FTC sues important pharmacy reward professionals over insulin charges The company introduced motion from Caremark, Express Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating practices “artificially inflated” the list price of existence-saving insulin medicines.
UnitedHealth sues CMS around Medicare Benefit star rankings A handful of programs owned by the country's largest MA payer are the most up-to-date to talk to the court docket to enable increase their beneficial quality scores.
Lawmakers listened to testimony previous 12 months about algorithms used by insurers to predict the amount care patients could possibly need, which advocates argued travel protection denials and push sufferers to self-pay or handle an appeals system. Humana, Cigna and UnitedHealth were sued final yr more than their use of algorithms to course of action statements.
Epic strike with antitrust lawsuit by data startup Particle Wellness Particle alleges electronic health record seller Epic utilised its placement like a “monopolist” to circumvent Levels of competition inside the payer current market.
“Zero bucks are coming to the estate. There’s zero thing to consider getting presented to your secured lenders that have liened desire in that collateral.”
Pay attention to the write-up 10 min This audio is car-produced. Please let's know For those who have suggestions. Electronic well being and health and fitness technology adoption Innovative rapidly inside the wake with the COVID-19 pandemic, as Trader bucks flooded to the Place and providers promptly picked up telehealth abilities.
Wellbeing technological innovation organizations are setting up infrastructure for generative artificial intelligence capabilities to capitalize on interest that exploded very last calendar year.
MA rates to decrease on typical in 2025 The CMS explained premiums, Advantages and plan decisions will maintain constant in 2025, at the same time as insurers have warned they may Lower MA choices inside a bid to maintain profits.
Trends shaping the organization of wellbeing insurance coverage in 2024 The uninsured fee will increase. Medicare Gain enrollment will swell, with less instability. Important pharmacy profit administrators will launch a lot more transparent items. Below’s what market watchers expect in 2024.
Two-thirds of healthcare businesses strike by ransomware in previous yr: study Just about 40% of healthcare businesses reported it took greater than per month to Recuperate immediately after an attack, In keeping with a survey by cybersecurity firm Sophos.
Microsoft unveils new healthcare AI applications The solutions incorporate a support that helps healthcare businesses Construct their very own AI brokers which could be employed for appointment scheduling, clinical demo matching and individual triage.
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“Companies of infused read more drugs have continued to deal with a demanding environment for their most very specialized, complex services, and Coram hasn't been resistant to these worries,” a CVS spokesperson claimed about the most recent closures. “As a result, We've reevaluated our provider offerings.”
An article from Best healthcare conferences to plan for in 2025 Here's notable functions clinic, payer and tech executives ought to consider attending following 12 months, running the gamut from electronic wellness to monetary administration to medical innovation.