The Federal Trade Commission is requiring the six largest pharmacy benefit managers to provide information and records regarding their business practices.
Category: Healthcare Finance News
Out-of-pocket spending cap would make Medicare more affordable, Urban Institute finds
A policy that would cap cost sharing at $5,000 for traditional Medicare would reduce cost sharing for enrollees with the greatest healthcare needs by about 53%, according to data published this week by the Urban Institute.
Hospitals to experience financial strain over the next decade, report says
Hospitals will experience a slowing of inpatient admissions but an increase in the length of adult inpatient stays, the latter being fueled in part by long COVID-19 and a rise in chronic conditions, according to a new report from Vizient and its subsid…
AHA supports CMS proposal to delay Radiation Oncology Model
The American Hospital Association supports the Centers for Medicare and Medicaid Services’ proposal to delay the January 2023 start of the Radiation Oncology Model to a date determined through future rulemaking, the association told the agency today.
AHIP lauds rulemaking to fix “family glitch” in healthcare coverage
Insurer group AHIP has come out in favor of a proposed rule from the Treasury Department and Internal Revenue Service to tweak a “family glitch” in the Affordable Care Act, provided health plans receive timely guidance on the requirements.
Cleveland Clinic’s virtual second opinion program saves $65 million annually
The Cleveland Clinic’s virtual second opinions program has led to avoidable costs for misdiagnosis of about $65 million annually.
This is an estimated $65 million saved per 100,000 health plan members, said Frank McGillin, CEO of The Clinic by Clevelan…
Humana adds 14 states to home health division
Health insurer Humana is adding 14 states to its ongoing initiative to rebrand the home health division of Kindred at Home as CenterWell Home Health. KAH home health services have already begun transitioning to the CenterWell brand in a number of other…
Loneliness epidemic speaks to need for behavioral healthcare
Loneliness: It was a widespread problem in the U.S. before the pandemic, but COVID-19 made it worse, forcing people into isolation and social distancing protocols. It’s been one of the biggest motivators behind the push for increased access to mental h…
Hospital Insurance Trust Fund to run dry by 2028
The Hospital Insurance Trust Fund, or Medicare Part A, which helps pay for services such as inpatient hospital care, will be able to pay scheduled benefits only until 2028, according to a new report from the Trustees of the Social Security and Medicare…
FTC sues to block merger between HCA Healthcare and Steward Health Care System
Calling the health systems rival competitors in Utah, the Federal Trade Commission has brought an administrative complaint and a lawsuit in federal court to block the proposed merger between HCA Healthcare and Steward Health Care System.
The agency sa…
