Category: Healthcare Finance News

Walgreens pays $100 million to settle class action drug case 

Walgreens is paying $100 million to settle a seven-year old class action lawsuit alleging the company inflated drug prices.
Walgreens denies wrongdoing.
The class action suit, Russo v. Walgreens Co., dragged out over seven years in “hard-fought litigat…

Elevance latest insurer to sue over Medicare Advantage star ratings

Elevance Health is the latest insurer to sue the Department of Health and Human Services over Medicare Advantage star ratings.
Elevance, with affiliates Community Insurance Company in Ohio and Wellpoint in Texas, filed the lawsuit last week in federal …

$47.5 million grant allows Rutgers to turn lab discoveries into practical healthcare

Leaders from Rutgers University and the broader New Jersey community convened last week to celebrate a $47.5 million federal grant for the Rutgers Institute for Translational Medicine and Science, which will be used to transform laboratory discoveries …

Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue

CVS Health saw revenues climb 6.3% as compared to last year, posting $95.4 billion in revenue for the third quarter, even as its health benefits segment underperformed, due principally to high utilization.

Home health agencies get half a percent pay increase

Home Health agencies get a 0.5% payment increase in the 2025 Home Health Prospective Payment System final rule.

Medical groups push for end to yearly payment cuts

The Centers for Medicare and Medicaid Services has finalized the proposed 2.8% payment cut for physicians in its 2025 Medicare Physician Fee Schedule final rule.

CMS gives renal dialysis facilities a 2.7% increase

Among a spate of final rules issued by the Centers for Medicare and Medicaid Services is one updating payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare…

AHA criticizes 2.9% increase in CMS’ OPPS final rule

The American Hospital Association has criticized the Centers for Medicare and Medicaid Services for its Hospital Outpatient Prospective Payment System (OPPS) final rule, saying the increase for outpatient hospital services doesn’t go far enough.
CMS is…

Majority of cyberattacks are through third-party vendors

WASHINGTON, D.C. – The vast majority of cybersecurity risks and breaches are from third-party vendors and other organizations, said experts John Riggi and Richard Staynings during the closing keynote of the HIMSS Healthcare Cybersecurity Forum on Friday.

Aetna offering new ‘transparent’ health plan

Aetna, part of CVS Health, has rolled out SimplePay Health, an alternative health plan that aims to simplify the member experience.
The plan, for self-insured clients, is intended to further reduce costs and improve outcomes and features a payment mode…