Category: Healthcare Finance News

Aetna expanding, simplifying access to fertility services

CVS Health subsidiary Aetna has started intrauterine insemination (IUI) as a medical benefit for eligible plans. Members can now access this benefit as a test of fertility and, in some cases, to increase the chances of pregnancy.
Aetna claims it’s the …

Waltz Health turns focus to specialty medication coverage

Waltz Health, a digital health company focused on prescription care, has rolled out Waltz Connect, a new end-to-end offering that manages all aspects of a payer’s specialty medication coverage.
It includes proprietary technology, patient engagement sup…

McKesson to acquire controlling interest in cancer outfit for $2.5 billion

Healthcare services company McKesson has signed a definitive agreement to acquire a controlling interest in Community Oncology Revitalization Enterprise Ventures (Core Ventures) for about $2.49 billion.
Core Ventures, a business and administrative serv…

UnitedHealthcare, Trinity resolve network dispute

UnitedHealthcare and Trinity Health of New England have settled a public dispute by agreeing to a new, multi-year contract for the health system’s hospitals, facilities and its physicians that’s retroactive to July 1.

CMS blocks private sector enrollment sites from ACA marketplace

Federal regulators have blocked two private sector enrollment websites from accessing consumer information through the federal Affordable Care Act marketplace, with the Centers for Medicare and Medicaid Services citing “anomalous activity.”
CMS receive…

Radiology group paying $8.8M over False Claims Act violations

National Interventional Radiology Partners, based out of Houston, and its founder and CEO have agreed to pay $8.8 million to resolve Federal False Claims Act (FCA) and Anti-Kickback Statute violation allegations, according to the U.S. Attorney’s Office…

UnitedHealth considering purchase of Surgery Partners

UnitedHealth Group is one of several potential buyers of Surgery Partners, an operator of ambulatory surgical centers, and negotiations on a potential deal are still in the nascent phase, Bloomberg reported.

HRSA tells Johnson & Johnson to nix its plan for 340B drug rebates

The Health Resources & Services Administration has told Johnson & Johnson it cannot use a rebate model to replace upfront discounts in its 340B drug pricing program, according to the American Hospital Association.

HIMSSCast: How a health plan gained high marks for member satisfaction 

Mass General Brigham Health Plan in Boston has an estimated 400,000 members and covers the state of Massachusetts. It also covers about 150,000-plus Medicaid members and a substantial commercial population which includes 180,000 Mass General Brigham em…

Ohio State launching AI app to record patient and physician conversations

After conducting a poll showing most Americans approve of artificial intelligence in healthcare, Ohio State Wexner Medical Center is launching an AI-driven application that helps clinicians draft clinical notes.