Category: Healthcare Finance News

More than 758,000 people select healthcare plans in the third week of open enrollment

That brings the total number of enrollees to 2.4 million, a 41% jump over last year but also with more days to sign up over 2019.

CMS proposed rule reduces the user fee in ACA exchanges 

States, as Georgia has done, could waive certain ACA requirements to develop their own state healthcare programs.

Sanford Health cuts ties with longtime CEO after he said he wouldn’t wear a mask

In a recently-announced merger with the larger Intermountain system, CEO Kelby Krabbenhoft was to serve as president emeritus.

CMS announces new flexibilities for care outside of a hospital setting amid COVID-19 surge

Medicare beneficiaries can receive telehealth services from any location, including their homes. 

Blue Cross Blue Shield of Massachusetts offers digital behavioral health solution

Learn to Live was added to insurer benefits to address behavioral health disorders, which are among the most expensive, according to CEO and co-founder Dale Cook.  

ATA applauds reforms to Stark Law, Anti-Kickback Statute

The American Telemedicine Association said the newly released final rules move the healthcare industry closer to a value-based care model.

CMS releases HHS risk adjustment data validation program final rule

Risk adjustment data validation ensures payment integrity and accuracy and it affects what plans are paid.

Hospitals need to post their negotiated prices in less than six short weeks

Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.

PhRMA, others sue HHS and FDA for allowing import of drugs from Canada

PhRMA questions the cost savings and says the rule leaves safety considerations to state governments, rather than the required federal oversight.

HHS will begin allocating Regeneron’s COVID-19 therapeutic this week

The treatment will be available at no cost to patients, although healthcare facilities may charge for the administration.