The Centers for Medicare and Medicaid Services has proposed changes to regulations governing the Affordable Care Act’s exchanges in 2022, including a proposal to lengthen the annual open enrollment period by an additional 30 days.
CMS’ proposal would a…
The COVID-19 pandemic has had a profound effect on almost every aspect of healthcare delivery, and this extends all the way down to individual physicians, with physicians working fewer hours on average in 2020 compared to 2019 according to data publish…
The U.S. Department of Health and Human Services issued an interim final rule this week banning surprise medical bills and some out-of-network charges, which will go into effect on January 1, 2022 for providers and insurance plans that begin on or afte…
Health insurer Anthem has officially completed its acquisition of Puerto Rico-based MMM Holdings and its Medicare Advantage plan MMM Healthcare, as well as its affiliated companies and Medicaid plan.
Anthem acquired MMM from InnovaCare Health, an inte…
At the time of publishing, HHS had not extended the deadline for PRF payments.
Data has historically shown that the majority of patients insured through Medicaid, as well as the uninsured, seek inpatient hospital care and services at safety net hospitals. The Affordable Care Act expanded Medicaid to increase access to public insu…
Retail juggernaut Walmart is teaming up with Novo Nordisk to manufacture a new private label insulin analog, which will be sold in stores and is intended to lower the cost of medication for diabetes patients who often struggle to afford insulin.
The an…
Nemours Children’s Health System, which provides care for children up to age 18, has more than 1.8 million patient encounters each year across five states.
With a majority of patients receiving care for complex medical conditions, Nemours needed a way…
Genomic data is giving insights into just what will work for a particular patient. This precision medicine is being used in pharmacogenomics, oncology, and immunotherapy.
But widespread use requires reimbursement and getting to a scale in which genomic…
At launch, the company is offering its Extra Access program to seniors in West Tennessee.
