Dr. James Luketich, University of Pittsburgh Medical Center and University of Pittsburgh Physicians have settled with the United States government over a whistleblower lawsuit, brought in September 2021, that alleged fraudulent billing and unsafe surgi…
Avaneer Health, the digital network founded by Aetna, Elevance Health, the Cleveland Clinic; Health Care Service Corporation, Sentara Healthcare and others, has announced a peer-to-peer care delivery system between payers, providers and other participa…
It’s been a big week for telehealth. What’s new in the world of virtual care? We’ll go over the latest in this week’s Top Stories, including the AHA’s support of bipartisan telehealth legislation, and results of a telemedicine-focused Rock Health study…
The House Oversight Committee has launched an investigation into pharmacy benefit managers’ tactics that Chairman James Comer (R-KY) said are “harming patient care and increasing costs for consumers.”
Eli Lilly has announced that it is reducing the list price of its insulin by 70% and capping out-of-pocket costs at $35 a month as part of its Insulin Value Program.
Eli Lilly has announced that it is reducing the list price of its insulin by 70% and capping out-of-pocket costs at $35 a month as part of its Insulin Value Program.
Payers saw their Medicare Advantage margins revert back to pre-pandemic levels in 2021, yet those margins were still double those seen in other markets, according to a new analysis from the Kaiser Family Foundation.
By the end of 2021, gross margins pe…
Medicare Advantage insurtech company Clover Health logged an $84 million loss in the fourth quarter of 2022, much less than the $187.2 million loss it sustained during the same quarter in 2021, according to the company’s earnings report.
Hospitals entered 2023 on more stable footing, following the worst financial year since the start of the COVID-19 pandemic. However, they still face a range of persistent challenges, including higher labor expenses, lower patient volumes and a fundamen…
Medicare Advantage had fewer avoidable hospitalizations for ambulatory care−sensitive conditions (ACSCs) when compared to traditional Medicare, but were more likely to have observation stays and emergency department direct discharges for the same condi…
