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Medicaid overtakes Medicare Advantage as health and fitness insurers’ bogeyman in Q2 Regardless of difficulties in Medicaid and MA, significant insurers still posted massive earnings in the next quarter — many served by wellness products and services divisions.
Epic hit with antitrust lawsuit by facts startup Particle Overall health Particle alleges electronic well being file seller Epic made use of its place as being a “monopolist” to stop competition within the payer market.
Blue Shield of California sidesteps PBMs with new Humira biosimilar offer It’s The very first time this sort of product has actually been used to provide a Humira biosimilar to marketplace, based on the insurance company — and it yields a A lot decrease cost than the two the brand name-name version from the drug and its biologic copycats.
Steward and MPT instructed the court docket on Aug. thirty These are brokering a deal for MPT to consider in excess of medical center functions at a lot of Steward areas in exchange for that “mutual release of all claims on secured lease obligations involving them, including the launch of billions of pounds of claims held by MPT versus Steward.”
Synthetic intelligence Amid mounting curiosity and financial investment while in the space, It is really obvious AI’s programs in healthcare will only continue to increase.
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Deep Dive // Adjust Healthcare cyberattack Change cyberattack serves more info as wake-up call for healthcare cybersecurity The outage shows why well being units need to system for unavoidable cyberattacks, evaluating hazards and putting operational backups in position, specialists say.
Humana and CVS are downsizing their Medicare Benefit strategies for 2025. Which insurers could advantage? Hundreds of Many seniors could change strategies throughout next year’s open enrollment, dependant upon how substantially the MA market place giants slash Added benefits in an make an effort to make improvements to earnings.
GLP-1s for fat loss go away businesses in the bind over coverage Employers confront a difficult choice over whether or not to go over dear weight loss medication that pits the wellbeing and wellbeing of their workers in opposition to the health and fitness of their bottom line.
Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use disorder A bipartisan group of two dozen Associates pushed officers to preserve the pandemic-era prescribing adjustments for buprenorphine, arguing telehealth will increase obtain and helps prevent overdoses.
Senate report slams Medicare Gain insurers for working with predictive know-how to deny promises UnitedHealth, CVS and Humana utilized technological know-how to increase MA prior authorization denials for submit-acute expert services, boosting income, In line with a report from a Senate subcommittee.
Late previous yr, the ONC finalized a sweeping rule that requires builders of certified AI equipment to depth facts together with how products and solutions are managed and monitored, and identified dangers and inappropriate utilizes.