Category: Healthcare Finance News

Health systems need to balance their service offerings against dwindling financial resources

Peter Urbanowicz and Martin McGahan, managing directors with consulting firm Alvarez & Marsal, are not optimistic that the financial challenges facing health systems will improve anytime soon.
Both are advisers to CEOs and CFOs.

Type 2 diabetes patients struggling with expenses, stress

Those living with Type 2 diabetes say they deal with fear and stress when it comes to their condition, with expenses and mental hardships becoming almost as burdensome as the disease itself – which is fostering distrust in the healthcare system, accord…

FTC refocusing on anticompetitive practices

The Federal Trade Commission is refocusing and strengthening its policy of enforcing the federal ban on unfair methods of competition, the agency said by statement Thursday, and this could have ramifications on the healthcare industry. 

Top Stories: VillageMD snags Summit Health for $8.9B; Senator wants more coordination on cybersecurity

A Walgreens-backed primary care provider has just made a major acquisition. What are the details? We’ll take a look at that and other developments in this week’s Top Stories, including the risk of healthcare cybersecurity breaches, and a CDC warning ab…

Clover Health scales back on ACO REACH participation

Insurtech company Clover Health is scaling back its participation in the federal government’s ACO REACH program.
“We have decided to significantly decrease the total number of participating physicians,” said President Andrew Toy during the Q3 earnings …

Elevance Health set to acquire specialty pharmacy Bioplus

Elevance Health, formerly Anthem, has entered into an agreement with CarepathRx, a portfolio company of Nautic Partners, to acquire BioPlus, a comprehensive specialty pharmacy, the insurer announced this week. 
BioPlus provides a range of specialty pha…

Medical groups, physician practices hit with high expenses

Even though high patient volume has contributed positively to revenue for medical groups and physician practices in the third quarter, consistently high expenses have been eating into margins, putting such practices in a financial pinch.

Oscar Health and Bright Health are curbing MA expansion, for now

CEOs of both Oscar Health and Bright Health said this week during earnings calls that their companies are drawing back on their Medicare Advantage business.
 
Bright Health Group’s President and CEO Mike Mikan said Wednesday that the company is leaving…

Express Scripts settling for $3.2 million in prescription drug prices case

Pharmacy benefit manager Express Scripts, which had been taken to a Massachusetts court for allegedly overcharging for some injured workers’ prescriptions, has now settled the case for $3.2 million, according to a court document filed this week.

Swapping out high-cost generics may save patients almost 90%

Replacing high-cost generics with cheaper medications that have the same clinical benefit could have cut down spending and saved patients about 88%, according to Johns Hopkins research published in JAMA Network Open.
The use of generics is generally un…