The Centers for Medicare and Medicaid Services kicked off its Transforming Mental Health (TMaH) Model at the beginning of the year, and this week announced the 14 states that will be participating in the 10-year model.
Category: Healthcare Finance News
CVS unveils new prescription drug reimbursement model
CVS Health has announced that all commercial prescriptions dispensed through its pharmacies will be now contracted through the company’s CostVantage reimbursement model.
The model removes market reliance on cross-subsidization caused by market basket a…
Richmond University Medical Center data breach affects 674,000
Richmond University Medical Center in New York has experienced a data breach that has potentially exposed the protected health information of more than 674,000 people in and around Staten Island, the facility said.
Lack of oversight found in Massachusetts hospital audit
The Massachusetts State Auditor has conducted a performance audit of the Center for Health Information and Analysis (CHIA), determining that the agency did not adequately monitor the financial conditions of acute care hospitals in the state.
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
The Mayo Clinic and Mayo Clinic Hospital in Rochester, Minn. is suing Sanford Health Plan over a patient’s unpaid medical bill.
Mayo demands $750,000 in the civil complaint filed December 13 in Minnesota.
Mayo alleges that Sanford in South Dakota is r…
Aetna sues drugmakers over alleged price fixing
Health insurer Aetna has filed a lawsuit against several drug companies, including Pfizer, Novartis and Teva Pharmaceuticals, for allegedly fixing the prices of 111 generic medications and monopolizing and restraining trade.
CareSource completes affiliation with one of the last Affordable Care Act co-ops
CareSource in Ohio has completed the acquisition of Common Ground Healthcare Cooperative (CGHC), the only insurer to have continuously served the Affordable Care Act marketplace in Eastern Wisconsin since 2014, according to CGHC.
Common Ground Healthca…
Ardent Health continues expansion of urgent care clinics
For profit Ardent Health has acquired 18 urgent care clinics across New Mexico and Oklahoma from NextCare Urgent Care.
The transaction includes six urgent care clinics in New Mexico, which will operate as part of Lovelace Health System, and 12 clinics …
CVS announces layoffs due to loss of Kansas Medicaid contract
Layoffs continue for CVS Health as Aetna has announced that 164 employees would be let go as of February 15, 2024.
Elevance closes deal to buy IU Health Plans
Elevance has completed its acquisition of Indiana University Health Plans for an undisclosed amount.
The closing was announced Tuesday by Elevance, the parent company of Anthem Blue Cross and Blue Shield.
IU Health Plans will now operate as part of An…
