Category: Health Insurance

Mary Washington Healthcare latest to outsource revenue cycle 

Mary Washington Healthcare in Virginia is outsourcing its revenue cycle operations.
The nonprofit health system of 60 facilities announced it has selected Ensemble Health Partners for its revenue cycle management, joining numerous other hospitals that …

In M&A deals, seller size by revenue is significantly above historical norms

Healthcare mergers and acquisitions activity remained steady in the third quarter this year despite ongoing financial pressures in the industry, according to Kaufman Hall’s latest M&A Quarterly Activity Report.
Nineteen hospital and health system deals…

Blue Shield of California challenges PBM model to lower cost of Humira biosimilar

The lower price for members is due to a new Pharmacy Care Reimagined model that unbundles the traditional PBM model, company says.

OIG: Opioid treatment gaps persist among Medicare, Medicaid enrollees

There are significant barriers to accessing medications for opioid use disorder (OUD) among Medicare and Medicaid beneficiaries, particularly in rural and underserved areas, with many counties lacking either medication for opioid use disorder (MOUD) or…

KFF Health News’ ‘What the Health?’: The Health of the Campaign

The 2024 presidential race is taking on a familiar tone — with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month,” about a teenage athlete whose needed surgery lacked a billing code.

UnitedHealthcare sues CMS over Medicare Advantage star ratings downgrade

UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) following a downgrade in its star ratings.

Nearly 1,200 medicines are in R&D pipeline to combat expensive chronic diseases

The emergence of preventative medicines will have a profound impact on the ability to improve patient outcomes and reduce healthcare costs associated with chronic diseases, according to PhRMA’s latest Medicines in Development report.

HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well

Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto “Beto” Casellas, EVP & CEO of Health and Wellness Platform at Synchrony.

Employers look to dodge cost-shifting in midst of rising expenses

As the cost of healthcare in the U.S. continues to rise, many employers are rethinking their plan designs instead of passing the added expenses onto workers, found a report from global advisory and broking firm WTW.

HHS releases guidance for second round of drug price negotiations

The Centers for Medicare and Medicaid Services has released final guidance on the process for the second cycle of drug price negotiations.