Category: Healthcare Finance News

CMS proposes rule to increase access to health coverage in 2022

The agency also issued a rule meant to speed the shift to value for home-based services.

Supreme Court declines to hear cost sharing reduction case

The Supreme Court will not hear a case regarding unpaid cost-sharing reduction payments to insurers.

Healthcare price increases are stabilizing while utilization increases as COVID-19 wanes

Healthcare utilization is on the rebound as the COVID-19 pandemic begins to recede, and personal healthcare spending is on the rise. But the price of care, by contrast, is showing signs of stabilizing after months of growth.

Health Catalyst in agreement to buy Twistle for $104.5 million

Data and analytics technology and services provider Health Catalyst has entered into an agreement to acquire Twistle, the company said this week. Based in Albuquerque, New Mexico, Twistle is a healthcare patient engagement SaaS technology company that …

$1 trillion bipartisan infrastructure bill pares down healthcare provisions

The White House on Thursday announced a tentative agreement on a nearly $1 trillion infrastructure bill, with billions earmarked for healthcare investments.
If passed, the bill could include tens of billions of dollars for home healthcare, an expansion…

How Oscar Health integrated case management and utilization management

Aligned incentives, integration and shared risk are what’s needed in healthcare, say CEOs.

Automating the care plan helps avoid burnout

Automating the preoperative process can save time for clinicians, who typically handle matters manually. 
This saves time, which helps prevent burnout. 
“It’s the core of what we’re doing,” said Robbie Hughes, CEO and founder of Lumeon, which offers su…

Cigna offering a $500 incentive for those who switch to a biosimilar drug

Cigna is kick-starting a new program that offers a $500 incentive for eligible members to switch to biosimilar drugs, the health insurer said this week.

CMS directing $20M in ARP funding to improve access to state-based marketplace coverage

The Centers for Medicare and Medicaid Services is directing $20 million in American Rescue Plan funding to support state-based marketplaces in a bid to improve affordable access to health coverage.
States can apply for funding to help modernize or upda…

Double and triple booked provider schedules are overwhelming office staff

1. With patients now flooding into provider offices after some patients delayed care, front and back office provider staff are reportedly overwhelmed. The mix of manual and electronic processes was already a struggle prior to COVID-19. Could you please…