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California, Oregon eye universal overall health protection The states' proposals, which resemble Medicare for All, need approval from the federal federal government and deal with pushback from big health techniques and insurers.
UnitedHealth sues CMS over Medicare Advantage star scores A handful of programs owned from the country's most significant MA payer are the most up-to-date to question the courtroom to aid raise their important excellent scores.
Electronic health funding amounts this 12 months will glance similar to 2023, and will begin to raise — particularly while in the again 50 % of 2024 — though the floodgates aren’t prone to open absolutely. Consolidation could also pick up in 2024, a trend that business watchers are already eyeing for months as funding ticked down and most likely pushed startups towards dealmaking. Electronic therapeutics, psychological health providers and weight reduction firms may very well be beautiful acquisition targets, industry experts said.
The HHS has also signaled fascination in boosting cybersecurity prerequisites for hospitals through Medicare and Medicaid, releasing a concept paper in December that outlined a strategy to get new authority and funding.
Other promotions are still much from closing. Sale hearings for Arizona happen to be adjourned into a later on day and hearings for Arkansas and Louisiana — which have been slotted for Sept. four — are actually Again postponed to Sept. ten.
Hear the post 10 min This audio is vehicle-produced. You should let's know if you have opinions. Digital wellness and health and fitness know-how adoption Sophisticated speedily during the wake from the COVID-19 pandemic, as Trader pounds flooded in to the space and suppliers immediately picked up telehealth abilities.
‘As quickly as you possibly can but no a lot quicker than is Protected’: Hospitals, tech providers confront AI governance Regulators trying to get to erect guardrails all-around AI are experiencing a Sisyphean activity, professionals mentioned at HIMSS. How do you oversee a thing that is continually changing?
MA premiums to reduce on typical in 2025 The CMS mentioned premiums, Rewards and system alternatives will maintain continuous in 2025, at the same time as insurers have warned they might Minimize MA offerings inside of a bid to maintain profits.
“This is when you'll see a little bit of that separation amongst the wheat along with the chaff with regards to the companies which have designed genuinely sturdy scientific products with fantastic unit economics and can scale, versus the ones that maybe were however drafting off of COVID pandemic tailwinds,” she reported.
FTC sues main pharmacy benefit managers in excess of insulin costs The company brought action from Caremark, Express Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating methods “artificially inflated” the checklist price of everyday living-preserving insulin drugs.
GLP-1s for fat reduction go away companies in a very bind over coverage Companies experience a tricky choice above whether to include expensive fat reduction medicine that pits the health and wellbeing of their personnel in opposition to the health of their base line.
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The flagship function of your HFMA draws healthcare finance leaders from hospitals, well being techniques, companies and payer marketplaces to debate worries in the business. The occasion draws in above 3,000 read more attendees and lets industry experts to connect with finance leaders and tailored educational sessions.
Blue Protect of California is promising an easier, cheaper pharmacy benefits model. Can it provide? Massive inquiries dangle above the California well being insurance company's bold experiment — obtaining 5 sellers execute PBM features Earlier done by just one — that could threaten BSCA's expected savings.