Category: Healthcare Finance News

Post-market price changes alone account for most recent spending growth for biologics

Annual spending by U.S. public programs and beneficiaries nearly doubled from $5.3 billion to $10.3 billion from 2012 to 2016.

CMS releases final and proposed rules on price transparency bound to get provider and payer pushback

The final rule for hospitals, which goes into effect in 2021, includes the ability for CMS to impose civil monetary penalties of $300 per day.

Affordable Care Act enrollment is down 20% since November 1.

Since open enrollment for 2020 plans began two weeks ago, there are 244,183 fewer ACA enrollees.

Sanford Health, UnityPoint Health call off plans for $11 billion merger

No reason was given for the decision, which negates plans that would have resulted in a system ranking among the biggest U.S. nonprofits.

Large drugmakers could lose $1 trillion in sales and still be the most profitable industry, analysis shows

The findings refute assertions that a reduction in drug spending would endanger access to life-saving drugs.

CMS cracks down on regulatory loopholes and state schemes in Medicaid payments

A proposed rule seeks to stop the numerous schemes known to CMS that states have used to circumvent federal statute.

Hospitals given latitude to select transplant candidates don’t prioritize sickest patients

Some hospitals are prioritizing sicker patients first, while others are playing it safe, giving organs to less critical patients.

Unnecessary healthcare supply chain spending reaches almost $26 billion; savings opportunities remain

Lower supply spending doesn’t have to translate to lower-quality care, an important consideration as providers look to tighten up their supply chains.

Optum CEO Andrew Witty is named president of UnitedHealth Group

Witty will continue his duties as CEO of Optum.

Emerging employee wellness trends for 2020

Employee engagement is a vital part in determining the success of a company’s wellness program, and there are four trends to look for next year.