Fri.Sep 20, 2024

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FTC formally sues PBMs over insulin prices and warns manufacturers

Fierce Healthcare

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.

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FTC sues major pharmacy benefit managers over insulin prices

Health Care Dive

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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Cigna trims Medicare Advantage plans in eight states

Fierce Healthcare

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.

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Telehealth providers at a crossroads: Navigating insurance, compliance and cash-only models amid state regulations

Health Care Dive

Providers using telehealth face an evolving landscape, and they must balance complexities around insurance, regulatory compliance and data privacy, argues one legal expert.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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Advocate Health wiping all judgment liens on patients' property, canceling associated debt

Fierce Healthcare

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.

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More Trending

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AI can be a key health equity driver

Healthcare It News

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

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Struggling CarePoint Health could lay off 2,600

Health Care Dive

The New Jersey-based health system filed notice with state regulators, however, a spokesperson said the decisions are not finalized.

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Suki adds 12 partners as rural hospitals increasingly adopt AI

Fierce Healthcare

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.

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Cigna scaling back Medicare Advantage footprint in 8 states next year

Health Care Dive

The reductions will affect roughly 5,400 members, mostly in Florida, according to a notice to marketing agents.

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Grow Big, Pay Smart: How To Unlock Efficiency In Payroll Management

Speaker: Joe Sharpe and James Carlson

Running a small business is no small feat. Payroll management, in particular, can be one of the most time-consuming and complex parts of that equation. Yet, businesses that crack the code on streamlining these processes often discover not just savings, but new avenues for growth. Our expert speakers will share actionable insights and real-world examples of how businesses have reduced overhead and improved payroll efficiency.

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Cardinal Health acquiring Integrated Oncology Network for $1.1B

Fierce Healthcare

Healthcare supply and services company Cardinal Health has a deal in place to acquire Integrated Oncology Network, a collection of more than 50 community oncology centers, for just over $1.1 billio | The latest deal in a community oncology arms race will bring over 50 practices and 100 providers into Navista, Cardinal's cancer unit.

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CommonSpirit Health at Home’s New CEO On Winning The ‘Proverbial Jump Ball’ In Home-Based Care

Home Health Care

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.

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Chutes & Ladders—Major leadership changes at Point32 Health, American Cancer Society and UTHealth Houston

Fierce Healthcare

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.

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‘Like Another Layer Of PPE’: Safety Technology Company Expands Into Home-Based Care

Home Health Care

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.

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How To Empower Your Workforce With Modern Fertility Benefits

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.

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Despite redeterminations, Medicaid enrollment is higher than pre-pandemic levels

Fierce Healthcare

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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FTC to sue PBMs over insulin pricing and rebates

Healthcare ECONOMIST

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

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Industry Voices—Why hospitals must prioritize business preparation before disaster strikes

Fierce Healthcare

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.

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Senior-Focused Primary Care Provider Oak Street Health To Pay $60M Settlement Over Kickbacks

Home Health Care

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.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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Fabric notches 4th acquisition in 18 months, picks up TeamHealth VirtualCare

Fierce Healthcare

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.

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Navigating the Health Care System is a Challenge—Even for Those Within It

NCQA

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.

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How GoHealth uses AI and automation to help health plan consumers and licensed insurance agents

Fierce Healthcare

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

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Advancing Behavioral Health Care at the Health Innovation Summit

NCQA

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.

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Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.

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Cardinal Health Acquires Integrated Oncology Network for $1.115B

HIT Consultant

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.

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Immigration and Border Control Explained: What Americans Need to Know

The Rand Blog

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.

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Vizient and Qualtrics Partner to Illuminate Patient Experience

HIT Consultant

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.

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Ferrum Health Secures $16M for Vendor-Neutral AI Platform

HIT Consultant

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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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.