The Centers for Medicare and Medicaid Services has appealed UnitedHealthcare’s win over its Medicare Advantage star ratings score. CMS filed the appeal on Tuesday in federal court for the Eastern District of Texas. It is appealing the November 22, 2024 order mandating CMS recalculate the MA 2025 star ratings without consideration of a secret shopper […]
Elevance Health saw $418 million in profit during the fourth quarter, down 51% from the $856 million in profit it hauled in at the end of 2023, company officials said during an earnings call this morning. Revenue was up year-over-year, hitting $45 billion in 2024, up from $42.5 billion the prior year.
Aspirus Health in Wausau, Wisconsin is expanding one of its hospitals to the tune of about $227 million, with Aspirus Wausau Hospital earmarked for renovation as critical care needs grow in the region, the health system said.
The Department of Justice has filed a lawsuit against Walgreens Boots Alliance and its subsidiaries for allegedly dispensing millions of unlawful prescriptions in violation of the Controlled Substances Act. According to the lawsuit, Walgreens then sought reimbursement for many of these prescriptions from various federal healthcare programs in violation of the False Claims Act.
Three days before President Donald Trump was sworn into office, the Department of Health and Human Services announced the award of $590 million to Moderna to accelerate the development of mRNA-based pandemic influenza vaccines. WHY THIS MATTERS
Issues and plans include cybersecurity, optimizing claims processing to reduce denials, and modernizing patient digital access and experience, says Michael Mainiero, chief digital and information officer at Catholic Health Long Island.
New York State is investing in seven hospitals and healthcare partnerships, with preliminary approval part of the Healthcare Safety Net Transformation Program. This includes a $188 million investment in Jamaica Hospital and Memorial Sloan Kettering to establish a “Comprehensive Cancer Care Center of Queens.”
California-based Sutter Health is entering into a seven-year partnership with GE Healthcare designed to integrate artificial intelligence technology into its health system operations, the organizations said this week.
Health systems are rightly concerned about Republican plans to cut Medicaid spending, end ACA subsidies and enact site neutral payments, says consultant Michael Abrams of Numerof. “Health systems have reason to worry,” Abrams said shortly after President Donald Trump was inaugurated on Monday.
HIMSS25 panel and book features successful women in IT who have faced barriers such as imposter syndrome and work-life balance challenges, says Jeffery Daigrepont, SVP of Coker Group.