Surgical procedures at in-network hospitals carry a far higher cost than at independent hospitals, a trend that held true for 15 of 16 surgical procedures analyzed in a new study published in JAMA Network Open.
Medicare Advantage continues to grow, hitting record enrollment this year and increasing overall program participation by 5.5% while adding 1.5 million beneficiaries. But according to data from Chartis, the pace of this growth is slowing.
Amazon has completed its $3.9 billion acquisition of primary care provider One Medical, the tech giant announced Wednesday. The Federal Trade Commission has decided it won’t challenge Amazon’s $3.9 billion deal for One Medical, according to Politco.
Healthcare systems have found themselves in precarious financial standing due to a dramatic increase in the number of inpatient claims being denied by health insurers based on the lack of medical necessity, according to data collected by accounting and technology firm Crowe.
Adventist Health is reorganizing, with a plan to reduce administration costs by more than $100 million.
UnitedHealth Group’s acquisition of home health company LHC Group is tentatively scheduled to close on Thursday, February 23 pending regulatory approvals, according to a Nasdaq notice. In anticipation of the closing, UHC stock will be halted immediately following an after-hours session at 8 p.m. on February 22, the notice said.
Strategic AI deployments can routinize items like claims coding and scheduling appointments, according to Kimberly Hartsfield, VisiQuate’s EVP for growth enablement.
As recently as December, about six in 10 Medicaid-enrolled adults said they’re not aware of impending Medicaid redeterminations that could potentially put their eligibility in jeopardy, finds a new poll from the Urban Institute and Robert Wood Johnson Foundation.
Value-based Medicare Advantage models see better outcomes and better efficiency for patients, both in general and across specific metrics such as avoidable emergency department visits and readmissions, according to a new study commissioned by Optum and published in JAMA Network.