Fierce Healthcare
SEPTEMBER 20, 2024
The Federal Trade Commission is suing the titans of the pharmacy benefit manager industry for anticompetitive practices and artificially raising the price of insulin drug prices, the agency announc | As expected for weeks, the Federal Trade Commission is taking legal action against the biggest three PBMs and its related group purchasing organizations.
Health Care Dive
SEPTEMBER 20, 2024
The agency brought action against Caremark, Express Scripts and Optum Rx on Friday, arguing their “anticompetitive and unfair” rebating practices “artificially inflated” the list price of life-saving insulin drugs.
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Fierce Healthcare
SEPTEMBER 20, 2024
Cigna is reshaping its Medicare Advantage (MA) plan lineup across eight states, affecting members in 36 health plans. | Cigna is the latest company to rethink its Medicare Advantage offerings, choosing to cut plans in eight states including Florida.
Health Care Dive
SEPTEMBER 20, 2024
Providers using telehealth face an evolving landscape, and they must balance complexities around insurance, regulatory compliance and data privacy, argues one legal expert.
Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.
The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven
Fierce Healthcare
SEPTEMBER 20, 2024
The country’s third-largest nonprofit health system announced Thursday it will strike all judgment liens on patients’ homes and real estate, as well as eliminate the associated outstanding debts fo | The major nonprofit health system said the plan builds on its post-merger charity care policy changes, and will help improve access and affordability of care.
Health Care Dive
SEPTEMBER 20, 2024
The bill would extend pandemic-era telehealth flexibilities in Medicare for another two years, averting a looming year-end deadline.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Health Care Dive
SEPTEMBER 20, 2024
The reductions will affect roughly 5,400 members, mostly in Florida, according to a notice to marketing agents.
Healthcare It News
SEPTEMBER 20, 2024
Enterprise Taxonomy: AI Operations Population and Public Health Quality Care Analytics Strategic Planning Business Care Data and Information Organizational Governance Node settings: Exclude from Accelerate RSS feed
Health Care Dive
SEPTEMBER 20, 2024
The New Jersey-based health system filed notice with state regulators, however, a spokesperson said the decisions are not finalized.
Fierce Healthcare
SEPTEMBER 20, 2024
Healthcare AI assistant company Suki announced its expansion into 12 new hospitals. | In 2023, Suki partnered with EHR vendor Meditech to offer its voice-enabled AI assistant. More rural Meditech customers are taking the AI leap with Suki.
Speaker: Kaitlin Ruby Carroll
Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha
The Rand Blog
SEPTEMBER 20, 2024
Exactly how to think about and handle the ongoing crisis at the United States' Southern Border and immigration more generally will certainly be among the most critical issues on the agenda when the next U.S. president is sworn in in January. To better understand the issue of border control and immigration, we spoke to two RAND experts.
Fierce Healthcare
SEPTEMBER 20, 2024
Fabric, formerly known as Florence, continues its acquisition spree, picking up TeamHealth's 50-state virtual care service. | Fabric continues its acquisition spree, picking up TeamHealth's 50-state virtual care service. The deal marks Fabric's fourth acquisition in 18 months and adds TeamHealth's virtual care network to expand access and services across the country and 36 million additional lives.
Home Health Care
SEPTEMBER 20, 2024
This article is a part of your HHCN+ Membership No one was more prepared to fill the top seat at CommonSpirit Health at Home than Trisha Crissman. Crissman had served as interim president of CommonSpirit Health at Home since 2023, and last week, the company announced that she would take helm of the company as the official president and CEO. In many ways, Crissman has had a front row seat to the evolution of CommonSpirit Health.
Fierce Healthcare
SEPTEMBER 20, 2024
The Medicaid unwinding is coming to a close, and a new analysis from KFF finds that while many people have lost coverage during this period, enrollment remains above pre-pandemic levels. | The Medicaid unwinding is coming to a close, and a new analysis from KFF finds that while many people have lost coverage during this period, enrollment remains above pre-pandemic levels.
