Susan Morse

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Kroger enters in-store value-based primary care market 

The Kroger grocery store chain, which as Kroger Health operates over 2,200 pharmacies across 35 states, is partnering with Better Health Group to offer value-based primary care to seniors enrolled in Medicare.
This marks Kroger’s and The Little Clinic’…

Biden’s executive order on AI gets provider and payer commitment

Twenty-eight provider and payer organizations have made voluntary commitments to move toward the safe, secure and trustworthy purchasing and use of AI technology, as outlined in President Biden’s Executive Order issued in October, according to the Depa…

Dozens of pharma companies raised prices faster than inflation, triggering Medicare rebates

Dozens of pharmaceutical companies will be required to pay rebates to Medicare for price hikes on prescription drugs that went against the mandate of the Inflation Reduction Act, the Biden Administration announced yesterday.

American Organization for Nursing Leadership teams with Laudio to inform workforce decisions

The American Organization for Nursing Leadership has teamed with Laudio for biannual reports providing data, insights and perspectives to inform the future of work in nursing.
 

Healthcare spending growth less than half of 2020 COVID-19 numbers 

In 2022, healthcare spending in the United States increased 4.1% to $4.5 trillion, or $13,493 per person, according to new analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services.
This was much slower than growth in th…

Claim denials and payer audits are affecting the revenue cycle

Claim denials are increasing, especially in Medicare Advantage, and it’s affecting hospital’s revenue cycles and patient care.
“We definitely are seeing an increase in denials,” said Sherri Liebl, executive director of Revenue Cycle, CentraCare Health,…

AHA decries site neutral payments in Lower Cost More Transparency Act

The U.S. House of Representatives has passed H.R. 5378, the Lower Costs, More Transparency Act, a bill aimed at mandating greater hospital price transparency and which would curb pharmacy benefit manager spread pricing.
The bill passed the House by a v…

Cigna and Humana reportedly call off merger talks

Cigna and Humana have reportedly ended their talks to merge after failing to agree on a price, according to Reuters.

House bill would avert physician pay cut in Medicare 

A bill introduced in the House would avert a pending 3.37% physician pay cut to Medicare payments, according to the American Medical Association.

CVS launches new Healthspire brand in integration of health services business

CVS Health has announced a new branded name for its health services segment.
CVS Healthspire includes Caremark, Cordavis, Oak Street Health, Signify Health and MinuteClinic. The groups within CVS Healthspire will continue to focus on integration across…