Category: Healthcare Finance News

Minnesota AG uses new law to review two proposed health system mergers

Minnesota Attorney General Keith Ellison is using a new state law to review two proposed hospital mergers to determine whether they are in the public’s interest.
One involves the 25-hospital system that would be created by the merger of Essentia Health…

Court strikes down HHS rule allowing insurers to exclude copay assistance

A federal judge has struck down a Trump administration rule that allowed health insurers to exclude drug manufacturer copay assistance towards a beneficiary’s out-of-pocket costs.
Under the Trump rule, these “copay accumulator” policies meant patients …

Insurers tout Medicare Advantage benefits

Healthcare insurers have been rolling out their new Medicare Advantage offerings and are touting benefits that range from cost to ease of access, ahead of open enrollment starting October 15.
UnitedHealthcare, for example, will expand its coverage area…

Sutter Health expands into central California through integration of Sansum Clinic

Sansum Clinic in Santa Barbara, California is now part of Sutter Health.
The partnership of Sansum Clinic and its six care facilities into the Sutter Clinic system of 24 hospitals and over 200 clinics took effect on Monday. Sansum’s full integration wi…

Cigna will pay $172 million for allegedly overcharging Medicare Advantage

Health insurer Cigna has agreed to pay $172 million to resolve allegations that it padded its reimbursement by submitting false Medicare Advantage diagnostic codes.
The agreements resolve a False Claims Act lawsuit brought by a whistleblower and the fe…

Drug companies agree to participate in Medicare negotiations

All 10 drug companies whose drugs were selected for price negotiation with Medicare for the first cycle of the program have decided to participate in those negotiations, according to the Centers for Medicare and Medicaid Services. 
The  drug companies …

Generational gaps emerge in telehealth satisfaction

Telehealth has undergone a transition from pandemic-era lifeline to convenient outlet for routine follow-ups, treatment of minor illnesses and mental health service. But along the way, a stark generation gap has emerged between Millennials and Baby Boo…

Court denies injunction to prevent Medicare drug negotiations

A federal judge on Friday denied an attempt by the U.S. Chamber of Commerce to stop the October 1 deadline for pharmaceutical companies to begin drug price negotiations in Medicare. 

CMS implores states to keep children on Medicaid and CHIP

In a letter to state health officials late last week, the U.S.

AHA advocates for ‘sector-specific’ approach to AI

The American Hospital Association has said it supports a careful review of artificial intelligence regulations in healthcare, but favors a “sector-specific” approach such as has been applied to health-focused software applications.