Category Archive: Healthcare Finance News

Department of Justice, Atrium Health settle civil suit over alleged anti-competitive steering restrictions

If approved by the Court, the agreement will resolve more than two years of civil antitrust litigation.

California approves CVS, Aetna merger contingent upon premium promise and $240 million investment

New York State still needs to clear the $69 billion deal that CVS said it expects to close by Thanksgiving.

Patient engagement: Clinicians like the idea, but do they really know what it means?

While most interview participants expressed positive opinions about patient activation and engagement, many had limited understanding of them.

Geisinger unveils ProvenRecovery program for surgery patients which cuts down on opioid use, speeds recovery

Pilot program showed an 18 percent drop in opioid use and cut length-of-stay in half for certain surgery patients, yielding big savings.

HHS Secretary Alex Azar declares wildfires a public health emergency; CMS issues program waivers

CMS reminds Medicare Advantage organizations of their requirement to waive prior authorization in affected areas.

How hospitals can keep doctors positively engaged with their work

Physician engagement is viewed as a critical factor for improving the quality and efficiency of healthcare, as well as satisfaction and outcomes.

ACA enrollment drops 8% in second week

Week two of open enrollment shows an 8 percent drop in the number of people …

Data overload: Doctors say patients come into office misinformed

Patients all too often read unreliable sources of medical information and assume the worst-case scenario.

Artificial intelligence helps insurers identify Medicare members who also qualify for Medicaid

Medicare Advantage insurers that miss enrolling dual-eligibles are losing out on an opportunity, according to Change Healthcare.

CMS continues to investigate information breach of more than 90,000 Healthcare.gov consumers

A number of insurance agents and brokers engaged in ‘excessive searching’ for applications stored in the health insurance marketplace, CMS says.

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