HEALTHCARE NEWS - AN OVERVIEW

Healthcare News - An Overview

Healthcare News - An Overview

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Numerous thousands of seniors could change ideas through up coming calendar year’s open enrollment, dependant upon how significantly the MA sector giants slash Rewards within an attempt to strengthen earnings.

Elevance lowers steering on ‘unparalleled’ Medicaid worries Executives mentioned the enhanced prices pressuring its Medicaid business enterprise would boost soon after states current payment rates to better match member acuity.

Medicaid overtakes Medicare Advantage as overall health insurers’ bogeyman in Q2 In spite of worries in Medicaid and MA, main insurers even now posted large earnings in the 2nd quarter — a lot of served by health and fitness providers divisions.

Transparency will come to be significantly vital this year, specifically for scientific conclusion aid applications or algorithms that support with claims appraisals, mentioned CB Insights’ Lennox-Miller.

Payer/provider interactions As M&A intensifies and firms embrace extra holistic and worth-primarily based treatment versions, partnerships are getting to be far more closely intertwined.

In exchange for resources, Steward promised its hospitals as collateral. Selling price advised the court the Massachusetts offer undercuts the lenders’ capacity to secure their personal loan.

A Cigna-Humana merger could face an extended regulatory hold off. But it might get accredited. As rumors swirl which the two significant overall health insurers are inching toward a merger, professionals say antitrust companies have grounds to dam a offer — but will not be effective.

This 12 months might establish a progress period to the overall health technology sector, authorities say. Companies and payers will do the job to integrate electronic tools through their corporations, and market watchers may even see efficacy and outcomes facts after several years of digital health investment.

Traits shaping the business of well being insurance policies in 2024 The uninsured level will rise. Medicare Benefit enrollment will swell, with considerably less instability. Big pharmacy profit administrators will start more info more transparent items. Below’s what field watchers expect in 2024.

Two-thirds of healthcare organizations strike by ransomware in past year: survey Nearly forty% of healthcare organizations described it took over per month to Recuperate after an attack, Based on a study by cybersecurity organization Sophos.

de la Torre accountable for his greed and for the damage he has caused to hospitals and patients all through America. This Committee intends to move ahead aggressively to compel Dr. de la Torre to testify into the gross mismanagement of Steward Health and fitness Treatment.”

The event, which showcases the latest study and greatest tactics for clinicians, encompasses a scientific summary Level of competition as well as allows companies to gain CME credit.

Senate report slams Medicare Edge insurers for using predictive technological know-how to deny claims UnitedHealth, CVS and Humana applied know-how to extend MA prior authorization denials for article-acute companies, boosting income, In accordance with a report from a Senate subcommittee.

Insurers brace for continued Medicare Advantage professional medical expenditures The large query popping out with the overall health insurance coverage earnings season is exactly how much elevated utilization between seniors is carrying above into 2024.

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