Category: Healthcare Finance News

Signify Health exiting CMS’ bundled payment program

Signify Health, a value-based care-focused analytics platform, will be ceasing its Episodes of Care Services (ECS) business and exiting the Centers for Medicare and Medicaid Services’ Bundled Payments for Care Improvement-Advanced (BPCI-A) model, the c…

Feds recovered $5 billion in healthcare fraud cases in 2021

The federal government recovered more than $5 billion in healthcare fraud settlements and judgments in fiscal year 2021, according to the joint annual government Health Care Fraud and Abuse Control Program Annual Report from the of the Departments of J…

California Governor Gavin Newsom says California will begin making its own low-cost insulin

In a bid to make diabetes treatment more affordable, California Governor Gavin Newsom said in a  recent Twitter video that the state will begin making its own low-cost insulin, using a $100 million budget to kick-start development and manufacturing of …

Employers hone in on affordability and access for 2023 benefits

Employers of all sizes are looking to bolster their health benefit options in 2023 with an eye toward improving recruitment and retention, and will focus on affordability and access, according to a new Mercer survey.

One-fifth of adults have received a surprise medical bill, survey shows

One in five adults in the U.S. have received an unexpected medical bill this year, even after a federal ban on surprise medical billing, according to a new survey from Morning Consult. 

CMS targeting ACOs, behavioral health in 2023 Physician Fee Schedule proposed rule

The Centers for Medicare and Medicaid Services has issued the 2023 Physician Fee Schedule (PFS) proposed rule, which seeks to expand access to behavioral health services, Accountable Care Organizations, cancer screening and dental care, with a focus on…

HHS providing resources to states for oversight of Medicaid, CHIP managed care

The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has released a suite of resources meant to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program managed care programs – …

FDA authorizes pharmacists to prescribe Paxlovid, with limitations

The U.S. Food and Drug Administration on Wednesday revised the Emergency Use Authorization for Pfizer’s antiviral COVID-19 treatment Paxlovid, allowing pharmacists to prescribe the treatment, with limitations.
Paxlovid is authorized for the treatment o…

Senate Democrats release plan for Medicare drug negotiations

Senate Democrats have carved out a deal on legislation that would attempt to lower prescription drug costs for Americans by allowing Medicare to negotiate for lower drug prices.

COVID-19 accounted for 17% of 45-54-year old deaths

COVID-19 was the leading cause of death for people between the ages of 45 and 54 in 2021, accounting for 16.8% of all deaths in that age group, found a study in JAMA Internal Medicine. It was the third leading cause of death during the height of the pa…