Category: Healthcare Finance News

Humana is challenging lower Medicare Advantage star ratings for 2025

Humana blames higher industry cut points and one contract decreasing to a 3.5-star rating from a 4.5-star rating in 2024.

Health system operating margins declined in August

Performance metrics were mixed for many healthcare organizations in August, with patient demand stalling as expenses continued to rise, according to new data from Strata Decision Technology.

CMS releases Acute Hospital Care at Home study

The report compares cost, care, patient experience and more to brick-and-mortar care, ahead of the expiration of the waiver.

Improving health equity could add $2.8 trillion to GDP by 2040

Addressing health inequities could add $2.8 trillion to the U.S. economy by 2040, significantly boosting GDP and improving population health, while corporate profits could increase by $763 billion by that time, according to a new Deloitte analysis.

CVS Health mulls potential breakup in midst of strategic review

CVS Health is undergoing a strategic review that could reshape its future, and has retained bankers to help assess a variety of options, including a potential breakup of the business, The Wall Street Journal has reported.

J&J backs down from its planned 340B rebate model

The drugmaker says it believes the rebate model is legally permissible and needed to improve the integrity of the 340B program.

Steward CEO steps down, sues Senate HELP Committee

The HELP Committee wanted to punish de la Torre for invoking his Fifth Amendment right, the lawsuit says.

UMC Health System hit with IT outage linked to ransomware

University Medical Center (UMC) Health System in Lubbock, Texas, is facing a significant disruption following a large IT outage, part of a ransomware attack that has impacted its ability to deliver care and conduct routine operations. 
The ransomware i…

OIG: New York paid $23.3 million in Medicaid payments to deceased beneficiaries

An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.

HHS announces 54 drugs subject to rebates and lower coinsurance 

The rebates paid by drug companies will be deposited into the Medicare Trust Fund.