Category: Healthcare Finance News

Eliquis, Jardiance and Xarelto lead CMS list of drugs subject to negotiation

The Centers for Medicare and Medicaid Services has released the names of 10 drugs that will be subject to federal price negotiation in the Medicare program. 
The selected drug list for the first round of negotiation is:

Americans like value-based care, but don’t like the term, survey finds

Americans are largely on board with the concept of value-based care, but there’s one thing they don’t seem to like that much: the term itself, which they either don’t resonate with or don’t understand.
That’s according to new research from United State…

Cigna to exit Kansas, Missouri ACA exchanges next year

Cigna will have a slightly reduced presence on the Affordable Care Act exchanges next year, paring its offerings down to 14 states after announcing it will not offer plans in Kansas or Missouri in 2024.
This comes despite a small expansion in North Car…

Hospital margins decline in July but stay positive

Operating margins at U.S. hospitals contracted for the first time since March, but still held positive during the month of July. According to a new Syntellis report, this drop was the first since margins rose into the black in March following more than…

AI is changing healthcare operations and where investment is going

AI has become the focus of investing for Santé, a healthtech and medtech venture capital firm that manages over $800 million of capital for healthcare and technology startups.
Santé works with companies that sell AI directly to hospitals and also direc…

CVS Health debuts biosimilars subsidiary that will compete with Humira

This week CVS Health launched Cordavis, a wholly owned subsidiary that will work with manufacturers to commercialize and/or co-produce biosimilar products for the U.S. pharmaceutical market. 
The Cordavis products will be FDA approved, CVS said, adding…

Medicare Shared Savings saved Medicare $1.8 billion in 2022 

The Medicare Shared Savings Program saved Medicare $1.8 billion in 2022 compared to spending targets for that year, the Centers for Medicare and Medicaid Services has announced.
This represents the second-highest annual savings accrued for Medicare sin…

Cigna to remove 25% of medical services from prior authorization

Cigna Healthcare, the health benefits provider of The Cigna Group, will be removing close to 25% of medical services from prior authorization requirements, the insurer said today.
With the removal of these 600-plus additional codes, the company has now…

UnitedHealth pays $80,000 to settle HIPAA allegations 

The Office for Civil Rights has announced a settlement with UnitedHealthcare over a potential violation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule’s right of access provision. 
The rule requires that patients be abl…

Optum cuts nursing jobs at MedExpress clinics

MedExpress Urgent Care, a chain of clinics owned by Optum, itself a subsidiary of UnitedHealth Group, will be eliminating registered nursing positions at about 150 facilities as part of a broader round of layoffs at Optum, which so far has been tight-l…