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About Healthcare News
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Countless thousands of seniors could swap programs through up coming calendar year’s open enrollment, determined by how drastically the MA current market giants slash Rewards within an try to strengthen earnings.
Insurers will go on vertically integrating to keep additional profits in-house, and federal scrutiny may also influence pharmacy reward supervisors since they unveil new systems they Invoice as far more clear adhering to Congressional inquiries.
Lawmakers heard testimony previous 12 months about algorithms used by insurers to forecast how much care people may will need, which advocates argued drive coverage denials and push patients to self-shell out or manage an appeals process. Humana, Cigna and UnitedHealth were being sued past year in excess of their utilization of algorithms to procedure promises.
Texas lawyer normal, generative AI enterprise settle above accuracy allegations The settlement resolves allegations that Pieces Systems produced deceptive promises concerning the accuracy of its documentation merchandise. Parts denied any wrongdoing.
The committee subpoenaed the executive in July, demanding he account for his role in Steward’s alleged monetary mismanagement and collapse. The subpoena was the very first of its kind in decades.
Listen to the post 10 min This audio is automobile-created. Make sure you let's know Should you have feedback. Digital wellness and health and fitness technological innovation adoption advanced promptly inside the wake of your COVID-19 pandemic, as Trader dollars flooded in to the Place and companies rapidly picked up telehealth capabilities.
‘As speedy as you possibly can but no more rapidly than is Secure’: Hospitals, tech corporations confront AI governance Regulators seeking to erect guardrails all around AI are experiencing a Sisyphean undertaking, professionals mentioned at HIMSS. How will you oversee a thing that is continually altering?
FTC sues significant pharmacy reward administrators around insulin prices The agency brought action towards Caremark, Express Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating methods “artificially inflated” the list price of lifestyle-saving insulin medication.
“This is where you'll see a small amount of that separation amongst the wheat along with the chaff in terms of the businesses which have crafted actually strong medical types with great device economics and may scale, compared to the ones that perhaps were however drafting off of COVID pandemic tailwinds,” she claimed.
In Washington, federal regulators might form the stage with the field just after antitrust agencies revised merger guidelines last year that could chill dealmaking.
An article from Top rated healthcare developments in 2024 Listed here’s what industry gurus see coming down the pike for hospitals, insurers and digital overall health firms this calendar year.
Employers are specializing in approach models to control healthcare fees: survey Almost half in the employers surveyed said healthcare expenses will exceed spending plan projections this 12 months, WTW said.
Software program overload could Enhance electronic well being M&A Customers of electronic well being items are overcome with point options, which could accelerate merger and acquisition action in a website very slowed funding environment, specialists say.
J&J drops 340B rebate system next government strain Threatened with steep sanctions and dropping use of Medicare and Medicaid, Johnson & Johnson is rolling again a plan to give hospitals following-the-simple fact rebates for drugs during the 340B drug discount program.