Category: Healthcare Finance News

FTC withdraws healthcare enforcement policy statements

The Federal Trade Commission has signaled the withdrawal of two antitrust policy statements related to enforcement in healthcare markets: Statements of Antitrust Enforcement Policy in Health Care, published in August 1996, and

Former Optum exec returns to helm company

Dr. Amar Desai, who had previously spent years in various leadership roles at Optum Health, has returned to the company and will take over the role of CEO, according to a message Desai posted on LinkedIn.

Elevance Health reaches $1.9B in profits in strong Q2

Elevance Health posted a strong second quarter, achieving about $1.9 billion in revenue, good for 13.2% growth over the previous year’s $1.6 billion haul, according to the company’s latest earnings report.
Revenues also grew 12.7%, hitting $43.7 billio…

Pharmacy leaders meet with White House on Medicare prescription drug benefits

On Tuesday, U.S.

Florida men plead guilty to $67 million Medicare fraud scheme

Two Florida men pleaded guilty last week for their roles in a scheme to defraud Medicare by submitting over $67 million in false claims for genetic testing and durable medical equipment that patients did not need and that the defendants procured with k…

FTC sues to block IQVIA’s acquisition of Propel Media

The Federal Trade Commission is seeking to block IQVIA, the world’s largest healthcare data provider, from acquiring Propel Media (PMI), alleging in an administrative complaint that the proposed acquisition would give IQVIA a market- leading position i…

M&A activity returning to pre-pandemic levels

The second quarter saw an increase in merger and acquisition-related transactions – 20 overall, as compared to 15 transactions in Q1. This, according to a new Kaufman Hall analysis, brought Q2 in line with pre-pandemic levels.

Healthcare groups prod Congress to stop CMS’ payment cuts

Healthcare and doctors’ groups are unhappy with the Centers for Medicare and Medicaid Services’ proposed cuts to physician payments in its annual fee schedule, and are calling on Congress to intervene, hoping to stave off a 3.34% cut to the fee schedul…

CMS expanding Medicare Diabetes Prevention Program

The Centers for Medicare and Medicaid Services is proposing to extend the rule allowing all suppliers under the Medicare Diabetes Prevention Program (MDPP) to use specific MDPP COVID-19 Public Health Emergency flexibilities, including the optional virt…

Optum growth fuels strong quarter for UnitedHealth Group

Revenue growth at Optum during the second quarter helped fuel strong performance for owner UnitedHealth Group, according to a recent earnings call, with Optum growing 25% to $56.3 billion, and operating earnings growing 13% to $3.7 billion.
That strong…