Category: Healthcare Finance News

States bring price fixing lawsuit against Teva and other drug makers

Teva colluded with 20 competitors on 86 generic drugs to avoid price erosion and keep inflated prices high, lawsuit says.

Machine learning overtakes humans when it comes to predicting death or heart attack

Machine learning advances go above and beyond what has presently been achieved in medicine, the findings showed.

AMA files motion to testify in CVS and Aetna merger

The DOJ and CVS Health are seeking to block certain testimony they say is outside the scope of review.

Mental health patients insured by marketplace health plan less likely to receive a medical appointment

Success was highest for those with employer coverage while marketplace enrollees were statistically more likely to run into trouble.

Private health plans pay 241 percent more than Medicare, RAND report says

Study recommends employers pressure health plans and hospitals to shift to contracts based on a multiple of Medicare or other prospective case rates.

Health plan customer satisfaction challenged by new era of empowered healthcare consumers

A big challenge for health plans is addressing member expectations based on their experiences in other industries.

President Trump calls for an end to surprise medical bills

AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic area.

With telehealth still evolving as a care delivery model, text-based care may offer the best quality for some patients

Tapping into asynchronous, text-based communication could let providers cast a wider net and improve care quality.

Astria Health blames revenue cycle contractor for bankruptcy

Operations continue, wages are unaffected and none of the health system’s three hospitals or other care centers will close, Astria says.

Patients of Medicare providers committing fraud or abuse more likely to be poor, disabled

Fraudulent medical practice is estimated to cost the federal government between $90 to $300 billion dollars annually.