Category: Healthcare Finance News

Top Stories: Optum Rx launches tool for lower-priced generics; Amazon launches medication subscription service

Optum Rx is attempting to lower prescription drug prices for members. How is it doing it? We’ll delve into that and other news in this week’s Top Stories, including Amazon’s launch of a generic medication subscription service, and a new accelerator for…

HCA healthcare investing $300K to improve access to healthcare careers

HCA Healthcare, based out of Nashville, announced this week multiple HCA Healthcare Foundation grants, through its Healthier Tomorrow Fund, to provide high school students early access to careers in healthcare, and to connect unemployed and underemploy…

Elevance Health sees higher revenue, lower profits in Q4

Elevance Health saw revenues climb more than 9% during the fourth quarter of 2022, hitting $39.9 billion, up from $36 billion in Q4 2021. But profit was down 16.5% year-over-year, declining from $1.1 billion last year to $949 million in 2022.
Operating…

More payer/provider transparency at point of care improves risk, quality

Increased data transparency between health plans and providers on care and coding gaps results in higher compliance, process improvement and positive behavior changes among network providers, according to a new report from information technology compan…

HHS projects savings on insulin due to Inflation Reduction Act

A new report from the U.S. Department of Health and Human Services estimates that if the Inflation Reduction Act’s provision capping the cost of insulin at $35 for a month’s supply for Medicare beneficiaries had been in place in 2020, 1.5 million senio…

How one health system developed AI to tackle patient safety

Sheba Medical Center is focused on using artificial intelligence to turn around statistics on patient safety.
“In terms of patient safety, we’ve made no progress over the past 30 years,” said Prof. Dr. Eyal Zimlichman, chief transformation and innovati…

Elevance Health to acquire BCBS Louisiana

Elevance Health, formerly Anthem, is poised to acquire Blue Cross Blue Shield of Louisiana, having entered into a definitive agreement this week to snag the insurer, with BCBSLA joining Elevance Health’s affiliated Anthem Blue Cross Blue Shield family …

Optum Rx launches Price Edge to offer lower prices on generics

Optum Rx, UnitedHealth Group’s pharmacy services company, has launched Price Edge, a tool that compares available direct-to-consumer pricing for traditional generic drugs with insurance pricing. The goal is to ensure members get the lowest prescription…

Harvard Pilgrim, Tufts team with Included Health on LGBTQ+ care

Two payers, Tufts Health Plan and Harvard Pilgrim Health Care, have entered into a partnership with virtual care and navigation platform Included Health in an attempt to strengthen healthcare access for those in the LGBTQ+ community.

Some may face affordability challenges after Part D redesign

Medicare Part D may be the target of reforms, but a new analysis from consulting firm Avalere has found that beneficiaries may still face challenges when it comes to affording their medications.