Susan Morse

Author's posts

HIMSSCast: Automation and data are removing administrative waste from the system

Better data helps providers, payers and patients, said Eric Demers, CEO of Madaket, which aims to take waste out of healthcare administration. 
More data allows for greater digitization of patient information and there’s now an emphasis to use real-tim…

CMS announces plan to ensure availability of new Alzheimer’s drugs but stakeholders cry foul

The Centers for Medicare and Medicaid Services will cover the high cost of Alzheimer’s drugs if the Food and Drug Administration grants traditional approval and when a physician and clinical team participates in the collection of evidence about how the…

BJC HealthCare and Saint Luke’s to form integrated Missouri-based health system

BJC HealthCare and Saint Luke’s Health System have signed a letter of intent to form an integrated, academic, Missouri-based health system.
The integrated health system will expand healthcare access for more than six million residents in Missouri and b…

AMA and others launch collective call for health equity in Rise to Health

The American Medical Association, the Institute for Healthcare Improvement (IHI) and Race Forward on Tuesday officially launched Rise to Health, a call to action for providers, payers, pharma and professional societies to make health equity a priority.

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.