The 5-Second Trick For Healthcare News

FTC sues key pharmacy advantage supervisors in excess of insulin rates The agency brought action against Caremark, Specific Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating tactics “artificially inflated” the record cost of lifetime-conserving insulin medicine.

Elevance lowers advice on ‘unprecedented’ Medicaid issues Executives claimed the greater prices pressuring its Medicaid business would enhance following states up to date payment prices to higher match member acuity.

Medicaid overtakes Medicare Advantage as health and fitness insurers’ bogeyman in Q2 Even with difficulties in Medicaid and MA, big insurers nevertheless posted significant earnings in the next quarter — many assisted by health companies divisions.

Transparency will turn out to be progressively crucial this yr, especially for clinical choice support resources or algorithms that assist with promises appraisals, said CB Insights’ Lennox-Miller.

An write-up from Deep Dive Healthcare technological innovation developments to view in 2024 Gurus examine their predictions for expense and consolidation in electronic health and fitness, adoption of synthetic intelligence and how to make improvements to cybersecurity in healthcare this 12 months.

The payer advocacy team’s flagship event attributes leaders from main insurers along with educational periods, networking and exhibit hall time. The once-a-year celebration allows attendees to engage with leaders at wellness insurance policies service provider providers and other specialists from outdoors the sector.

Healthcare Dive caught up with marketplace specialists to share the best healthcare trends of 2024. Examine much more below:

An report from Dive Short CVS Health and fitness slashes infusion expert services offerings, blaming industry headwinds CVS Health will prevent delivering lots of infusion products and services and close or promote 29 pharmacies in the approaching months, a spokesperson said.

The chance calculus might have now modified for vendors, because they facial area fines and damages from lawsuits right after information breaches, she observed.

Excitement in regards to the prospective for AI in healthcare attained a fever pitch in 2023, especially for generative AI technologies, which can create new content like more info textual content or photographs.

As organizations go on to digitize, cybersecurity remains an important challenge, with healthcare knowledge breaches exposing a huge selection of 1000s of patients’ sensitive particular and well being facts.

Medicare Edge unrest, Transform Healthcare fallout plus much more major takeaways from insurers’ Q1 All big payers observed elevated utilization but only an unprepared number of struggled Along with the craze, the Adjust Healthcare cyberattack triggered nominal financial fallout plus a new D-SNP rule opens the doorway into a Medicare development possibility.

Humana sues HHS about calamitous Medicare Advantage star scores reduce It’s the most recent in a very string of lawsuits from health and fitness insurers scrambling to protect their prized top quality scores and The cash All those scores represent.

States’ various strategies complicate effort and hard work to ascertain effects of Medicaid redeterminations Millions of people have been disenrolled from Medicaid, nevertheless it’s also early to obtain a total image of redeterminations’ effect on vulnerable People in america, experts say.