Category: Healthcare Finance News

IPA, insurer launch innovative new partnership to manage social determinants of health

Healthy Alliance IPA, led by former ONC deputy Dr. Jacob Reider, will work with MVP Health Care to connect social services and healthcare providers via the Unite Us technology platform.

Humana and ADVault expand MyDirectives for advance care planning

Medicare began reimbursing physicians for advance-care planning counseling in 2016, but only about a third of adults have such a document.

Aetna helps drive CVSHealth’s 175% net income increase for quarter

CVSHealth continues to make inroads into traditional healthcare, with HealthHUBS in 1,500 locations by 2021.

CVSHealth uses analytics to expand diabetes program, launch hypertension model

The goal is to reduce the incidence of diabetes in a given population by 58% in three years.

Anthem’s PBM IngenioRx is attracting outside insurers

In the build-out of IngenioRx, Anthem has opened a 24/7 pharmacy care center in Las Vegas that will offer dedicated specialty patient care.

California earthquakes highlight need to make evacuation decisions quickly

Ridgecrest Regional spent $72 million on a building that withstood an earthquake, but broken water pipes forced an evacuation anyway.

CMS increases wage index for rural hospitals

The rule increases new technology add-on payment from 50 to 65% for cases with high costs involving eligible new technologies.

HHS and FDA propose plan for importation of prescription drugs from other countries

Manufacturers have wanted to offer lower cost versions but were locked into contracts with other parties in the supply chain, HHS Secretary Alex Azar says.

Hospitals saw lower profitability, volumes and revenue in June

Many facilities seem unable to adjust expenses to coincide with declining volume, posing a fundamental risk to hospitals and health systems.

In Wednesday’s second Democratic debate, 7 of 10 candidates support Medicare for All

Expanding coverage, lowering healthcare costs, central to Democratic agenda.