Molina Healthcare has amended its purchase agreement for the acquisition of Bright Health’s California Medicare Advantage business. The purchase price for the transaction, net of certain tax benefits, is reduced from the previously announced $510 million to approximately $425 million, and now represents 23% of expected 2023 premium revenue of $1.8 billion.
Osterhaus Pharmacy in Iowa has brought a class action complaint against UnitedHealth Group and affiliates Optum and Optum Rx for allegedly violating antitrust law, for alleged breach of contract and on four other claims..
The Federal Trade Commission and the Justice Department have jointly issued new 2023 Merger Guidelines, which guide the agencies when reviewing mergers and acquisitions in healthcare and other industries. The 51-page document contains 11 guidelines.
Jefferson Health and Lehigh Valley Health Network have signed a non-binding letter of intent to combine, creating an integrated care delivery system that includes a national research university, as well as an expanded nonprofit health plan. The merger would create a 30-hospital network with a reported $14 billion in revenue.
With hospitals operating at between 20-40% capacity, officials in Fresno County, California, are warning of severe working conditions and are urging the public to avoid checking into the emergency room for nonemergency issues.
ChatGPT was an inflection point for AI to scale up, which is both concerning and promising, says Robert Havasy, senior director of the Personal Connected Health Alliance at HIMSS, while sharing insights from the HIMSS AI in Healthcare Forum this month.
Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company’s nH Predict AI model was used to deny care to Medicare Advantage members. The lawsuit accuses Humana of cutting payments prematurely for rehabilitative care based on nH Predict’s “highly inaccurate” […]
PharmStars offers startups a 10-week digital health accelerator program with the latest focused on the challenges of supply delivery, says CEO and founder Naomi Fried.
In a final rule on fees for disputed claims, Health and Human Services and other departments are finalizing an amount of $115 per party for disputes initiated on or after the effective date of this rule on January 1, 2024. The departments are also finalizing a certified IDR entity fee range of $200-$840 for single […]
Medicare beneficiaries aren’t getting the treatments they need for opioid use disorder and many are dying due to fentanyl, with fewer than one in five enrollees receiving medication to treat their disorder, according to a new report from the Department of Health and Human Services.