Category: Healthcare Finance News

Final rule issues guardrails in compensation to agents and brokers

The Centers for Medicare and Medicaid Services is cracking down on compensation to agents and brokers, in a final rule released last week.

Zero-premium MA plans are attracting disadvantaged populations

Zero-premium Medicare Advantage plans are attracting a substantially more socioeconomically disadvantaged population than compared to non-zero premium MA plans and traditional Medicare fee-for-service.

Optum’s deal to buy Steward should be scrutinized, senators say

Massachusetts senators are asking the Department of Justice and Federal Trade Commission to scrutinize the proposed sale of Steward Health Care’s physician Group to Optum over concerns of UnitedHealth Group’s market dominance.

CDC warns clinicians to look out for bird flu cases

The Centers for Disease Control and Prevention is sending a warning to clinicians and state health departments regarding new cases of avian influenza A (H5N1), commonly known as bird flu, saying that while the threat to humans remains low, the situatio…

J.D. Power: Digital health insurance channels lack engagement

In an illustration of how difficult it can be to navigate digital health insurance channels, the inaugural J.D. Power U.S. Healthcare Digital Experience Study has found that 42% of insured adults say they’ve experienced a problem using their health ins…

Commonwealth Fund creates employer-based health insurance task force

The Commonwealth Fund has created a national task force to examine the changes needed to improve employees’ access to affordable healthcare coverage. 
The Commonwealth Fund National Task Force on the Future Role of Employers in the U.S. health system a…

Hospitals prepare for total solar eclipse

Health systems and departments of health within the path of totality of today’s total solar eclipse have been preparing for the onslaught of spectators in their cities and towns for the most exciting four minutes in celestial viewing since 1963.
The Un…

Molina, Cityblock team up on SDOH assistance for dual eligibles

Senior Whole Health by Molina Healthcare has announced a new partnership with Cityblock to enhance care for its members in Massachusetts, providing a team of healthcare professionals that will link Senior Whole Health members to personalized medical, b…

Shrinking rural hospital margins aided by COVID-19 relief funds

COVID-19 federal relief funds helped rural hospitals’ financial performance but raises questions going forward about the 48% of these providers that consistently experience negative operating margins, according to a new issue brief released by the Amer…

Highmark puts $1B into Allegheny expansion project

Highmark Health, the parent company of Allegheny Health Network, is putting $1 billion into a decade-long transformation project for Allegheny General Hospital in Pittsburgh.
The funding will go toward a new cardiovascular tower and emergency departmen…