Category: Healthcare Finance News

CMS to display the star ratings for Affordable Care Act exchange plans

The price of plans will be included to create competition in the market that opens for 2020 starting November 1.

CashMD launches price transparency tool

Users can search for the price of a procedure at providers in their area and then book an appointment through the app.

Up to 14% of internal medical residents have been bullied during training, Johns Hopkins found

Those who reported harassment said bullying resulted in burnout, depression and other ill health effects.

U.S. spends more on healthcare, but not on social services spending, study finds

Countries that spent more on social services tended to spend more on health care, even after adjusting for poverty and unemployment rates.

Majority of providers fall short of compliance with HIPAA access requirements

The primary reason for noncompliance was that most providers don’t send records electronically even when so requested.

Insurers’ collective premium rate increases are less than 1% for 2020 ACA plans

Numerous states reported requested rate decreases and only three have double-digit increases.

Tufts and Harvard Pilgrim to merge, creating large nonprofit insurer

The new organization, yet to be named, will be one of the largest nonprofit health organizations in Massachusetts and the surrounding region.

Day Kimball Healthcare has sights set on partnership with California for-profit

It could be several months before the deal is finalized, though the agreement itself is projected to be completed this fall.

Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says

Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts, Medimpact and Argus.

Healthcare cybersecurity market poised for growth over the coming years

The rapid adoption of digital technologies is considered beneficial to providers, but it can lead to cybersecurity gaps.