remedinet, a cloud-based health tech platform that connects hospitals, insurers and third-…
Children’s National Hospital partners for expensive gene therapy
Gene therapy has made all the difference for young patients at Children’s National Hospital in Washington, D.C., according to Eric Manuel Balmir, PharmD, vice president of clinical ancillary services and chief pharmacy officer.
Acute Hospital Care at Home data released
The Centers for Medicare and Medicaid Services is releasing data on the Acute Hospital Care at Home initiative through the Research and Data Assistance Center.
ResDAC collected data from November 27, 2020, through March 30, 2023. As required for partic…
CMS releases Interoperability and Prior Authorization Final Rule
Under a final rule released today, impacted payers will be required to send prior authorization decisions within 72 hours for urgent requests and seven calendar days for standard requests.
CMS reports record number signing up for ACA plans
Over 20 million people have selected an Affordable Care Act health plan since the 2024 Marketplace Open Enrollment Period launched on November 1, according to the Department of Health and Human Services, calling this a record number of enrollments.
CMS suspends enrollment and marketing for two Centene Medicare Advantage plans
The Centers for Medicare and Medicaid Services has terminated two Centene Medicare Advantage plans, in Part C and D enforcement action taken December 27.
Walgreens agrees to pay $360 million to settle Humana lawsuit
Walgreens Boots Alliance has agreed to pay $360 million to Humana to settle a lawsuit alleging the retail pharmacy overcharged for prescription drug reimbursements.
