Category: Healthcare Finance News

Optum Care to buy physician group from troubled Steward Health Care

Troubled Steward Health Care in Massachusetts has a deal to sell its physician group to Optum Care, according to a statement from Sen. Edward J. Markey D-Mass. 

CMS final rules standardizes Medicaid enrollment and renewal 

The Centers for Medicare and Medicaid Services has released a final rule to standardize the Medicaid enrollment and renewal process nationwide.
Currently, each state is responsible for operating its own Medicaid program within federal requirements. Thi…

Usefulness of AI in healthcare ‘mixed,’ says CBO

Answering a series of questions from lawmakers, the Congressional Budget Office addressed artificial intelligence and machine learning in healthcare, determining that the evidence on the usefulness of the technology is mixed, particularly when it comes…

CMS says inflation rebates for prescription drugs resulted in savings

Upwards of 41 drugs available through Medicare Part B will have a lowered Part B coinsurance rate from April 1 to June 30 if the drug company raises prices faster than the rate of inflation, according to the Centers for Medicare and Medicaid Services.

Supreme Court hears arguments today on mifepristone

The Supreme Court is hearing oral arguments today in a case challenging access to the abortion pill mifepristone.
The Biden administration and drug manufacturer are asking SCOTUS to reverse a lower appeals court’s decision to block changes made in 2016…

Private payers deny 15% of claims, survey finds

Nearly 15% of all claims submitted to private payers for reimbursement are initially denied, including many that were pre-approved to move forward through the prior authorization process, according to a new national survey of hospitals, health systems …

Humana, DUOS partner on digital care for veterans

Insurer Humana and DUOS, a technology-enabled service provider, are kick-starting a collaborative digital program aimed at improving health outcomes for U.S. military veterans living in Louisiana with chronic conditions.

Cybersecurity bill would add caveat to provider payments

Sen. Mark R. Warner (D-VA) on Friday introduced legislation to allow the Department of Health and Human Services to speed up provider reimbursement called advance and accelerated payments when hospitals and physicians are affected by cyberattacks.

Healthcare workers to benefit from $6B student loan relief

The Biden administration this week said it would release an additional $5.8 billion in student loan debt relief, this time targeting roughly 78,000 public service workers, including those in the healthcare industry. 

AI can increase the success rate of pregnancy

In vitro fertilization is the most important technology invented in the last 50 years, according to Daniella Gilboa, CEO of Israeli company AIVF.  But saying that isn’t good enough, she said. Success rates aren’t high enough. The time to pregnancy is t…