Category: Healthcare Finance News

Providers, payers granted additional time to report HEDIS results due to Change cyberattack

NCQA has extended the deadline for HEDIS MY 2023 submission to 5 p.m., June 28, due to the Change Healthcare cyberattack.The extension represents an additional two weeks to report 2023 HEDIS results.

Walmart announces closing of clinics and virtual care

Walmart is closing Walmart Health and Walmart Health Virtual Care, saying the business model was not profitable nor sustainable. 
The Walmart Health centers opened in 2019.

Telehealth boosts outcomes, spending, as regulatory flexibilities are in question

The rapid adoption of telehealth services, accelerated by the COVID-19 pandemic, has had a positive result on outcomes and resulted in a boost in healthcare spending, according to a report in Health Affairs.
The researchers investigated the relationshi…

HIMSSCast: The need for home care continues

A nurse by training, Tim Ashe, chief clinical officer at Wellsky, knows the challenges that burnout, staffing shortages and bed capacity have on clinicians and the health system.
One way hospitals dealt with staffing shortages and the need for beds dur…

Humana’s 2025 earnings, pricing decisions and membership may take hit from MA rate notice

Humana, one of the biggest players in the Medicare Advantage market, raised its 2024 individual Medicare Advantage annual membership growth by 50,000 to now anticipate annual growth of approximately 150,000, or 2.8%, the company said this week during i…

Kaiser reports 13.4 million people affected by data breach

Kaiser Foundation Health Plan has reported a data breach affecting over 13 million people.

MGMA wants Change to take responsibility for HIPAA breach notifications

MGMA has sent a letter to the Department of Health and Human Services’ Office for Civil Rights seeking clarity on whether providers or Change Healthcare will be responsible for alerting affected patients that their personal health information may have …

UPMC trims workforce by 1,000

UPMC has confirmed that it is laying off an estimated 1,000 staff members, or 1% of its 100,000-plus workforce.

Walgreens expands specialty pharmacy and investment in gene therapy

Walgreens is expanding its specialty pharmacy services and is making investments in gene and cell therapy services.
Walgreens Specialty Pharmacy is aimed at expanding access to care for patients with complex, chronic conditions such as cancer, cystic f…

Racial disparities put further strain on primary care

Racial disparities in healthcare access, quality and outcomes are still prevalent across the United States, reflected notably in the sharp racial divide in premature deaths, according to the Commonwealth Fund’s 2024 State Health Disparities Report.