Category: Health Insurance

CerpassRx, Waltz team on AI platform to manage specialty drug spend

Independent pharmacy benefit manager CerpassRx is looking to better manage specialty drug spend by teaming up with Waltz Health on an artificial intelligence-powered platform called Intelligent Specialty Engine.
The idea is that the approach, which inc…

Cigna nixes speculation of a Humana merger

Cigna confirmed today it is not pursuing a combination with Humana. 
The comments released in a statement affirming its capital priorities, dismiss reports circulating earlier this fall that Cigna and Humana were in informal talks about a potential mer…

KFF Health News’ ‘What the Health?’: Trump 2.0

As Donald Trump readies for his return to the White House — with the backing of a GOP majority in the Senate and, possibly, the House — the entire health care industry is waiting to see what happens next. Clearly on the agenda: the future of abortion and reproductive rights, Medicare, Medicaid, the Affordable Care Act, and public health’s infrastructure. Rachel Cohrs Zhang of Stat and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Jackie Fortiér, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month” feature, about a 2-year-old who had a very expensive run-in with a rattlesnake.

Venture capital firm HATCo to buy Summa Health for $485 million

Akron, Ohio-based Summa Health has entered a definitive agreement to be purchased by venture capital firm General Catalyst Health Assurance Transformation (HATCo) for $485 million.

Venture capital firm HATCo to buy Summa Health for $485 million

Akron, Ohio-based Summa Health has entered a definitive agreement to be purchased by venture capital firm General Catalyst Health Assurance Transformation (HATCo) for $485 million.

California Expanded Medi-Cal to Unauthorized Residents. The Results Are Mixed.

California this year completed its Medi-Cal expansion to include income-eligible residents regardless of their immigration status. This final installment of the “Faces of Medi-Cal” series profiles three of those newly eligible patients and how coverage has affected their health.

Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits

Medicare officials defend the use of home visits that often spot medical conditions that are never treated.

Nurse burnout linked to lower quality, safety

Burnout among nurses is linked to worse patient safety, and lower healthcare quality and satisfaction, according to a new study published in JAMA Network Open.

What Trump’s election means for healthcare

Tom Leary, head of Government Relations at HIMSS, is tracking what the change in the administration could mean for interoperability and data sharing regulations that are already well underway. He and his team are also looking at what a new Congress mea…

UnitedHealthcare expands ACA presence to 30 more states

UnitedHealthcare will be expanding its individual and Family Affordable Care Act Marketplace plans to 30 additional states, with the increase encompassing new coverage areas in Indiana, Iowa, Nebraska and Wyoming, as well as additional counties in 13 o…