Category: Healthcare Finance News

Healthcare would benefit from a patient-centered digital ecosystem, says Blue Shield CEO

Right now, the digital health ecosystem in healthcare is a complex tangle of often incompatible technology and sets of data. 

Workflow can determine whether technology is a burden or benefit to physicians

Technology is a known benefit and burden for physicians.
So when Ludi, Inc. CEO and founder Gail Peace introduced a new software designed to help physicians log their time, she went to their offices to observe how they used the new technology and how i…

COVID-19 caused increased enrollment in Medicaid and CHIP, CMS says

According to a new enrollment trends snapshot released this week by the Centers for Medicare and Medicaid Services, more than 80 million people have signed up for health coverage through Medicaid and the Children’s Health Insurance Program, a record high.

AWS looks to digital health with new accelerator

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Five Blues plans launch Evio, a for-profit company focused on lowering drug prices

Five nonprofit Blue Cross Blue Shield plans have stepped forward to create a new independent, for-profit pharmacy solutions startup called Evio, the plans announced today.

Centene settles PBM lawsuits with Ohio, Mississippi for $143 million

Centene has settled lawsuits in Ohio and Mississippi alleging the company overcharged the states’ Medicaid programs for pharmacy services, according to Centene and the states’ attorneys general. 

LifePoint Health enters into agreement to acquire Kindred Healthcare

Lifepoint Health entered into an agreement to acquire specialty hospital company Kindred Healthcare this week, signaling the creation of a healthcare delivery network that allows Lifepoint to tap into Kindred’s specialty hospital and rehabilitative exp…

Hospitals are not complying with price transparency rule, two studies find

Recent studies published in the Journal of the American Medical Association and the American Journal of Managed Care show that most of the hospitals sampled are not complying with the January 1 mandate to post their negotiated rates with payers.

Fewer MA plan members actively managed their health during the COVID-19 pandemic

In a year when it seemed like everyone was focused on healthcare, fewer Medicare Advantage plan members actively managed their care. 
According to the J.D. Power 2021 U.S. Medicare Advantage Study, although overall customer satisfaction with Medicare A…

COVID-19 recovery is hampered by mounting physician shortages, AAMC finds

Recovery from the COVID-19 pandemic was never going to be an easy proposition for the healthcare industry, but efforts to bounce back are complicated by an ongoing shortage of physicians, which is poised to worsen over the next decade-plus.