Category: Healthcare Finance News

64% of senior finance executives are planning for risk in commercial contracts

New survey shows health executives are ready for increased risk assumption through commercial payers and Medicare.

Supreme Court will hear insurers’ argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their part of the bargain under the Affordable Care Act.

Supreme Court will hear insurers’ argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their part of the bargain under the Affordable Care Act.

Medical costs projected to increase 6 percent by 2020, says PwC

Utilization is still being dampened by high deductibles and other cost sharing, but at the expense of employee satisfaction.

President Trump signs executive order requiring hospitals and insurers to reveal their negotiated prices

American Hospital Association, America’s Health Insurance Plans, say order will raise prices.

UnitedHealth Group acquires PatientsLikeMe

Merger ideagram
The online patient community portal will now be incorporated into UnitedHealth Group’s research arm, which is focused on health innovation and improvement.

A strategic framework for evaluating whether health system partnerships are achieving their goals

System leaders should regularly evaluate existing and new partnerships to ensure that they’re meeting their desired outcomes.

Coverage losses, confusion in Arkansas months after state implements Medicaid work requirements

Not only were there no employment changes, but Medicaid coverage rates have been dropping due to confusion and lack of awareness.

FTC approves UnitedHealth Group $4.3 billion acquisition of DaVita, with conditions

Two commissioners were ready to go to court over the decision not to pursue enforcement action in Colorado.

Geisinger names Dr. Jaewon Ryu its new president and CEO

The pioneering Pennsylvania health system has picked Ryu, who most recently served as its chief medical officer, to replace Dr. David Feinberg, who joined Google in 2018.