Category: Healthcare Finance News

Aetna launches gene therapy network as a standard medical benefit

Aetna has announced the launch of a designated network for members to access new therapies that treat and potentially cure rare genetic diseases, while managing the high cost of these therapies. 

UnitedHealth sues TeamHealth, saying it overpaid $100 million in claims

One claim for over $1,700 was for a 23-year-old man treated in the ER for indigestion after eating a chili dog, lawsuit says.

The rise of hospital at home

Hospital at Home is the trademarked name of Johns Hopkins Medicine and has been in practice in hospitals in that health system at least since 2002. 

Modernizing Medicare and Medicaid means addressing the affordability crisis

Medicare and Medicaid populations must not be ignored in health modernization efforts, said panelists during the HLTH conference in Boston.
On October 19, the panel took up the challenge of finding new ways to lower costs and improve outcomes for patie…

CARES Act funds disproportionately favored well-funded hospitals

There is wide variation in the funding distributed to hospitals through the Coronavirus Aid, Relief, and Economic Security (CARES) Act, according to an analysis of 952 hospital-level entities published in JAMA Health Forum. Research was conducted by Ra…

Investment in digital health requires prioritizing capital allocation

If COVID-19 has taught us anything about how hospitals are investing for the future, it’s that digital health is here to stay, according to Mallory Caldwell, Ernst & Young U.S. health leader. 
“I think the big thing is that we have accelerated and focu…

Moving past inertia to allow innovation to increase the value of employer-sponsored care

Employer-sponsored healthcare spending is at an all-time high, begging the question: Does all this money equal high-quality, high-value care?

Moody’s: Rising costs will slow hospitals rebuilding margins to pre-COVID-19 levels

Operating cash flow margins for nonprofit hospitals fell to a median 7% in 2020.

Prime Healthcare partners with Synchrony on credit card financing options

The financing option integrates care delivery with revenue cycle management, VP says.

AdventHealth, Ascension are unwinding Chicago-based joint venture Amita Healthcare

AdventHealth and Ascension have announced a joint decision to unwind their six-year old Amita Health partnership serving the Chicago area.
Following the transition, AdventHealth and Ascension will operate their individual hospitals and related healthca…