LMH Health, based in Lawrence, Kansas, terminated their chief financial officer, Mike Rogers, in October, and this week the hospital revealed the unusual reason why: Rogers was operating under an assumed name and hid the fact that he was a convicted fe…
In 2022, healthcare spending in the United States increased 4.1% to $4.5 trillion, or $13,493 per person, according to new analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services.
This was much slower than growth in th…
Optum Rx has debuted a new weight management and wellness support program called Weight Engage, which will be available to consumers of plan sponsors, including employers, beginning January 1.
The U.S. Department of Health and Human Services, through the Office of the National Coordinator for Health Information Technology, today finalized its Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency…
Claim denials are increasing, especially in Medicare Advantage, and it’s affecting hospital’s revenue cycles and patient care.
“We definitely are seeing an increase in denials,” said Sherri Liebl, executive director of Revenue Cycle, CentraCare Health,…
The American Medical Association today identified the industry giants with the biggest shares of the markets for commercial health insurance, Medicare Advantage, and public health exchanges, with UnitedHealthcare and Elevance Health representing the la…
Humana has signaled its intent to reduce its greenhouse gas emissions by 54.6% by 2023, using 2019 as a base year. In line with a 1.5°C temperature trajectory, Humana’s near-term science-based emissions reduction targets have been approved by the Scien…
The U.S. House of Representatives has passed H.R. 5378, the Lower Costs, More Transparency Act, a bill aimed at mandating greater hospital price transparency and which would curb pharmacy benefit manager spread pricing.
The bill passed the House by a v…
AHIP has appointed MIke Tuffin its next president and CEO. Tuffin will officially take the helm of the healthcare payer trade organization effective January 8.
He succeeds AHIP CEO Matt Eyles, who decided to step down this year.
Although the overall implementation of Generative AI in healthcare remains limited, a gradual increase in adoption rates, primarily among larger entities, is starting to take hold, according to a KLAS survey 66 of healthcare executives.
While just a …
