Category: Healthcare Finance News

Drug prices soaring beyond inflation rate, necessitating action, says HHS

For decades, Americans have spent more on prescription drugs than people in other countries. The Biden Administration has been involved in ongoing efforts to stem this trend, making prescription drugs more affordable to both improve public health and p…

Optum and Change Healthcare complete merger

Optum and Change Healthcare officially merged today.
Change filed a report with the Securities and Exchange Commission today in connection with the closing, in accordance with the January 5 merger agreement.
WHY THIS MATTERS

Nonprofit hospitals expanding charity care, but not all changes positive

About 84% of nonprofit hospitals updated their charity care policies from 2019 to 2021, during the heights of the COVID-19 pandemic, and according to findings published in JAMA Network Open, these updated policies resulted in mostly positive changes.
H…

Blue Cross Blue Shield of Massachusetts debuting virtual primary care option

Beginning January 1 of next year, Blue Cross Blue Shield of Massachusetts will introduce a new virtual primary care option dubbed the “Virtual Care Team Feature,” which enables members to receive comprehensive virtual healthcare through a team that inc…

CMS announces lower premiums for Medicare Advantage plans in 2023

People with Medicare will see lower premiums for Medicare Advantage and Medicare Part D prescription drug plans in 2023. 
The projected average premium for 2023 Medicare Advantage plans is $18 per month, a decline of nearly 8% from the 2022 average pre…

Walmart partners with Kindbody on fertility benefits

Retail giant Walmart, which is increasingly muscling its way into the healthcare space, is partnering with Kindbody as the fertility provider for its new Center of Excellence (COE). Kindbody is a family-building benefits provider for employers.

CMS expanding Medicaid initiatives in Massachusetts and Oregon

The Centers for Medicare and Medicaid Services has approved Medicaid Section 1115 demonstration initiatives in Massachusetts and Oregon, both of which aim to test improvements in coverage, access and quality.

340B hospitals to get full drug reimbursement for 2022, court orders

The Department of Health and Human Services must immediately stop the 30% drug reimbursement cuts to hospitals in the 340B program, a federal judge has ruled.

Providers ask HHS to extend information blocking deadline for a year

Ten hospital and physician groups have asked Health and Human Services Secretary Xavier Becerra to extend the October 6 information blocking deadline for one year.

Payer group decries insurer fines in House mental health parity bill

Major payer group the ERISA Industry Committee (ERIC), representing large employer plan sponsors, wrote a letter to the U.S. House of Representatives this week decrying legislation that would impose fines on insurers who don’t follow mental health pay …