Category: Healthcare Finance News

Clover Health scales back on ACO REACH participation

Insurtech company Clover Health is scaling back its participation in the federal government’s ACO REACH program.
“We have decided to significantly decrease the total number of participating physicians,” said President Andrew Toy during the Q3 earnings …

Elevance Health set to acquire specialty pharmacy Bioplus

Elevance Health, formerly Anthem, has entered into an agreement with CarepathRx, a portfolio company of Nautic Partners, to acquire BioPlus, a comprehensive specialty pharmacy, the insurer announced this week. 
BioPlus provides a range of specialty pha…

Medical groups, physician practices hit with high expenses

Even though high patient volume has contributed positively to revenue for medical groups and physician practices in the third quarter, consistently high expenses have been eating into margins, putting such practices in a financial pinch.

Oscar Health and Bright Health are curbing MA expansion, for now

CEOs of both Oscar Health and Bright Health said this week during earnings calls that their companies are drawing back on their Medicare Advantage business.
 
Bright Health Group’s President and CEO Mike Mikan said Wednesday that the company is leaving…

Express Scripts settling for $3.2 million in prescription drug prices case

Pharmacy benefit manager Express Scripts, which had been taken to a Massachusetts court for allegedly overcharging for some injured workers’ prescriptions, has now settled the case for $3.2 million, according to a court document filed this week.

Swapping out high-cost generics may save patients almost 90%

Replacing high-cost generics with cheaper medications that have the same clinical benefit could have cut down spending and saved patients about 88%, according to Johns Hopkins research published in JAMA Network Open.
The use of generics is generally un…

TytoCare announces remote primary care offering

Virtual care company TytoCare has launched a remote primary care offering for health plans and providers. 

Cross-market hospital consolidation may harm competition

Although hospital consolidation within markets has become a common practice, consolidation across markets is on the rise, with research in Health Affairs suggesting this may harm competition .

Walgreens-backed Village MD to acquire Summit Health-CityMD for $8.9B

Walgreens’ VillageMD has entered into a definitive agreement to acquire Summit Health-CityMD, a provider of primary, specialty and urgent care. 
The transaction is valued at approximately $8.9 billion with investments from Walgreens Boots Alliance and …

Patients satisfied with virtual primary care, though more work needs to be done

At 94%, the vast majority of patients are satisfied with their experience pursuing virtual primary care, and nearly four in five (79%) say it has allowed them to take charge of their health, according to a new survey released by Elevance Health, former…