Category: Modern Healthcare

WellCare scores Medicaid members, PBM as it closes Meridian deal

The deal, which was first announced at the end of May, boosts Tampa, Fla.-based WellCare’s Medicaid membership in Illinois and Michigan and gives it a foundation to build its internal pharmacy management capabilities, which could help the insurer…

Partisan sparring marks Day 1 of Kavanaugh hearings

With motions to adjourn and postpone the hearings, Senate Judiciary Committee Democrats tried to stall proceedings for the contentious confirmation hearings for Supreme Court nominee Brett Kavanaugh.

Cleveland Clinic’s ‘primary’ focus is its home base

Though Cleveland Clinic has been making major plays in Florida, London and China, CEO Dr. Tom Mihaljevic said he’s focused on growth in Northeast Ohio.

As consumers’ out-of-pocket costs grow, will the patient bill of rights movement rise again?

Patients’ Kafkaesque experiences with out-of-network bills and opaque healthcare bureaucracies are common. But there’s no sign yet that help is on the way from federal policymakers.

Racial disparities in maternal health outcomes difficult to erase

Maternal mortality rate increases over the last decade were largely driven by health disparities for racial and ethnic populations, with black women at much higher risk of dying from childbirth than any other group.

Data Points: Surprise! It’s your out-of-network bill

Surprise billing continues to be one of the most vexing problems facing the industry. Patients often don’t know that the anesthesiologist or another provider are out-of-network when they go in for care. Then the surprise — usually…

Week Ahead: ACA heads back to court; Kavanaugh to the Hill

The Senate Judiciary Committee kicks off confirmation hearings for Supreme Court nominee Brett Kavanaugh. In Texas, a hearing on the future of the Affordable Care Act takes place.

5 Kavanaugh rulings that will loom large this week

President Donald Trump’s second SCOTUS pick Brett Kavanaugh begins his confirmation hearings September 4. While abortion and Roe v. Wade are in the spotlight, his positions on other key healthcare issues will come into play, including Obamacare.

Better data needed to tackle maternal mortality

As public outrage about the nation’s high maternal mortality rate grows, so do efforts by hospitals, states and the federal government to improve data collection and work toward solutions.

Thinking small: Pediatric facilities built with behavioral health in mind

As often-overlooked mental illnesses become more commonly treated, pediatric-care providers are hiring more behavioral health specialists, building more private rooms, integrating more play areas, and weaving in more soothing, nature-related…