Category: Health Insurance

Federal judge says HHS Secretary Alex Azar exceeded legal authority in setting 340B drug payment rates

There is no current remedy to the proposed 30 percent payment cut.

Rheumatology group urges CMS to use caution when considering IPI drug pricing model

The agency is worried the demonstration program could disrupt patient access to care and exacerbate geographic disparities in access to medical care.

Most Americans think Trump’s border wall funding would be better spent on healthcare, education, infrastructure

While healthcare has slipped in importance in voters’ minds following the midterms, many still think it should be funded over a border wall.

Santa Clara health system and Optum tackle the most complex of complex populations

Santa Clara Medical Director Dr. Jeffrey Arnold and Optum’s Teddy Shah share a model that addresses a 90 percent Medicaid population.

Insured But Still In Debt: 5 Jobs Pulling In $100K A Year No Match For Medical Bills

An Arizona couple played by the rules and bought employer-provided health insurance. But after they had a baby this year, their out-of-pocket hospital costs and doctors’ bills climbed to more than $12,000 — and medical debt now threatens their new family.

Healthcare AI market expected to surge from $2.1 to $36.1 billion by 2025

Increasingly large, complex data sets, and a growing need to reduce increasing costs, are driving market growth.

Humana announces first four health systems in new incentive program

HIT program compensates physicians for improving the patient experience, safety and outcomes for Humana’s commercial members.

Here’s a big supply chain cost-savings opportunity: physician preference items

Physician preference items can help with patient care, but to get the most value, physicians and subject matter experts need input.

What hospitals need in the age of consumerism: guerrilla marketing

Don’t tell consumers how great you are. Target their needs using tech and social media instead.

Insurer group urges CMS Administrator Seema Verma to reconsider pass-through funding for non-ACA plans

America’s Health Insurance Plans wants CMS to reissue the guidance on funding waivers through formal rulemaking.