Category: Healthcare Finance News

Evernorth eyes behavioral health with care management program

In an effort to better align on quality care and reimburse providers for delivering improved health outcomes, Evernorth Health Services is launching a measurement-based care program for its behavioral health network.
This, said Evernorth, represents th…

OIG: Aetna may have received more than $25 million in MA overpayments

A new audit by the Department of Health and Human Services’ Office of the Inspector General has found that health insurer Aetna received about $25.5 million in Medicare Advantage overpayments in 2015 and ’16.

Aetna to cut coverage for audio-only and asynchronous text-based telehealth visits

Aetna is modifying its commercial policy to no longer cover certain telemedicine services starting on December 1, the company said by statement.
This is for audio-only and asynchronous text-based visits that were expanded under the public health emerge…

DEA extends remote prescribing of controlled substances 

The Drug Enforcement Administration has extended flexibilities for remote prescribing of controlled substances through the end of 2024.
Final telemedicine regulations are expected to be issued by the fall of 2024, the DEA said.

Brightside Health to offer telemental health through Medicare, Medicaid

Mental Health provider Brightside Health is teaming with Optum and other healthcare organizations to offer telehealth-based mental healthcare to Medicare and Medicaid beneficiaries.
In addition to Optum – through which Brightside will serve UnitedHealt…

ProHealth Care teaming with Optum on revenue cycle, other tech

ProHealth Care, based in Wisconsin, is teaming up with Optum, part of UnitedHealth Group, on revenue cycle management and other technology in an effort to shore up its tech solutions and enhance patient care.

Brigham and Women’s, Samsung explore connection between digital wearables and wellness

Brigham and Women’s Hospital in Boston, a founding member of Mass General Brigham and a teaching affiliate of Harvard Medical School, is partnering with Samsung Medical Center in South Korea to research how digital wearables affect wellness.

HHS proposed rule to update policies on research misconduct

The Office of Research Integrity has issued a Notice of Proposed Rulemaking (NPRM) to update the 2005 Public Health Service Policies on Research Misconduct. The current regulation establishes the requirements for addressing research misconduct in PHS-f…

AI is creating a complex landscape for healthcare executives

Artificial intelligence, as an emergent technology, is poised to transform healthcare in a number of ways. There are a lot of expectations being placed on the technology, and in some cases it can deliver. It has shown promise in crunching large amounts…

Molina loses Medicaid long-term services contract in Indiana

Molina Healthcare will cease administering a long-term services Medicaid contract called Indiana Pathways for Aging, according to regulatory filings published this week.