Category: Healthcare Finance News

CVS Health defends merger and integration of Aetna

CVS Health said it is maintaining a firewall to prevent the exchange of competitively sensitive information with Aetna.

Texas judge strikes down Affordable Care Act

Supreme Court hearing all but certain as Democrats say they will appeal the ruling that is also decried by insurers and providers.

Small percentage of uninsured patients generate most of hospitals’ self-pay revenue

If hospitals aren’t optimizing their revenue cycle, they could potentially be leaving millions of dollars on the table.

Cigna, Express Scripts merger clears state hurdles

The deal awaits another state approval; It has already received the go-ahead from Department of Justice.

Emergency responders to California wildfire used a patient lookup system to harness volunteer providers

The tool, Patient Unified Lookup System, enabled volunteers to access patient information and and deliver quality care, especially crucial medications.

Veterans’ Affairs hospitals show quality equal to or greater than their private sector counterparts, data shows

The analysis found that VA hospitals were likely to provide the best care in a local healthcare market and rarely provided the worst care in local markets.

What to know about the telehealth upsides of Medicare Advantage plans

Forthcoming policies from the Centers for Medicare and Medicaid Services will open up the home as a covered site of care in which hospitals can earn payment for delivered services.

ACA insurer ready for 2020, even as enrollment drops by half a million

Individual mandate is not the reason most consumers buy insurance, says insurer in New Jersey, which has its own individual mandate.

With regulatory barriers falling, AI will see more clinical adoption in 2019

AI is on the verge of being de-risked, so the market is poised to flourish as caregivers look to ramp up their patient care efforts.

NextCare, FastMed urgent care giants announce merger plans

The proposed transaction would yield one of the largest urgent care provider systems in the country, with a combined 251 clinics in 10 states.