The Medical Group Management Association is pressing the Centers for Medicare and Medicaid Services to reform the prior authorization process for healthcare services, calling it “routinely the most burdensome issue facing medical group practices.”
Category: Healthcare Finance News
Proposed Medicare Advantage cuts would increase premiums, decrease growth rate, BMA finds
Insurers expect that the Centers for Medicare and Medicaid Services’ recent advance notice for Medicare Advantage and Part D plans for the 2024 coverage year will result in a 2.27% cut to plans if finalized, and this could have a negative impact on mem…
A $2 Medicare drug list is among three models being tested by CMS
The Centers for Medicare and Medicaid Services is testing three models to lower the price of drugs, including having a $2 Medicare drug list for about 150 low-cost generics.
The Medicare $2 Drug List includes prescriptions for chronic conditions such a…
Cigna advances rebranding efforts
With a growing portfolio of businesses, major payer Cigna is engaging in a rebranding initiative that will unveil three distinct brands within the company: Cigna Group, Cigna Healthcare and Evernorth Health Services.
The new holding company name is The…
Kaiser, Mass General Brigham operating losses driven in large part by labor expenses
Two of the nation’s largest integrated health systems have reported financial losses, driven by labor shortages and increases in expenses and capacity.
Kaiser Permanente reported an operating loss of $1.3 billion for 2022 compared to operating income o…
White House furthering nursing home ownership transparency efforts
Following up on one of the subjects broached during his State of the Union address, President Joe Biden is directing the Department of Health and Human Services to increase the transparency of nursing home ownership and management, part of a larger bid…
Shift to virtual care not dependent upon payment parity, says TytoCare CEO
No matter what happens with reimbursement and other waivers put in place under the Public Health Emergency, telehealth is here to stay according to Dedi Gilad, CEO and cofounder of TytoCare.
“The shift to virtual care will not stop,” Gilad said
More data on race could improve maternal outcomes, Health Affairs finds
Understanding the disparities faced by various racial and ethnic groups is key to addressing preterm births and low birth rates, which should spur action from payers, providers and lawmakers, finds a recent Health Affairs study.
UnitedHealthcare giving up to $1,000 per member for wearables data
UnitedHealthcare has introduced a new rewards program in which eligible members, including spouses, can use wearable devices to earn up to $1,000 each per year by completing various daily health goals and one-time activities.
One of the ways people can…
Top Stories: 25 charged in alleged nursing diploma scheme; FBI addressing IT outage at Tallahassee Memorial
25 people have been charged in an alleged nursing diploma scheme. What kinds of shenanigans were they purportedly up to? We’ll get to the bottom of that and more in this week’s Top Stories, including the FBI’s work with Tallahassee Memorial to address …
