Susan Morse

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Physician pay is rising but not keeping pace with inflation, MGMA says

Physician compensation is on the rise but not keeping pace with inflation, according to the Medical Group Management Association’s 34th annual DataDive Provider Compensation report.
Although growth in median total compensation for primary care provider…

CVS to lose up to $1B in net income due to MA star ratings

CVS Health projects it will incur up to a $1 billion reduction in net income in 2024 based on the result of the Medicare Advantage Star Ratings. 
Net income will be affected by $800 million to $1 billion, according to Seeking Alpha.

Matt Eyles to step down as AHIP president and CEO 

AHIP has announced that President and CEO Matthew D. Eyles has decided to step down from the organization later this year. 
The AHIP Board of Directors was informed of Eyles’ personal decision and has accepted his resignation, effective October 2. 
The…

CMS proposes to hold drugmakers and PBMs accountable for cost of drugs covered by Medicaid

The Centers for Medicare and Medicaid Services has issued a proposed rule to drive down prescription drug costs in Medicaid by increasing price transparency. 
The rule would allow CMS to have more insight into what the most expensive drugs on the marke…

BCBS of Massachusetts adds Tufts Medicine to its value-based payment contracts

Blue Cross Blue Shield of Massachusetts has added Tufts Medicine to its pay-for-equity financial payment model. 
Blue Cross said it is the first health plan in Massachusetts — and among the first in the nation — to introduce contracts linking financi…

Minnesota nurse staffing bill that exempted Mayo Clinic fails to pass 

A nurse staffing bill in Minnesota, which exempted the Mayo Clinic, failed to get legislative approval on Monday.

Untested AI could lead to healthcare errors and patient harm, WHO warns 

The World Health Organization is calling for caution in using artificial intelligence-generated large language model tools (LLMs) such as ChatGPT, Bard, Bert and others that imitate understanding, processing and human communication. 
LLMs increasing us…

HIMSSCast: Remote therapeutic monitoring benefits patients and clinicians

Bronwyn Spira cofounded Force Therapeutics 12 years ago to answer the challenge of how patients can best recover at home.
The digital care management platform for musculoskeletal (MSK) conditions allows patients to actively engage in their care anytime…

Israel IVF startup looks to democratize fertility coverage in the United States

The story of Daniella Gilboa founding AIVF is one of health equity. Five years in, the company of which Gilboa is CEO has become an example of how AI is changing healthcare.
The in-vitro fertilization company boasts success rates unheard of in the Unit…

House Oversight Committee to take up transparency measures for PBMs

The full House Committee on Oversight and Accountability is scheduled to take up the role of pharmacy benefit managers on Tuesday, May 23 at 10 a.m., after a subcommittee advanced a proposal Wednesday for new transparency rules.