Category: Healthcare Finance News

Nursing homes sue to block staffing mandate

The American Health Care Association and other groups representing nursing homes have filed a lawsuit against the Department of Health and Human Services to block staffing mandates.
The lawsuit was brought in federal court in the Northern District of T…

Physicians compensation is rising with increased productivity

Compensation climbed for physicians year-over-year, due to increases in productivity and the use of AI, according to a new MGMA report.
 
Physicians are being pushed towards higher productivity than during the pandemic-rebound years of 2021 and 2022, a…

Express Scripts, CPESN making push to support independent pharmacies

Express Scripts, the pharmacy benefits services business of The Cigna Group’s Evernorth, has entered into a collaboration with CPESN USA, a network of pharmacy providers that delivers health services, to provide support to independent and community pha…

HIMSSCast: Home health challenges offset by creating patient and caregiver communities

Homecare is facing challenges and none are new.  Reimbursement rates from the Centers for Medicare and Medicaid Services are low and staffing shortages are high, as is demand for home health services due to a rising, elderly demographic.

Fink joins CVS Health as senior vice president

Former American Express executive Kristina Fink has joined CVS Health as its new senior vice president, corporate secretary and chief governance officer, according to a LinkedIn post.

CDC asks health officials to screen for bird flu

The Centers for Disease Control and Prevention is once again sounding the alarm bell on bird flu, and is asking health officials in all 50 states to continue monitoring the prevalence of H5N1 infections even during the warmer months.

Tuesday Health gets $60 million investment for end-of-life care

Raising $60 million, Tuesday Health has launched an app and supportive care for seriously-ill Medicare patients in partnership with Valtruis, Blue Venture Fund, Mass General Brigham Ventures and CareSource. 

Cityblock, Centene form primary care partnership in Florida

Medicaid value-based primary care company Cityblock is teaming with Florida-based Sunshine Health, a Centene subsidiary, to provide primary care and care coordination services to high-need, hard-to-reach Medicaid members in 11 Central Florida counties….

Appeals court sides with drug manufacturers in 340B case

An appeals court has upheld a lower court ruling on 340B siding with drug manufacturers.
At issue is whether pharmaceutical companies can limit distribution of discounted drugs in the 340B program. The U.S. Court of Appeals for the District of Columbia…

Optum Rx pharmacy pricing model aims for transparency

A new pharmacy model from Optum Rx called Clear Trend Guarantee is seeking to increase transparency around drug costs for members.
The pharmacy services arm of UnitedHealth Group’s Optum, Optum Rx is promising that its price-centered offering will offe…