The Medical Group Management Association is pressing the Centers for Medicare and Medicaid Services to reform the prior authorization process for healthcare services, calling it “routinely the most burdensome issue facing medical group practices.”
Insurers expect that the Centers for Medicare and Medicaid Services’ recent advance notice for Medicare Advantage and Part D plans for the 2024 coverage year will result in a 2.27% cut to plans if finalized, and this could have a negative impact on members’ premiums and benefits, as well as slow MA growth, according to […]
The Centers for Medicare and Medicaid Services is testing three models to lower the price of drugs, including having a $2 Medicare drug list for about 150 low-cost generics. The Medicare $2 Drug List includes prescriptions for chronic conditions such as high blood pressure and high cholesterol.
Tech vendor turned telemedicine provider organization Biofourmis can help support value-based care and benefits health systems facing staffing shortages and financial challenges, says CEO Kuldeep Singh Rajput.
With a growing portfolio of businesses, major payer Cigna is engaging in a rebranding initiative that will unveil three distinct brands within the company: Cigna Group, Cigna Healthcare and Evernorth Health Services. The new holding company name is The Cigna Group, the company announced. It employs more than 70,000 people and maintains sales capabilities in […]
Two of the nation’s largest integrated health systems have reported financial losses, driven by labor shortages and increases in expenses and capacity. Kaiser Permanente reported an operating loss of $1.3 billion for 2022 compared to operating income of $611 million in 2021. The financial results reflect an increase in healthcare expenses driven by inflation, high […]
Medical director of clinical informatics at Johns Hopkins Aramco Healthcare, Saudi Arabia, Dr. Tamara Sunbul discusses programs underway to generate progress in healthcare for the kingdom.
Following up on one of the subjects broached during his State of the Union address, President Joe Biden is directing the Department of Health and Human Services to increase the transparency of nursing home ownership and management, part of a larger bid to improve safety and quality in the nation’s nursing homes.
No matter what happens with reimbursement and other waivers put in place under the Public Health Emergency, telehealth is here to stay according to Dedi Gilad, CEO and cofounder of TytoCare. “The shift to virtual care will not stop,” Gilad said
Evernow’s new app links women to healthcare providers and helps track symptoms, says founder and CEO Alicia Jackson.