Category: Healthcare Finance News

BCBS Michigan kick-starts full-risk reimbursement arrangements with providers

Blue Cross Blue Shield of Michigan and six physician organizations across the state are launching full-risk reimbursement arrangements for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans, the insurer announced this week.

Bright Health is in danger of being delisted due to stock price

Bright Health Group is in danger of being delisted by the New York Stock Exchange.
On December 6, the Minneapolis-based insurance company received written notice from the New York Stock Exchange that it was not in compliance with the continued listing …

Health benefits costs expected to rise 5.4% in 2023

Employers are expecting a large hike in health benefits costs next year after they rose 3.2% in 2022, according to a new Mercer poll.

Merger and acquisition deal volumes to continue increasing, PwC finds

Despite a shaky economy and fears of a recession, healthcare mergers and acquisitions are expected to continue, with ever-increasing transaction volumes, according to a new analysis from PricewaterhouseCoopers.

Telehealth’s future after the end of the public health emergency

When the current public health emergency ends, so do many of the waivers put in place to help providers through the pandemic. Telehealth is the big exception, getting an additional 151 days before a loss of flexibilities such as the ability for patient…

Lawmakers push CMS to prevent fraud, abuse in ACO REACH model

U.S. Senator Elizabeth Warren (D-Mass.) and Representative Pramila Jayapal (D-Wash.) are spearheading an effort by lawmakers to compel the Centers for Medicare and Medicaid Services to look at the ACO REACH model, with an eye toward preventing program …

Oscar Health puts brakes on new ACA signups in Florida

Health insurance company Oscar Health will temporarily stop accepting new members in the state of Florida beginning today, a move the company said was based on a strong Affordable Care Act Open Enrollment performance.
Current Oscar members in the state…

HHS releases benefit and payment proposed rule for Affordable Care Act coverage

As open enrollment for January 1 coverage comes to an end on Thursday, the Department of Health and Human Services has released the 2024 Notice of Benefit and Payment Parameters Proposed Rule for the Affordable Care Act.

Blue Shield of California partnering with DispatchHealth on in-home care

Blue Shield of California has revealed a partnership with DispatchHealth, a company that provides in-home, same-day healthcare from medical professionals who treat more than 40 health conditions, including respiratory infections, pneumonia and chronic …

Appeals court rules transgender care and transition infringes upon religious freedom

A federal appeals court has rolled back a Biden administration proposed rule on sex discrimination in a ruling blocking a transgender care mandate.