Category: FierceHealthPayer

Payer roundup—Hospitals create monopolies via contracts; 24,000 Texans could soon lose coverage

Large hospital systems are keeping more affordable options out of their contracts with providers. Plus, a Texas county’s public insurance program could soon close, and a group of NFL Hall of Famers are demanding the league provide them badly needed hea…

Payer roundup—Hospitals create monopolies via contracts; 24,000 Texans could soon lose coverage

Large hospital systems are keeping more affordable options out of their contracts with providers. Plus, a Texas county’s public insurance program could soon close, and a group of NFL Hall of Famers are demanding the league provide them badly needed hea…

Former CMS administrator Andy Slavitt’s venture firm closes $115M fund

Can investing in companies that focus on helping vulnerable populations also be lucrative? The venture capital firm started by former Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt is making that bet and just closed its firs…

Moody’s: Rising U.S. healthcare costs could hit other sectors of the economy

A new report from Moody’s Investors Services warned that factors such as the continuing rise of healthcare costs and an aging population could cause a ripple of negative impacts across the U.S. economy.

The Department of Justice approved Cigna’s acquisition of Express Scripts. What now?

The Department of Justice approved Cigna’s acquisition of Express Scripts on Monday, saying the move was “unlikely to result in harm to competition or consumers.” Yet there are plenty of concerns in the marketplace. Some say the deal will drive efficie…

Be patient with ACOs, they need time to generate savings: Avalere

Experience in the Medicare Shared Savings Program seems to predict ACOs’ success more accurately than the amount of risk they assume, healthcare consulting firm Avalere recently found. Why then, is CMS pushing for ACOs to take on risk?

Report: A single day of downtime in CMS’ Enrollment Database would cost $47M

The Centers for Medicare & Medicaid Services needs to improve the cyber resiliency of its Enrollment Database, according to the Office of Inspector General. If not, the office warned the daily financial impact of a nonfunctional database could reach $4…

Elliott Management drops bid for Athenahealth, tanking the health tech company’s stock

Athenahealth’s share price plummeted Tuesday morning after reports indicated that Elliott Management was backing away from its bid for the company. Elliott’s Paul Singer was considering a $160-a-share bid.

Senate passes massive opioid package, bill to ban gag clauses

The opioid package will now head to reconciliation with the House of Representatives before advancing for the president’s signature. The Senate also passed a measure aimed at addressing high drug prices by banning contract clauses that stop pharmacists…

Study says Medicaid expansion in Michigan improved beneficiaries’ financial health

Newly eligible beneficiaries saw their bills in collection, especially medical bills, decrease by hundreds of dollars between 2014 and 2015.