Category: Healthcare Finance News

Top Stories: MA and Part D Star Ratings see a dip in plan quality; Bright Health cutting plans

Star Ratings for Medicare Advantage and Part D have been released. How are companies faring as compared to last year? We’ll attempt to tackle that and other questions in this week’s Top Stories, including: What is the state of Bright Health Group’s Med…

HHS extends public health emergency for the 11th time

The Biden Administration has extended the public health emergency for the 11th time since the declaration was first made in January 2020.

Regulatory challenges increasing among medical practices

Medical practices continue to face overwhelming regulatory challenges, many of them associated with prior authorization and the Medicare Quality Payment Program. In many cases, the burden has increased year-over-year.
That’s the bottom line of a new su…

Humana, USAA launch Medicare Advantage plan aimed at veterans

Major insurer Humana, along with USAA Life Insurance Company, will be rolling out a new Medicare Advantage plan aimed at veterans, which aims to complement the healthcare benefits received through the Department of Veterans Affairs.

AMA report examines PBM and insurer market consolidation

There’s a widespread lack of competition in local markets across the United States where pharmacy benefit managers provide services to commercial health insurers, according to a new analysis by the American Medical Association. 

Health system mergers still low in Q3, despite high value of deals

Merger and acquisition activity between hospitals health systems remained low in the third quarter of 2022, with just 10 announced transactions – comparable to Q3 2021, which saw seven announced transactions, finds a new analysis from Kaufman Hall.

Mayo Clinic teams with Eclipse on cancer pharmaceuticals

Nonprofit health system Mayo Clinic has teamed with venture capital firm Eclipse on pooling together seed funding for Nucleus RadioPharma, a new company built to ensure cancer patients can access potentially life-saving radiopharmaceuticals.
The new co…

FDA approves Omicron booster for children as young as 5

The U.S. Food and Drug Administration has amended the emergency use authorizations of the Moderna and Pfizer COVID-19 vaccines to allow their use as a single booster dose in children.
The Moderna COVID-19 Vaccine, Bivalent, is authorized for administra…

ACOs treating minorities more likely to leave Medicare Shared Savings Program

Accountable Care Organizations treating a higher percentage of patients in racial and ethnic minority groups are much more likely to exit the Medicare Shared Savings Program (MSSP) than ACOs treating mostly white beneficiaries, according to new researc…

Walmart gets Healthcare Research Institute off the ground

Walmart has made public its plans to launch its new Healthcare Research Institute (WHRI), saying the goal is to increase community access to healthcare while making strides toward better equity and quality.