Author's posts
LCMC Health’s purchase of three HCA hospitals upheld by court
A federal judge has ruled in favor of Louisiana Children’s Medical Center’s purchase of three HCA hospitals.
Blue Cross and Blue Shield of Louisiana delays sale to Elevance Health
Blue Cross and Blue Shield of Louisiana has chosen to withdraw its plan of reorganization and Elevance Health’s acquisition application from the Louisiana Department of Insurance, according to the nonprofit health insurer.
Elevance Health, formerly kno…
10 leading health systems join Transcarent’s direct contracting ecosystem
Ten leading health systems have joined Transcarent’s first National Independent Provider Ecosystem, setting the foundation for increased direct contracting.
Direct contracting between employers and health systems has historically been a challenge to do…
HHS awards $131.7 million to support behavioral health
The Department of Health and Human Services, through the Substance Abuse and Mental Health Services Administration (SAMHSA), has announced $131.7 million in grant programs for behavioral health services.
The $131.7 million awarded this month include:
HIMSSCast: Medicaid disenrollments plague federal health officials
As of September 20, more than 7 million people had lost Medicaid coverage due to state redeterminations that haven’t always gone smoothly.
Half a million children and families will regain Medicaid coverage
Half a million children and families will regain their Medicaid and Children’s Health Insurance coverage due to improper disenrollment, according to the Centers for Medicare and Medicaid Services.
Number of uninsured could rise under Biden’s proposed three-month limit to short-term plans
The Biden administration’s proposal to limit the duration of short-term health plans to three months would likely increase the uninsured rate, according to Mackenzie Wallace, a partner in Thompson Coburn’s Dallas office.
“Limiting the length of covera…
Commercial payers trail Medicare in the coverage of digital medicine
The lack of commercial coverage for digitally enabled care is a roadblock to affordable access to these medical services, according to the American Medical Association.
The model of integrating digitally enabled care with in-person care is not yet real…
PBMs are driving up drug prices through fees, PhRMA report claims
Ahead of a hearing on pharmacy benefit managers before the House Committee on Oversight and Accountability on Tuesday, PhRMA released Nephron Research that contends PBMs are driving up profits and drug prices through
Telehealth services are often billed at a lower code than office visits
Despite being able to be reimbursed for telehealth services at the higher facility rate for another year, providers are frequently billing for these virtual visits at a lower level-of-service code, Epic Research has found.
