Humana, one of the two biggest players in the Medicare Advantage market, is being hit with high benefit expenses due to high utilization among its members, according to a June 16 filing with the Securities and Exchange Commission.

Centene has completed its divestiture of Apixio, an artificial intelligence platform that enables value-based care. The company was divested to New Mountain Capital. The insurer entered into a definitive agreement to divest Apixio back in May for $37 billion in assets. Centene acquired the company in December 2020. WHAT’S THE IMPACT

Most people generally give their health insurance a positive grade, but according to a new KFF survey, those who are in poorer health tend to give lower ratings. The sicker they are, the less positively they feel about their coverage.

Cheers by Epic has digital intake channels, such as chatbots and LiveChat, that help grow the patient community, says Sam Seering, the CRM’s product manager.

Clinical documentation improvement, or CDI, eases burden for fewer clicks, greater efficiencies, more time with patients at bedside and family at home, says Tami McMasters Gomez, director of Coding and Clinical Documentation Integrity Services at UC Davis Medical Center.  

Primary care provider Cano Health has announced that CEO Dr. Marlow Hernandez has agreed to step down immediately and remain on the Board of Directors. Chief Strategy Officer Mark Kent has been appointed interim Chief Executive Officer. The board is launching a search to identify a permanent CEO and to refresh the board with additional […]

The best way for payers to engage members proactively about their health and wellness is to enable two-way conversations, says Bob Farrell, CEO of digital health platform mPulse Mobile. Conversational AI allows for a back-and-forth between health plans and members. Photo novellas offer a TikTok-like experience of rich content within a few seconds. 

Pent up demand among seniors for medical care is expected to affect medical care cost ratios in the second quarter, UnitedHealth Group CFO John Rex said during the Goldman Sachs investor conference, according to Seeking Alpha.

Telehealth providers have until August 12 to come into OCR compliance, with the end of PHE provisions, says HHS Office for Civil Rights Director Melanie Rainer.  

The Inflation Reduction Act has the consequence of limiting investment in new drugs at a time when the science is there to innovate, pharma executives said during a call with J.P. Morgan analysts this week.