Category: Healthcare Finance News

Froedtert Health purchases Ascension Wisconsin’s stake in Network Health

Froedtert Health and Ascension Wisconsin have signed an agreement that will allow Froedtert to purchase Ascension Wisconsin’s interest in Network Health, a provider of customized commercial and Medicare health insurance plans.
Each organization current…

Nursing homes are required to disclose more ownership information in final rule

In a final rule released today, the Centers for Medicare and Medicaid Services is requiring greater transparency and disclosure of nursing home ownership. 

UnitedHealth AI algorithm allegedly led to Medicare Advantage denials, lawsuit claims

A class action lawsuit filed this week alleges that healthcare giant UnitedHealth Group unlawfully used an artificial intelligence algorithm to deny rehabilitative care to sick Medicare Advantage patients.
The suit claims that UnitedHealth knew the AI …

Nurse practitioner workforce grows 8.5%

The shortage of nurses and other healthcare professionals has made the industry’s workforce landscape challenging for several years now, but good news was delivered this week by the American Association of Nurse Practitioners, which released data showi…

GenAI: Risk vs. reward causing adoption to stall

Risk is one reason hospitals in the United States do not yet have large-scale adoption of generative AI, according to Patrick Bangert, senior vice president of Data and Analytics at Searce, a cloud solutions and technology services provider.
Bangert be…

Blue Shield of California targets maternal health with Mahmee partnership

Blue Shield of California is strengthening its relationship with maternal healthcare technology company Mahmee, with the latter’s services now available to more BSCA members.
As part of Blue Shield’s Maternal Child Health Equity Initiative, the nonprof…

Northwell Health invests $350 million into pediatric mental health

As the number of children and adolescents in need of mental health support continues to increase, New York-based healthcare giant Northwell Health is investing $350 million over the next five years, and launching a $150 million fundraising campaign to …

Optum Rx moves 8 insulins to ‘preferred’ status in bid to reduce costs

At the start of next year, pharmacy services company Optum Rx will place eight preferred insulin products on Tier One of standard commercial formularies, limiting out-of-pocket spend to $35 or less. 
The UnitedHealth Group subsidiary said this action i…

Walgreens to lay off 5% of corporate workforce

Walgreens Boots Alliance is laying off 267 corporate employees, which represents 5% of that workforce,  

Senate Finance Committee targets PBM reform in new legislation

In a unanimous 26-0 vote, the Senate Finance Committee passed a comprehensive draft package this week that puts pharmacy benefit manager reform and mental health in the spotlight.