Category: Healthcare Finance News

Mental health spend, aided by telehealth, surged during the pandemic

Rapid expansion of telehealth services for mental health conditions at the onset of the COVID-19 pandemic helped improve access to care and improved provider ability to meet patient demand, according to a study published in JAMA Health Forum. 

CMS prods states to examine auto-renewal as possible cause of Medicaid disenrollments

The Centers for Medicare and Medicaid Services has sent a letter to Medicaid directors in all 50 states directing them to determine whether they have an eligibility systems issue that could cause people, especially children, to be disenrolled from Medi…

Emergency medicine physicians top list of most burned-out specialties

As the demands of the medical field continue to intensify, physicians practicing in some specialties find themselves grappling with the harrowing consequences of excessive stress, long hours and emotional exhaustion – and this burnout is having an effe…

Bon Secours Mercy Health sues Anthem over $93 million in unpaid claims

Healthcare provider Bon Secours Mercy Health (BSMH) escalated its ongoing dispute with regional Elevance Health by filing a lawsuit against insurer Anthem on Monday.
The lawsuit alleges Anthem owes more than $93 million in unpaid claims.

Almost 80% of healthcare organizations experienced cyber incidents in the past year

More than three quarters (78%) of respondents to a new Claroty survey  experienced a minimum   of one cybersecurity incident over the last year, which impacted a broad range of asset types, including IT systems, sensitive data, medical devices and buil…

AHA presses CMS to do more on cost sharing, junk plans

The American Hospital Association has lauded efforts by the Centers for Medicare and Medicaid Services to limit short-term “junk” health plans, but is pressing the agency to do more on the issue of unaffordable cost sharing, “even in ACA compliant heal…

Highmark Health logs $13.6B in revenue in the first half

Citing strong performance from its business units, Highmark Health said it logged $13.6 billion in revenue during the first half of 2023, as well as an operating gain of $230 million and net income of $389 million.
The nonprofit Blues insurer attribute…

Healthcare executives’ worries about talent retention, recession beginning to ease

In assessing the biggest risks to their business, most healthcare executives say that the risk landscape is starting to ease, with recessionary fears not as prevalent as they once were and the overall picture improving for talent acquisition and retent…

Humana eyes kidney disease in 13-state Interwell Health partnership

A new partnership between Humana and kidney care management company Interwell Health will result in a new value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease (CKD), as well a…

Texas Medical Association succeeds in new legal challenge to No Surprises Act

The Texas Medical Association has once again prevailed in a legal challenge to President Biden’s No Surprises Act, with a Texas judge ruling to vacate several regulations involving payment dispute resolutions between some out-of-network providers, grou…