Category: Healthcare Finance News

Administration overhauling Medicaid, CHIP enrollment

In an effort to improve healthcare access, the Biden Administration has proposed a new rule that would overhaul the enrollment processes for Medicaid, the Children’s Health Insurance Program (CHIP), and Basic Health Programs (BHPs), and eliminate what …

Briefs sealed in UnitedHealth and Change antitrust trial 

Briefs in the case of the United States v. UnitedHealth Group and Change Healthcare were filed on August 31, but are under seal in the U.S. District Court for the District of Columbia.
Both briefs include findings of fact and conclusions of law followi…

FDA authorizes updated COVID-19 boosters to combat omicron variant

The U.S. Food and Drug Administration on Wednesday amended the emergency use authorizations of the Moderna and Pfizer-BioNTech COVID-19 vaccines to authorize updated boosters to combat the omicron variant.

Higher Medicare Advantage premiums not linked to better quality, says RAND

Seniors who pick Medicare Advantage plans with higher premiums don’t necessarily receive better-quality healthcare, according to new findings from RAND.
Published in the Journal of the American Medical Association, the study said that rather than looki…

Medicare Shared Savings Program saved Medicare $1.6 billion in 2021, says CMS

The Medicare Shared Savings Program, by working with Accountable Care Organizations, saved Medicare $1.66 billion in 2021 compared to spending targets, the fifth consecutive year the program has generated overall savings, according to the Centers for M…

Sentara Healthcare moves into the medically underserved community

Sentara Healthcare has opened the first three programs in a new model called Sentara Community Care. 
Two Sentara Community Care Centers have begun offering services in Norfolk, Virginia. One is inside the Union Mission homeless residential facility an…

Value-based care still a small fraction of medical revenue, MGMA finds

While there’s very little consensus when it comes to the definition of “value-based care,” the healthcare industry continues to move away from fee-for-service – slowly.

HHS awards $20 million to address disparities in maternal and infant health

The Department of Health and Human Services, through the Health Resources and Services Administration, has announced investments of more than $20 million to reduce disparities in maternal and birth outcomes.

Substance use disorder coverage would only slightly increase Medicare spending

Adding substance use disorder coverage for residential and intensive outpatient programs would only have a nominal net impact on Medicare spending, at about $362 million per year, according to a new analysis by the Legal Action Center. By contrast, tot…

General Catalyst adds WellSpan as fourth health system partner

Venture capital firm General Catalyst has partnered with its fourth healthcare system, WellSpan Health of Pennsylvania.