Category: Healthcare Finance News

Supreme Court rules against DaVita and in favor of health plan

In a 7-2 decision, the Supreme Court has sided with a health plan over its coverage for outpatient dialysis services.
Major dialysis service provider DaVita had sued the Marietta Memorial Hospital Employee Health Benefit Plan claiming its limited cover…

40% of employees deferred healthcare in the past two years

Forty percent of employees responding to a new survey from Willis Towers Watson said they deferred medical care over the past year, including 28% who delayed or canceled a medical procedure or appointment.
At the same time, 17% failed to fill at least …

Optum UK buying healthcare software group EMIS for $1.5 billion

Health Services firm Optum UK, a subsidiary of UnitedHeath Group, will acquire U.K.-based healthcare technology company EMIS for about $1.51 billion, the latter has announced.

Provider compensation is up as pandemic recedes, but pay per work unit declines

Provider compensation increased in 2021 as the volume of services rose again to pre-pandemic levels, according to a report from AMGA (American Medical Group Association) consulting.
 

OIG says Medicare race data is inaccurate and hinders health disparities assessments

There are significant inaccuracies in Medicare data on race and ethnicity, which is especially troublesome given that the Centers for Medicare and Medicaid Services is looking to collect such data from providers and payers, according to the Department …

Home health agency payments in 2023 decrease by 4.2%, or $810 million, under proposed rule

The Centers for Medicare and Medicaid Services estimates that Medicare payments to home health agencies in 2023 would decrease in the aggregate by 4.2%, or $810 million, compared to 2022, in its 2023 Home Health Prospective Payment System Rate Update

CDC recommends COVID-19 vaccines for young children

The Centers for Disease Control and Prevention has now cleared the way for children six months through five years old to receive a COVID-19 vaccine, following a recommendation from the Advisory Committee on Immunization Practices’.

Hospital mergers in Utah and New Jersey called off after FTC files complaints

HCA Healthcare and Steward Health Care System in Utah have abandoned plans to merge following a move by the Federal Trade Commission to block the deal.
The announcement – made by the FTC – comes two days after RWJBarnabas Health in New Jersey announced…

Walgreens clinical trial business looks to engage more diverse communities

Pharmacy retail giant Walgreens announced the launch of a clinical trials business with the aim of boosting access and retention in sponsor-led drug development research by engaging broader and more diverse communities.
 

Anthem relaunches Wellpoint and announces Carelon ahead of rebrand

Anthem is relaunching its Wellpoint brand to unify its Medicare, Medicaid, and commercial health plans in select markets.