Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.
A new national survey shows more than 90% of independent pharmacists may not sell drugs for which the Medicare Part D program is trying to negotiate lower prices.
Elevance Health President and CEO Gail Boudreaux said the insurer is “considering all of our options” regarding the Centers for Medicare and Medicaid Services’ 2025 Medicare Advantage Star Ratings, which saw the company take a hit in its star ratings.
CVS Health President and CEO Karen Lynch is out at the company amid Friday’s release of preliminary financial guidance for the third quarter that fell short of Wall Street forecasts. Lynch stepped down from her position per agreement with the company’s board of directors, according to CVS Health.
Data is the lifeblood of AI, said Sundar Shenbagam, chief technology officer at Edifecs. The challenge is having a uniform way to collect the data and maintain it to make sure it remains secure. Once that’s established, data can be managed to come up with an AI model that automates some of the numerous time-consuming payer functions. […]
Despite challenges, healthcare executive pay increased 4.6% this year, on par with the 4.4% growth rate seen last year, though executives at the system level saw greater gains as compared to subsidiary hospital executives, according to SullivanCotter’s
Despite spending more on healthcare than any other nation, the U.S. is the lowest or second-lowest-ranking country when it comes to measures such as access, equity and outcomes, according to a new Commonwealth Fund analysis.
Elevance Health has reported net income of $1 billion during the third quarter, compared to $1.3 billion during the same period in 2023, a 22.5% decrease. However, for the nine months ending September 30, net income is $5.5 billion, an increase when compared to last year’s figure of $5.1 billion.
The Cleveland Clinic has broken ground on a new training center for the Cleveland Cavaliers that will double as a care center for the general public, which the health system said will be “one of the largest and most advanced training and performance complexes in the world.” In partnership with Bedrock Real Estate, the complex, […]
Reproductive care is becoming more difficult for women to access, and that’s especially true in the case of abortion care, finds a new Wisp survey. Over the last decade, about 20% of women tried to access abortion services, but a third of them faced barriers ranging from cost to lack of insurance, and legal restrictions in […]