Category: Healthcare Finance News

Medicaid disenrollment is happening faster than anyone thought, says former Medicaid deputy director

The loss of coverage for Medicaid recipients is happening faster than anyone believed it would, according to Karen Shields, chief client engagement officer at Gainwell Technologies, a large payer of Medicaid claims.
“It’s faster than we thought,” said …

Outlook strong for healthcare services deals, PwC finds

Coming off strong years for healthcare services deals in 2021 and 2022, volumes have remained resilient through May despite multiple headwinds, including higher interest rates, increased antitrust regulatory review concerns, elevated valuations and gen…

North Carolina puts Friday Health plans into receivership

Following on the heels of Georgia, North Carolina Insurance Commissioner Mike Causey said this week that Friday Health Plans of North Carolina has consented to being placed into receivership, due to its reported insolvency and inability to raise additi…

PhRMA and other groups sue HHS over drug pricing provisions of the IRA

The National Infusion Center Association, the Global Colon Cancer Association and the Pharmaceutical Research and Manufacturers of America have filed a lawsuit in federal court over what they call

San Francisco city attorney questions legality of U.S. News and World Report hospital rankings

San Francisco City Attorney David Chiu has sent a letter to U.S. News & World Report today seeking information on the company’s hospital rankings, which have come under scrutiny from medical experts for alleged imprecise methodology and bias.
The lette…

Q&A with Geisinger CEO and President Dr. Jaewon Ryu, who will be CEO of the new Risant Health

In April, Kaiser Foundation Hospitals announced the formation of a new nonprofit organization, Risant Health and its first acquisition, Geisinger Health.

Q&A with Geisinger CEO and President Dr. Jaewon Ryu, who will be CEO of the new Risant Health

In April, Kaiser Foundation Hospitals announced the formation of a new nonprofit organization, Risant Health and its first acquisition, Geisinger Health.

U.S. sees 26,000 fewer abortions since Roe reversal

Almost exactly one year ago the U.S. Supreme Court issued a decision in the Dobbs v Jackson’s Women’s Health Organization case that effectively overturned the Roe v Wade precedent enshrining the right to abortion access. In the year since, there were n…

AMA pushes to end noncompete clauses in physician contracts

The American Medical Association’s House of Delegates voted last week to oppose noncompete contracts for physicians in clinical practice who are employed by for-profit or nonprofit hospitals, hospital systems or staffing company employers.

Humana is second major Medicare Advantage insurer to report high utilization

Humana, one of the two biggest players in the Medicare Advantage market, is being hit with high benefit expenses due to high utilization among its members, according to a June 16 filing with the Securities and Exchange Commission.