Category: Healthcare Finance News

Medical Mutual set to acquire ProMedica insurance subsidiary

Cleveland-based Medical Mutual has announced its intent to purchase Paramount Health, a Northwest Ohio-based health insurance company owned by ProMedica.
Paramount, which offers Medicare Advantage, Individual ACA, commercial group and short-term insura…

HHS, DOJ letter urges Medicaid administrators to cover Hepatitis C, SUD medications

The U.S.

Blue Shield California offering pathway to GEDs

In a partnership with GED Testing Service, which administers the official GED test, Blue Shield of California Promise Health plan is offering to pay for Medicaid enrollees who wish to become high school graduates through the General Education Diploma, …

Unclogging cash flow needs end-to-end revenue cycle management 

Last year, Nicole Clawson of the Pennsylvania Mountain Healthcare Alliance went looking for a technology partner that could give the numerous hospitals within the system end-to-end revenue cycle management.
After interviews with 15 vendors, Clawson and…

CMS seeks feedback on transparency in Medicare Advantage plans

The Centers for Medicare and Medicaid Services is seeking feedback on how best to enhance Medicare Advantage data capabilities and increase public transparency.
CMS has sent out the request for information with comments due by May 29.

$50 million in CMS grants to go to healthcare access for school children

The U.S. Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, will be doling out $50 million in grants for states to connect millions more children to healthcare services, particularly for mental health, at s…

Dartmouth Health secures legal aid for patients experiencing health disparities

A hospital system in New Hampshire has been awarded two years of funding to provide legal services for patients experiencing health disparities.
 

Blue Cross Blue Shield of Massachusetts postpones anesthesia policy

On January 1, Blue Cross Blue Shield of Massachusetts implemented a policy that would have limited coverage of monitored anesthesia care for certain patients receiving colonoscopies and other endoscopic procedures. But due in part to pushback from the …

Humana posts $541 million loss in Q4, blames high Medicare Advantage costs

Despite logging $26.6 billion in revenue for the fourth quarter of 2023, insurer Humana posted a $541 million overall loss, pinning much of the blame on a higher-than-anticipated increase in Medicare Advantage costs. 

Optum Perks eyeing Rx costs with telehealth solution

Prescription provider Optum Perks is launching a new telehealth solution offering low-cost care and prescription treatments for hundreds of conditions ranging from acne to a cough to high blood pressure.
The offering is meant to address the cost burden…