Prior authorization does not work for patients, providers or even payers, according to Peter Ax, founder and CEO of UpScriptHealth.
The intention of prior authorization is to make an efficient use of health resources, Ax said. It has not worked.
“Prior…
Teladoc Health put in a stronger-than-expected showing in the third quarter, bringing in $640.5 million in revenue, down 3% year-over-year (YOY), according to the company’s earnings results.
Steward Medical Group and Steward Health Care Network have been sold to Rural Healthcare Group and have been rebranded as Revere Medical.
The Medicare Shared Savings Program (MSSP) yielded more than $2.1 billion in net savings in 2023 – the largest savings in the program’s history, according to the Centers for Medicare and Medicaid Services.
A bipartisan bill introduced in the House would stop Medicare payment cuts from taking effect in January and give physicians a pay increase.
The Medicare Patient Access and Practice Stabilization Act, introduced on Tuesday, would provide a 4.7% payment…
Hospital operating margins inched upward for a second consecutive month, with new data from Strata showing the median year-to-date (YTD) operating margin for hospitals nationwide rose to 5.1% in September, up from 4.9% in August and 4.8% in July.
Humana pulled in $29.4 billion in revenue in Q3 of this year, increasing from $25.4 billion in Q3 2023, according to its latest earnings report.
For the first three quarters, Humana has now made about $1.9 billion in profit and $88.5 billion in revenue…
CFOs of two of the country’s largest nonprofit health systems were asked about their financial strategies in the midst of generative AI becoming the next big thing with the launch of ChatGPT in 2022.
Elevance Health announced plans to acquire home health company CareBridge during its most recent earnings call, with Elevance Health CEO Gail Boudreaux saying it will serve as the foundation for subsidiary Carelon’s home health business.
“We’re excited…
Geisinger is partnering for an AI platform to better manage operating room time and staffing.
The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts…
