Category: Modern Healthcare

GAO urges scrutiny of Medicaid managed care organizations

The U.S. comptroller general urged a Senate panel to tighten oversight of Medicaid providers and managed care plans, and criticized the Obama administration lax auditing of Medicaid insurers as millions joined the rolls through expansion.

Metro Health names next president and CEO

Dr. Peter Hahn, who was hired in 2016 as Metro Health’s chief medical officer, will start his new position of president and CEO of the health system on Oct. 1, succeeding Michael Faas.

Swapping brand-name combination drugs with generics could save Medicare $1 billion annually

Combination drugs ideally reduce the number of pills a patient has to take and improve adherence. But that isn’t the case when branded pharmaceutical drugs are prohibitively expensive and end up costing Medicare $925 million more than their generic…

Anthem partners with Walmart to provide over-the-counter drugs to seniors

Through a new partnership beginning in January, Anthem’s Medicare Advantage members will be able to use their insurance to shop for over-the-counter drugs and other items, such as first-aid supplies and support braces, at Walmart’s 4,700 stores and…

Highmark Health grew profit in first half of 2018

Highmark Health, a Pittsburgh-based Blues insurer that owns Allegheny Health Network, reported higher operating revenue and profit in the first half of 2018, though its commercial insurance business fell.

100 days in, Azar says drug blueprint has helped curb prices

HHS Secretary Alex Azar called the actions stemming from the administration’s drug blueprint so far “the tip of the iceberg,” while unveiling a department analysis that shows an overall drop in brand-name drug price increases and more price cuts.

Mission Health pledges $90 million to local foundations if HCA deal closes

Mission Health, the not-for-profit health system that HCA Healthcare is looking to buy, will place $90 million into six local foundations if the deal closes.

Beth Israel Deaconess, Lahey Health executives counter their combination’s cost-raising concerns

Health system and hospital executives involved in the proposed Beth Israel-Lahey merger claim the deal’s savings would eclipse any price increases, contrary to the Massachusetts Health Policy Commission’s findings.

Facebook, NYU join together to speed up MRIs

With the collaboration, Facebook and NYU aim to advance the field of artificial intelligence. They will start by speeding up MRIs with the hope that faster imaging will increase access.

Black opioid pain patients get tested more frequently than whites for illicit drug use, study shows

Clinicians are more likely to test black patients receiving opioid therapy for illicit drug use than white patients and are quicker to discontinue their opioid treatments when they test positive, according to a new study.