Category: Healthcare Finance News

Sen. Grassley wants UnitedHealth to hand over MA billing records

Sen. Chuck Grassley (R-Iowa) has sent a letter to UnitedHealth Group CEO Andrew Witty demanding information on the company’s Medicare Advantage billing practices.

Cedars-Sinai uses generative AI to extract data on pickleball injuries

Pickleball is among the fastest growing sports in this country. The number of players has ballooned by more than 200% over the last three years, according to Pickleheads.

Judge blocks Trump orders on halting grants over DEI

Last week a federal judge in Maryland temporarily barred the Trump Administration from halting federal support for diversity, equity and inclusion (DEI) programs, saying Trump’s executive orders likely violate the First Amendment.

PBMs appeal FTC case over insulin costs 

After a federal judge ruled that the Federal Trade Commission’s case against pharmacy benefit managers could move forward, the PBMs have upped their claim by filing an appeal.
Express Scripts, Caremark, OptumRx and others filed their appeal Friday to t…

Cedars-Sinai cancer director stepping down

Dr. Dan Theodorescu, director of Cedars-Sinai Cancer, is stepping down after six years to pursue new professional opportunities, Cedars-Sinai said this week.
During Theodorescu’s tenure, Cedars-Sinai Cancer doubled its National Institutes of Health fun…

Bill would create Medicare coverage pathway for cancer detection

Members of the Senate Finance Committee have reintroduced the Medicare Multi-Cancer Early Detection (MCED) Screening Coverage Act, a bipartisan bill that would establish a Medicare Coverage pathway to new cancer detection technologies, including tests …

Judge denies PBM motion to stop FTC lawsuit

A judge has denied a request by pharmacy benefit managers named in a Federal Trade Commission complaint to prevent the case from moving forward.

Sutter Health planning $1 billion investment in facilities, services

Sutter Health is planning a significant $1 billion investment to construct a flagship campus in the city of Emeryville, part of an expansion of services in California’s East Bay.
The Emeryville campus will feature a regional destination ambulatory care…

Fewer clinicians entering primary care, data shows

Fewer clinicians are entering into the primary care field, and investments in primary care are on the downswing, finds a new report from the American Academy of Family Physicians and Milbank Memorial Fund.

AMA among organizations asking RFK Jr. to reschedule immunization meeting

The American Medical Association is among 50 healthcare organizations asking Health and Human Services Secretary Robert F. Kennedy Jr. to reschedule a meeting of the Advisory Committee of Immunization Practices.
ACIP is an advisory committee of the Cen…