Susan Morse

Author's posts

Health systems need to balance their service offerings against dwindling financial resources

Peter Urbanowicz and Martin McGahan, managing directors with consulting firm Alvarez & Marsal, are not optimistic that the financial challenges facing health systems will improve anytime soon.
Both are advisers to CEOs and CFOs.

Clover Health scales back on ACO REACH participation

Insurtech company Clover Health is scaling back its participation in the federal government’s ACO REACH program.
“We have decided to significantly decrease the total number of participating physicians,” said President Andrew Toy during the Q3 earnings …

Oscar Health and Bright Health are curbing MA expansion, for now

CEOs of both Oscar Health and Bright Health said this week during earnings calls that their companies are drawing back on their Medicare Advantage business.
 
Bright Health Group’s President and CEO Mike Mikan said Wednesday that the company is leaving…

TytoCare announces remote primary care offering

Virtual care company TytoCare has launched a remote primary care offering for health plans and providers. 

Walgreens-backed Village MD to acquire Summit Health-CityMD for $8.9B

Walgreens’ VillageMD has entered into a definitive agreement to acquire Summit Health-CityMD, a provider of primary, specialty and urgent care. 
The transaction is valued at approximately $8.9 billion with investments from Walgreens Boots Alliance and …

RSV surge is overwhelming some hospitals and pediatric care capacity

The Centers for Disease Control and Prevention is warning of a surge in flu; Respiratory Syncytial Virus, or RSV; and other viral infections this season, especially among children and older adults.

HIMSSCast: Making healthcare more affordable and accessible

Dr. Darshak Sanghavi, a member of the Obama administration and global chief medical officer at Babylon, has experience in the private sector and with the Center for Medicare and Medicaid Innovation.

CVS and Walgreens agree to pay $10 billion to settle opioid claims

CVS Health and Walgreens Boots Alliance have announced an agreement to pay $10 billion to substantially resolve all opioid lawsuits and claims against the companies.

Physician groups denounce 4.5% payment cut in final rule

While the Centers for Medicare and Medicaid Services is touting the behavioral health and other benefits of the physician fee schedule final rule released Tuesday, physicians are denouncing its 4.5% payment decrease caused by statutory-mandated cuts.

AHA calls outpatient payment rate in final rule ‘insufficient’ given cost pressures

The American Hospital Association is calling the government’s increase for outpatient care “insufficient” given extraordinary cost pressures.