Category: Healthcare Finance News

CMS releases home- and community-based quality measure set

The Centers for Medicare and Medicaid Services has released the first-ever home- and community-based services quality measure set to promote consistent quality measurement within and across state Medicaid home and community-based programs. 
The measure…

Nonprofit hospitals hit hard by inflation, need “transformational change,” finds Fitch

The COVID-19 pandemic has been hard on nonprofit hospitals, and without action to address upward pressure on their expenses, the hardships are likely to continue, according to a market update from Fitch Ratings.

Gun violence generates more than $1 billion annually in hospital bills

Adding to the hardship on victims and their families, gun violence injuries in the U.S. cost more than $1 billion each year in initial direct medical costs alone, a federal committee has found.

Providence announces leaner executive team in new operating model

Due to what it called unprecedented net operating losses, Providence, the not-for-profit Catholic health system serving seven states in the western United States, is grouping its existing seven regional senior leadership teams into three divisional tea…

HHS putting $49 million toward increased healthcare coverage for children

The administration made a push to expand healthcare coverage for young people this week when the U.S. Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, awarded $49 million to organizations trying to reduce…

Elevance Health, formerly Anthem, sees $1.7B in profit in Q2

Elevance Health, formerly known as Anthem, logged a $1.7 billion profit during the second quarter of this year, and while that’s down almost 8% compared to Q2 2021, revenues for the quarter were up, which the company attributes to increased enrollment….

PhRMA funds clinical trial initiative to achieve greater diversity

The Pharmaceutical Research and Manufacturers of America is funding a clinical trial initiative to enhance diversity, which has been an ongoing problem in the development of new drugs.
The initial $10 million grant will fund an 18-month pilot at ten co…

Clover Health expanding Medicare Advantage footprint to new counties, states

Clover Health has become the latest insurer to expand its Medicare Advantage footprint, and will push into 13 new counties across three states in 2023: Georgia, South Carolina and Tennessee.
Subject to approval from the Centers for Medicare and Medicai…

Clinicians issue recommendations for responding to a mass shootings

Clinicians from states affected by mass shootings convened at a consensus conference last fall to discuss an appropriate response to such events, and have just released a number of recommendations they hope will facilitate a better response to mass sho…

2.7% payment increase not enough to offset labor and supplies, AHA says 

The American Hospital Association is disappointed with the federal government’s 2.7% payment increase for outpatient care, given continued financial challenges.