A group of Republicans and Democrats in the House and Senate is asking the Health Resources and Services Administration (HRSA) to finalize regulations around drug ceiling prices and penalties for manufacturers that overcharge the 340B program.
Category: FierceHealthPayer
It’s not just Amazon: Employers are turning ‘activist’ when it comes to healthcare
While Amazon, JP Morgan and Berkshire Hathaway have grabbed the headlines in recent months to become the employers to finally disrupt healthcare, experts say their partnership is just one example in a broader groundswell of large employers taking a mor…
With next-generation ACO report fresh off the presses, Verma doubles down on 2-sided risk models
Although some providers are reluctant to take on more risk, a report shows new two-sided ACOs can succeed, too. But NAACOS argues that most of those ACOs were experienced and had time to transition to a value-based model.
Humana launches digital health studio, appoints new chief digital and analytics officer
Humana plans to add 250 jobs at “Studio H” to develop digital tools that help members receive better care and ultimately, improve their health. The company also created a new chief digital health and analytics officer position to oversee those efforts.
Verscend closes $4.9B acquisition of Cotiviti adding to Veritas Capital’s health IT portfolio
The combined company will operate under the Cotiviti name and go from public to private. The acquisition comes months after Veritas Capital bought GE Healthcare’s IT business line for $1 billion.
As midterm approaches, 10 Republican senators introduce bill to protect consumers with pre-existing conditions
As written, a newly introduced bill would prohibit discrimination based on a variety of “health status-related factors.” But it would still give insurers a lot more wiggle room than the Affordable Care Act does, experts say.
Clover expands Medicare Advantage plans to 6 more markets
The insurer believes it can attract customers and partner with health systems in six additional cities across the country. Plus, a Taiwanese company wants to use its predictive technology.
GAO criticizes Trump administration’s ACA outreach and enrollment efforts
By not creating an enrollment goal and cutting outreach funding, the Department of Health and Human Services is weakening the ACA exchanges, says the Government Accountability Office in a new report.
CMS tightens oversight of Medicaid demonstration projects after GAO highlights ‘billions’ in excess costs
A day after GAO Comptroller Gene Dodaro told a Senate committee that Medicaid demonstration projects cost the feds “billions” of dollars for failing to meet budget neutrality requirements, the Centers for Medicare & Medicaid Services is tightening the …
Generic combination drugs would have saved Medicare $1B, study shows
The markup on major, widely prescribed combination drugs cost the Medicare program millions of dollars—but it didn’t necessarily have to, according to researchers from Massachusetts General Hospital.