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Healthcare ECONOMIST
SEPTEMBER 20, 2024
From the FTC’s press release out today: Today, the Federal Trade Commission brought action against the three largest prescription drug benefit managers (PBMs)—Caremark Rx, Express Scripts (ESI), and OptumRx—and their affiliated group purchasing organizations (GPOs) for engaging in anticompetitive and unfair rebating practices that have artificially inflated the list price of insulin drugs, impaired patients’ access to lower list price products, and shifted the cost of high insulin list pri
Fierce Healthcare
SEPTEMBER 20, 2024
Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. | Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. Please submit the good news—or the bad—from your shop, and we will feature it here at the end of each week.
Home Health Care
SEPTEMBER 20, 2024
About 50% of caregivers have experienced or witnessed at least one incident of workplace violence or harassment, according to a recent survey. In response, federal and state authorities now require emergency response plans for most types of home-based care. In the meantime, Canopy – a manufacturer of wearable safety technology for health care workers – has announced an expansion of its platform to help with those plans and to keep home-based caregivers safe.
Fierce Healthcare
SEPTEMBER 20, 2024
How GoHealth uses AI and automation to help health plan consumers and licensed insurance agents | How GoHealth uses AI and automation to help health plan consumers and licensed insurance agents
Speaker: Joe Sharpe and James Carlson
Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.
NCQA
SEPTEMBER 20, 2024
As a practicing primary care doctor and health policy researcher, my life’s work has focused on improving health care and making it more equitable. If anyone could navigate the intricacies of today’s health care system to get the right care for a loved one, you would think I could. You would be wrong. In 2021, I noticed that my stepmother was finding it harder and harder to engage in our pandemic Zoom calls.
Fierce Healthcare
SEPTEMBER 20, 2024
In today’s rapidly changing environment, hospitals face an increasing number of risks, from natural disasters like Hurricane Beryl in Texas to Change Healthcare’s ransomware attack earlier this yea | Hospitals that invest the time and resources to prepare their business operations for the possibility of a disaster will be better equipped to protect their patients, staff and financial health.
Home Health Care
SEPTEMBER 20, 2024
Oak Street Health – a key pillar of CVS Health’s (NYSE: CVS) health care services strategy – has reached a $60 million settlement with the Department of Justice (DOJ). The settlement is being paid to resolve allegations that Oak Street violated the False Claims Act, specifically by paying kickbacks to third-party insurance agents. The DOJ alleged that Oak Street paid kickbacks to those agents in exchange for the recruitment of seniors to its primary care clinics.
NCQA
SEPTEMBER 20, 2024
Join the behavioral health conversation at NCQA’s Health Innovation Summit , October 31–November 2, in Nashville, Tennessee. Behavioral health is one of four key themes at the summit, and there’s a lot to talk about: improving access, measuring quality, managing the workforce shortage and the unprecedented demand for services. We’ve lined up a panel of speakers who are working to improve the behavioral health system at all levels.
Speaker: Andrea Wuchiski
In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.
HIT Consultant
SEPTEMBER 20, 2024
What You Should Know: – Cardinal Health (NYSE: CAH) has announced a definitive agreement to acquire Integrated Oncology Network (ION), a physician-led independent community oncology network, for $1.115 billion in cash. – The acquisition will integrate ION into Cardinal’s Navista platform and expand its suite of solutions to deliver world-class patient care and experiences while navigating the complexities of the healthcare landscape.
HIT Consultant
SEPTEMBER 20, 2024
What You Should Know: – Vizient, Inc. the nation’s largest healthcare performance improvement company, and Qualtrics , the leader and creator of the experience management category, today announced an innovative strategic partnership to employ experience metrics to transform the way healthcare organizations measure and improve performance. – The partnership will help organizations more deeply understand relationships between quality, safety, and patient experiences.
HIT Consultant
SEPTEMBER 20, 2024
What You Should Know: – Ferrum Health, a pioneering software provider enabling AI deployment in healthcare systems, raises $16M in Series A funding led by Foundry , with participation from Catalyst by Wellstar, Headwaters Ventures , UnitedHealthcare Accelerator , and existing investors including Blumberg Capital , Cercano , GSR , Urban Innovation Fund , and Singtel Innov8.
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