Category: Healthcare Finance News

Cigna + Oscar to launch health plan for small businesses

The partnership will offer integrated medical, behavioral, and pharmacy services benefits.

KLAS report evaluates value-based care vendors

KLAS rated firms Evolent Health, Lumeris, Caravan Health, Conifer Health Solutions, Arcadia, Health Catalyst, HealthEC and Lightbeam.

Sutter Health collaborating with Lyft on transportation options for patients

Lyft can arrange transportation for home health providers who support patients who need wound care, physical therapy or nutritional support.

DOJ, Republican states, oppose ACA Supreme Court petition

If the Court decides in favor of the Democratic states, responses should be due February 3 and oral arguments heard in April or May, DOJ says.

Too many providers are failing to meaningfully integrate data analytics

And that’s costing the U.S. healthcare system in a big way, even in the era of value-based care, according to a new survey from Black Book.

Children frequently receive unnecessary medical care regardless of insurance type

Among publicly and privately insured children in the sample, respectively, 11% and 9% received unnecessary services at least once in 2014.

Of $3 billion DOJ recovered in fraud, $2.6 billion attributable to healthcare

Over $2.1 billion arose from lawsuits filed by whistleblowers under the qui tam provisions of the False Claims Act.

‘Hotspotting’ in healthcare has little to no effect on patient outcomes

About 5% of patients in the U.S. account for half the nation’s healthcare costs; the challenge is to reduce their spending.

ACOs in the MSSP model head into future risk

While numbers for MSSP participation starting this month are yet known, the figures will be an important measure of ACO willingness to take downside risk.

Molina to acquire NextLevel Health Partners for $50 million, expanding footprint in Illinois

The deal will allow Molina to serve 50,000 new Medicaid and Managed Long-Term Services and Supports members in Cook County.