Category: Healthcare Finance News

Feds settle with St. Joseph’s over alleged HIPAA violation

The U.S. Department of Health and Human Services’ Office for Civil Rights has settled with New York-based Saint Joseph’s Medical Center for potential violations of the Health Insurance Portability and Accountability Act of 1996 Privacy Rule. The settle…

Memorial Hermann implements Laudio’s AI platform for workflow automation

Memorial Hermann Health System has begun the rollout of an AI automation platform at Memorial Hermann Northeast Hospital, with plans for a systemwide expansion.
The not-for-profit health system headquartered in Houston has implemented Laudio’s AI workf…

Increase in self-pay patients coinciding with Medicaid redeterminations

The proportion of self-pay patients began increasing for emergency department, hospital and primary care visits in April, when states could start terminating Medicaid coverage for patients who no longer met requirements following the COVID-19 pandemic,…

Insurers’ outlook stable as 2023 nears its end, says Moody’s

Despite some challenges, the financial picture for health plans remains stable as the year comes to a close, finds a new report from Moody’s Investors Service.

Acute hospital care at home gets good grades from CMS research 

Patients who received care under the pandemic’s Acute Hospital Care at Home program had a low mortality rate and minimal complications related to escalations back to the brick-and-mortar hospital, according to a CMS research letter published in the Jou…

Tenet looks to sell 3 South Carolina hospitals as FTC blocks deal in California

Tenet Healthcare Corporation wants to sell three South Carolina hospitals to Novant Health for approximately $2.4 billion in cash, or after-tax proceeds of $1.75 billion.

HIMSSCast: Cedar collaborates with Google Cloud on AI to ease the patient billing experience

Cedar announced earlier this year a collaboration using Google Cloud’s generative AI tools to assist patients in understanding and resolving their healthcare bills. Cedar is preparing to deploy AI tools in the market by early next year.

Express Scripts announces new ‘cost-plus’ drug pricing model

Express Scripts has announced a new pharmacy network option that offers “cost plus” drug pricing for employers and health plans. 
Clients pay the estimated acquisition cost that the pharmacy pays for the medication, plus a small markup for pharmacy dis…

Health systems are investing in ambulatory pharmacy IT to improve patient access

A new survey shows that more than half of health system pharmacy leaders believe retailers and technology companies are having either a moderate or strong influence on their hospital’s pharmacy strategy, according to research released today by the Cent…

CMS releases standards and payment parameters for plans on the ACA marketplace

The Centers for Medicare and Medicaid Services is proposing standards for issuers and marketplaces, as well as requirements for agents, brokers, web-brokers, direct enrollment entities and assisters operating on the Affordable Care Act marketplace in a…