Category: Healthcare Finance News

HSCS continuing to expand Medicare Advantage presence, predicts growth

Health Care Service Corporation (HCSC) intends to offer Medicare plans in 99 additional counties across Illinois, Montana, New Mexico, Oklahoma and Texas next year, and is continuing to expand its presence in the Medicare Advantage arena.

Appeals court ruling restricting access to mifepristone heads to Supreme Court

Health and Human Services Secretary Xavier Becerra and providers are speaking out against the Fifth Circuit’s ruling restricting access to the abortion pill mifepristone. The case is reportedly heading to the Supreme Court.

Blue Shield of California teams with Amazon, CVS and others on new prescription drug model

Blue Shield of California will be rolling out a new pharmacy care model, teaming with a number of organizations on an initiative designed to lower prescription medication costs to the tune of about $500 million annually once the multi-year strategy is …

About 43K California patients are receiving refunds and billing corrections

Approximately 43,000 former patients of Santa Clara Valley Healthcare, serving Santa Clara County in California, will soon receive notice of possible billing corrections and refunds.

Definitive Healthcare acquires Populi for $52 million

Definitive Healthcare, a healthcare commercial intelligence company, has purchased data analytics startup Populi for $52 million in an all-cash transaction. Populi works with healthcare organizations to optimize physician relationships, reduce network …

Epic and Abridge partner on generative AI for clinical documentation

Epic is collaborating with Abridge for generative AI for clinical documentation in the EHR.
Abridge, a generative AI company for healthcare, summarizes medical conversations and structures them in real-time for providers, payers and patients inside the…

Amazon Pharmacy aims to make insulin more affordable

In a bid to expand its presence into the retail pharmacy space, Amazon Pharmacy is introducing a coupon system meant to make prescription drugs more affordable for consumers.

Medicaid coverage for substance abuse treatment has improved

Although more needs to be done, Medicaid fee-for-service has improved throughout the years when it comes to patients with substance use disorder (SUD) being able to access treatment, according to a new study published in JAMA Network.

Medicaid coverage for substance abuse treatment has improved

Although more needs to be done, Medicaid fee-for-service has improved throughout the years when it comes to patients with substance use disorder (SUD) being able to access treatment, according to a new study published in JAMA Network.

ACO Reach now includes financial protections from midyear benchmark changesĀ 

The Centers for Medicare and Medicaid Services has announced changes to the ACO Reach Model for 2024.
The changes to the Accountable Care Organization Realizing Equity, Access, and Community Health Model were in response to stakeholder feedback, CMS said.