Employers will participate in full risk sharing to scale value-based care in the commercial market.
Category: Healthcare Finance News
Medicare Part B spent $1.5B on COVID-19 tests in 2020
Medicare Part B spending on laboratory tests ticked up to $8 billion in 2020, driven largely by new COVID-19 diagnostics reimbursements, even while spending on other types of tests declined, according to a new report released by the U.S. Department of …
New Medicaid option promotes enhanced mental health, says HHS
The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has unveiled a new option for supporting community-based mobile crisis intervention services for those with Medicaid. Authorized under the American Res…
Healthcare third largest sector hit by Great Resignation
The Great Resignation hit the healthcare sector hard in November, and the numbers are colliding now with a steep rise in the number of COVID-19 hospitalizations.
Saint Vincent Hospital nurses end longest strike in Massachusetts history
Nurses at Worcester, Massachusetts-based Saint Vincent Hospital ratified a new contract Monday ending the longest strike in Massachusetts history at 301 days, which clears the path for the hospital to begin recalling nurses to provide care to patients …
HHS: Protections against surprise medical bills implemented at dawn of new year
As 2022 gets underway, new federal protections against surprise medical bills have gone into effect, which the U.S. Department of Health and Human Services has said will shield consumers from bills from out-of-network providers, facilities and ambulanc…
AbbVie imposes 340B pricing restrictions at community pharmacies
Drug company AbbVie has told safety-net hospitals it will stop offering 340B drug pricing program discounts on drugs dispensed at community-based pharmacies starting Feb. 1, if the hospitals do not agree to turn over patient claims data for those pharm…
FDA expands use of Pfizer vaccine, green-lights boosters for children 12-15
The U.S. Food and Drug Administration has officially authorized Pfizer-BioNTech’s COVID-19 booster shots for children 12-to-15-years old, the agency revealed on Monday.
AHA asks UnitedHealthcare to rescind revised policy on emergency coverage
UnitedHealthcare recently announced it would move forward with new coverage criteria for emergency-level care, which went into effect January 1, and this has drawn the ire of the American Hospital Association, which is urging UHC to rescind the policy….
AMA urges Supreme Court to uphold vaccination mandates
The American Medical Association has added its voice in support of mandatory COVID-19 vaccinations in an amicus brief to the Supreme Court filed on December 30.
