Category: Healthcare Finance News

Administrative waste comprises 15 to 20% of healthcare spending, Health Affairs shows

Between 15 to 30% of all medical spending in the U.S. is attributable to administrative spending, which totaled between $285 billion and $570 billion in 2019, according to new research published by Health Affairs.
The report added that much of this spe…

CVS Health appoints former Optum exec to lead new healthcare delivery organization

CVS Health has appointed former Optum executive Dr. Amar Desai as president of its newly formed Health Care Delivery organization, where he will oversee implementation of key areas of the company’s health services and care delivery strategy.
The new or…

CMS seeks comment on first healthcare provider directory

CMS is seeking public input on a relatively new concept for the agency: a directory containing information on healthcare providers and services, dubbed the “National Directory of Healthcare Providers and Services.” A request for information was sent ou…

CVS Health selling benefits technology provider bswift to Francisco Partners

CVS Health will officially be selling bswift, a provider of benefits technology and services, to Francisco Partners, a global investment firm that specializes in partnering with technology businesses.
Financial terms of the transaction have not been di…

HIMSSCast: Beyond remote care is augmented and virtual reality

Remember when the capabilities of the internet seemed mind-boggling? Digital twins and the metaverse are the next iteration of the internet, according to GridRaster’s co-founder and COO Dijam Panigrahi.

See the list: Fewer plans earned 5 stars in 2023 MA star ratings

The Centers for Medicare and Medicaid Services has released the Medicare Advantage and Part D Star Ratings for 2023.
In all, 57 contracts earned five stars, down significantly from 74 last year. There were 67 contracts that earned 4.5 stars (down from …

Most Americans give healthcare affordability a failing grade, Gallup shows

Most Americans give healthcare affordability in the U.S. a failing grade, and a plurality gives failing marks to the healthcare system as a whole, according to the latest results from a Gallup poll, conducted in partnership with West Health.

Walgreens donating $1 million in aid to hurricane-impacted communities

Walgreens is supporting storm relief efforts in communities across Florida, Puerto Rico and other areas impacted by Hurricanes Ian and Fiona by contributing $1 million in aid, including $500,000 each to the Florida Disaster Fund and the American Red Cr…

Medicare Advantage star ratings are expected to decline as CMS lifts COVID-19 guardrails

Medicare Advantage star ratings are expected to decline in this year’s annual ranking of the private Part C and D plans.
Star ratings are expected out today. The Centers for Medicare and Medicaid Services has said it would release the star ratings “on …

Judge orders Anthem to face lawsuit over alleged Medicare overpayments

Anthem has been accused of not verifying the accuracy of diagnosis codes it submitted when seeking reimbursements over a four-year span, and a federal judge has now ordered the insurer to face a lawsuit from the U.S. government.
The suit alleges that t…