Category: Healthcare Finance News

Healthy.io partners with BCBS Idaho on chronic kidney disease

Healthy.io, a health technology company focused on at-home urinalysis and digitized wound care services, has partnered with Blue Cross Blue Shield of Idaho to promote early detection of kidney damage and chronic kidney disease (CKD) by essentially tran…

CMS releases three initiatives to grow Medicare ACO participation

To advance its goal of having 100% of people in traditional Medicare in an accountable care relationship in seven years, the Centers for Medicare and Medicaid Services has announced three initiatives in the Medicare Shared Savings Program and the ACO R…

Current prior authorization practices are adding to burnout, surgeon general says

The Centers for Medicare and Medicaid Services outlined changes that will be made to speed up and align the prior authorization process across all payers, during a press call on Tuesday.

California sues drugmakers and PBMs over insulin

The State of California has filed a lawsuit against drugmakers and pharmacy benefit managers for allegedly increasing the cost of insulin illegally, accusing them of “unlawful, unfair, and deceptive business practices” in violation of the state’s Unfai…

HHS: Younger Americans seeing lower uninsured rates

Internal data from the Department of Health and Human Services shows that Americans made substantial gains in health insurance coverage between 2019 and 2021, including in some key demographics, such as adults aged 19 to 35, and those aged 35 to 49 – w…

Telehealth utilization declined almost 4% nationally last fall

In October 2022, after three months of relative stability, national telehealth utilization declined 3.7%, from 5.4% of medical claim lines in September to 5.2% in October, according to FAIR Health’s Monthly Telehealth Regional Tracker.

Merger and acquisition revenues for health systems hit $45B in 2022

The fourth quarter of 2022 was a banner period in terms of healthcare merger and acquisition revenues, and the transactions that took place in the quarter pushed M&A revenues to $45 billion for 2022, according to a new Kaufman Hall analysis.

Hospitals need a battle plan for end of Medicaid’s continuous coverage

Up to 18 million Medicaid beneficiaries are projected to lose coverage when states begin the redetermination process for coverage starting on April 1 and after the current and likely last public health emergency ends on April 11. 

Suffering margins threaten credit ratings for nonprofit hospitals, finds Fitch

Credit ratings for the nation’s nonprofit hospitals will be under threat this year due to investment losses and rising expenses eating into margins, according to a new report from Fitch Ratings.

Hospitals disappointed by court decision leaving 340B repayment to HHS

On Tuesday, a federal court ruled that the Department of Health and Human Services can propose the appropriate remedy for underpaying hospitals in t