Insurer is investing in at-home and hospice organizations and is focusing on senior primary care through Walgreens partnership.
Category: Healthcare Finance News
HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount
Some drug companies pay less than what they would otherwise owe by introducing a new drug formulation, HHS Secretary Alex Azar says.
Mayo Clinic appoints Florida CEO, Center for Innovation co-founder as new CEO
Farrugia has served as vice president of Mayo Clinic and CEO of Mayo Clinic in Florida since January 2015.
How artificial intelligence can save health insurers $7 billion, Accenture says
Automating core administrative functions equates to unlocking $15 million in operating income for every 100 full-time employees, the consultancy says.
Want to rid healthcare of fax machines? First, standardize prior authorization
Providers conduct 77 million prior authorizations a year, and getting payers and providers to use one standard could also save $6.84 per transaction.
Practice, hospital workplace culture needs flexibility, balance and better communication, physicians say
Flexible schedules and improved organizational communication were the top two issues listed in what would improve the practice culture, results showed.
CMS overhauls Medicare ACO program by limiting upside risk to only two years
Administrator Seema Verma says it’s time for ACOs to take on downside risk, in a proposal that would save Medicare $2.2 billion over 10 years.
Amazon’s disruption binge continues with potential opening of primary care clinic at Seattle headquarters
Amazon’s tidal wave through healthcare industry continues as company is in talks to open primary care pilot clinic for select employees with plans to broaden access next year.
Advancing social determinants of health interventions needs pragmatic framework to justify investment, experts say
Sufficient funding is rare and providers hold back on investing in such programs thanks to inability to quantify benefits, understand delivery of services and insurance concerns.
CMS proposes additional rule to address risk adjustment
The 2018 benefit year will now determine risk adjustment payments to insurers, using the statewide average premium.
