Category: Healthcare Finance News

Partnerships, value-based care key to Aetna’s growth strategy

Partnerships, technology and value-based care – those are some of the main pillars around which Aetna is strategizing for the future. The healthcare industry is changing, and the CVS Health-owned insurer is doing what it can to change along with it.

Biden signs executive order on emergency abortion access

The day after the federal government filed a lawsuit against Idaho for its absolute ban on abortion that would make it a criminal offense for physicians to perform emergency care, President Joe Biden issued an executive order protecting access.

Most Medicare beneficiaries worried about inflation’s effect on healthcare costs

A full 95% of Medicare beneficiaries are worried about the impact of inflation on healthcare costs. And nearly half of the 2,500 beneficiaries recently surveyed by eHealth say their healthcare costs have already increased due to inflation.

Inpatient payment increase not enough, AHA says

The Centers for Medicare and Medicaid Services’ increase in the inpatient payment rate for 2023 is welcome but not enough to offset expenses, according to the American Hospital Association.

CMS offers guidance to help connect children to Medicaid services

The U.S. Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has released guidance on a new Medicaid health home benefit for children with medically complex conditions.

Optum, Sanofi partner on low-cost insulin for the uninsured

Optum is partnering with pharmaceutical company Sanofi to make insulin available and affordable for uninsured people.
The UnitedHealth Group subsidiary is working with the drugmaker to offer a 30-day supply of commonly used insulins for $35 through its…

Antitrust trial to bar UnitedHealth Group and Change merger begins

The bench trial in the Department of Justice’s lawsuit against UnitedHealth Group and its efforts to acquire Change Healthcare began Monday in federal court and is expected to last 12 days.
The court battle pits the antitrust stance of the DOJ and the …

Hospitals get 4.3% increase in inpatient payment rates in CMS final rule 

The Inpatient Prospective Payment System final rule released late today increases hospital operating payment rates by 4.3%. 

Operating margins up but still in the red as expenses soar

Hospital operating margins were up slightly from May to June, but were still negative overall due to still-soaring expenses, according to the latest Flash Report from Kaufman Hall.
Margins were still significantly lower than pre-pandemic levels, and ev…

New York AG sues CVS over 340B discounts for safety net hospitals

New York Attorney General Letitia James has filed suit against CVS Health, saying the former violated antitrust laws and prevented safety net hospitals from receiving millions in 340B discounts.