States could do more to require Medicaid managed care organizations (MCOs) to improve access for maternal health, according to an Office of Inspector General report.
Category: Healthcare Finance News
Mary Washington Healthcare latest to outsource revenue cycle
Mary Washington Healthcare in Virginia is outsourcing its revenue cycle operations.
The nonprofit health system of 60 facilities announced it has selected Ensemble Health Partners for its revenue cycle management, joining numerous other hospitals that …
In M&A deals, seller size by revenue is significantly above historical norms
Healthcare mergers and acquisitions activity remained steady in the third quarter this year despite ongoing financial pressures in the industry, according to Kaufman Hall’s latest M&A Quarterly Activity Report.
Nineteen hospital and health system deals…
Blue Shield of California challenges PBM model to lower cost of Humira biosimilar
The lower price for members is due to a new Pharmacy Care Reimagined model that unbundles the traditional PBM model, company says.
OIG: Opioid treatment gaps persist among Medicare, Medicaid enrollees
There are significant barriers to accessing medications for opioid use disorder (OUD) among Medicare and Medicaid beneficiaries, particularly in rural and underserved areas, with many counties lacking either medication for opioid use disorder (MOUD) or…
UnitedHealthcare sues CMS over Medicare Advantage star ratings downgrade
UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) following a downgrade in its star ratings.
Nearly 1,200 medicines are in R&D pipeline to combat expensive chronic diseases
The emergence of preventative medicines will have a profound impact on the ability to improve patient outcomes and reduce healthcare costs associated with chronic diseases, according to PhRMA’s latest Medicines in Development report.
HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well
Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto “Beto” Casellas, EVP & CEO of Health and Wellness Platform at Synchrony.
Employers look to dodge cost-shifting in midst of rising expenses
As the cost of healthcare in the U.S. continues to rise, many employers are rethinking their plan designs instead of passing the added expenses onto workers, found a report from global advisory and broking firm WTW.
HHS releases guidance for second round of drug price negotiations
The Centers for Medicare and Medicaid Services has released final guidance on the process for the second cycle of drug price negotiations.
