Category: Healthcare Finance News

Evernorth taps Transcarent for digital cancer program

Evernorth Health Services has selected Transcarent to power its new Oncology Benefit Services program.
The digital platform included in the offering is geared to bring together cancer services across pharmacy and medical benefits and provide more perso…

Most independent pharmacies may not carry negotiated Medicare Part D drugs

A new national survey shows more than 90% of independent pharmacists may not sell drugs for which the Medicare Part D program is trying to negotiate lower prices. If they don’t, the administration’s effort to reduce prescription drug prices is bound to…

Humana sues over 2025 Medicare Advantage Star Ratings

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.

Humana sues over 2025 Medicare Advantage Star Ratings

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.

Elevance Health ‘considering options’ following star ratings hit

Elevance Health President and CEO Gail Boudreaux said the insurer is “considering all of our options” regarding the Centers for Medicare and Medicaid Services’ 2025 Medicare Advantage Star Ratings, which saw the company take a hit in its star ratings.

HIMSSCast: AI as assistant, not replacement

Data is the lifeblood of AI, said Sundar Shenbagam, chief technology officer at Edifecs.
The challenge is having a uniform way to collect the data and maintain it to make sure it remains secure. Once that’s established, data can be managed to come up w…

Karen Lynch exits CVS, David Joyner appointed president and CEO

CVS Health President and CEO Karen Lynch is out at the company amid Friday’s release of preliminary financial guidance for the third quarter that fell short of Wall Street forecasts.
Lynch stepped down from her position per agreement with the company’s…

Healthcare executive pay rises 4.6%

Despite challenges, healthcare executive pay increased 4.6% this year, on par with the 4.4% growth rate seen last year, though executives at the system level saw greater gains as compared to subsidiary hospital executives, according to SullivanCotter’s

Cleveland Clinic partnering with Cavaliers on new training center

The Cleveland Clinic has broken ground on a new training center for the Cleveland Cavaliers that will double as a care center for the general public, which the health system said will be “one of the largest and most advanced training and performance co…

Elevance stock slides on lower forecast

Elevance Health has reported net income of $1 billion during the third quarter, compared to $1.3 billion during the same period in 2023, a 22.5% decrease.
However, for the nine months ending September 30, net income is $5.5 billion, an increase when co…