Since January 1, Baptist Health, based in Louisville, Kentucky, has been out-of-network with UnitedHealthcare and Centene’s Wellcare Medicare Advantage plans, citing denied and delayed prior authorization requests and payments from the insurers. It was the same reason cited by Baptist Health when it went out-of-network with Humana’s Medicare Advantage and commercial health plans last fall.
The gap in wages between genders has been a pervasive issue in healthcare and many other industries, but the wage gap between men and women is becoming more complicated in the sector, with the gap decreasing in some health-centric occupations but not in others.
The Centers for Medicare and Medicaid Services has terminated two Centene Medicare Advantage plans, in Part C and D enforcement action taken December 27.
Beckman Coulter uses TriageGo, AI and machine learning to recommend triage acuity, says Sophia Henry, clinical consultant for the company.
This week U.S. Department of Health and Human Services Secretary Xavier Becerra met virtually with pharmacy leaders, pharmacy benefit managers and insurers to discuss HHS’ commitment to increase equitable access to COVID-19 therapeutics.
The Centers for Medicare and Medicaid Services has given the green light to New York’s amended Medicaid Section 1115 demonstration, kickstarting a push to invest in behavioral health and health equity. The demonstration “bundles a series of actions to advance health equity and strengthen access to primary and behavioral health care across the state,” according […]
Four U.S. senators led by Bernie Sanders, I-Vt., have sent letters to the four largest inhaler manufacturers – AstraZeneca, Boehringer Ingelheim, GlaxoSmithKline (GSK) and Teva Pharmaceuticals – informing them of an investigation into inhaler prices, which the senators called “outrageous.”
Walgreens Boots Alliance has agreed to pay $360 million to Humana to settle a lawsuit alleging the retail pharmacy overcharged for prescription drug reimbursements.
GenAI can help solve healthcare challenges, but at some point it becomes hard to explain what it’s doing, says Dr. Rebecca G. Mishuris, CMIO and VP at Mass General Brigham.