Author's posts
Q&A with Salim Ismail: Accelerating change for a new breed of business
Healthcare Finance News: Could you please tell us why you founded OpenExO? What need did you see and what does the company do?
Providers may submit 2023 MIPS exception applications to CMS
The Centers for Medicare and Medicaid Services is accepting 2023 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception and MIPS Promoting Interoperability Performance Category Hardship Exception Applications.
Th…
Bright Health explores sale of California Medicare Advantage business
Bright Health Group is exploring a potential sale of its California Medicare Advantage business, the company has announced.
Bright Health said it is exploring strategic alternatives for its MA plans in the state, Brand New Day and Central Health Plan. …
HIMSSCast: Cybersecurity often takes a back seat to clinical priorities at rural hospitals
Rural hospitals are just as much a target of cybersecurity attacks as larger and more urban health systems, according to Kate Pierce, Fortified Health Security’s senior virtual information security officer and executive director of Subsidy.
Humana’s financial growth driven by senior-focused Medicare Advantage and CenterWell
Humana has posted strong financial results for the first quarter, driven by its Medicare Advantage and managed Medicaid business, its senior-focused value-based primary care platform CenterWell and the award of the TRICARE military contract.
CMS proposes national standards for Medicaid and CHIP
The Centers for Medicare and Medicaid is proposing new standards and requirements for Medicaid or CHIP services, including for in-home and community-based services.
CMS steps up enforcement and fines of hospitals is noncompliance with price transparency rule
The Centers for Medicare and Medicaid Services is cracking down on enforcing the price transparency rule through fines and has released the names of four hospitals that have not complied and have received monetary penalties.
CMS will now automatically …
Kaiser Foundation Hospitals’ new nonprofit Risant Health is acquiring Geisinger Health
Kaiser Foundation Hospitals’ new nonprofit organization Risant Health is acquiring Geisinger Health as the first health system to join the organization.
Upon regulatory approval, Geisinger will become part of the new organization through acquisition, a…
Oscar Health expands digital partnership with Ciox Health
Oscar Health and Ciox Health have announced an expansion of their digital services agreement that is intended to be a roadmap for how plans can reach new members and contain costs, especially as the public health emergency comes to an end on May 11.
Un…
Centene downgrades expectations based on Medicaid redeterminations and MA changes
Centene downgraded its 2024 adjusted earnings per share target this week to greater than $6.60, reflecting its view of Medicaid redeterminations, its Medicare bid strategy and business investments, according to its Q1 financial results.
This compares t…
