Centene, the largest Medicaid managed care organization in the country, is down over 1 million members since March, according to CFO Drew Asher during the company’s third quarter earnings call on Tuesday.
Category: Healthcare Finance News
More than 2 million people could be covered under Medicaid expansion
More than 2 million people would gain healthcare coverage in 2024 if 10 states were to expand Medicaid eligibility, finds a new analysis from the Urban Institute and the Robert Wood Johnson Foundation.
Independent pharmacies accuse Express Scripts of price fixing in lawsuit
A handful of independent pharmacies are suing Express Scripts for allegedly signing a three-year deal with pharmacy benefit manager Prime Therapeutics to fix reimbursement rates, a violation of the Sherman Act.
AI can improve the revenue cycle but increases risk, Moody’s says
Artificial intelligence has the potential to improve revenue cycle operations, optimize labor through administrative efficiency and lower operating costs, but it comes with the risk of cybersecurity attacks and patient data breaches, according to Moody…
Blue Cross NC to acquire FastMed’s North Carolina locations
Blue Cross and Blue Shield of North Carolina has agreed to acquire all North Carolina-based locations of FastMed, a company that offers telehealth, urgent and primary care, occupational health and preventive services.
In all, Blue Cross NC will acquire…
Three quarters of ACOs in direct contracting model earned savings
The Global and Professional Direct Contracting Model for Performance Year 2022 saved the Centers for Medicare and Medicaid Services $371.5 million and saved direct contracting entities $484.1 million, according to the agency’s first evaluation report o…
Physician cash compensation increasing and projected to rise
Cash compensation for medical and surgical specialists climbed higher in 2023 and will only increase over the next several years, finds a new physician compensation report from SullivanCotter.
Healthcare chatbots may promote racist misinformation
Chatbots based on large language models (LLMs) are being integrated into healthcare systems, but these models may be perpetuating harmful, race-based medical beliefs that could be particularly harmful to Black patients, according to a new study publish…
Healthcare associations push back on CMS’ sepsis rule, advocate tweaks
The Infectious Diseases Society of America and a coalition of medical professional societies have released recommendations for modifying the Centers for Medicare and Medicaid Services sepsis metrics to improve sepsis care and outcomes, saying hospitals…
Ascension Michigan to integrate with Henry Ford Health
Henry Ford Health and Ascension Michigan have signed an agreement to integrate Ascension’s southeast Michigan and Genesys healthcare facilities and assets with Henry Ford’s.
The expanded organization, to be branded Henry Ford Health, would remain head…
