FTC sues important pharmacy gain managers over insulin selling prices The company brought motion against Caremark, Specific Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating practices “artificially inflated” the list cost of everyday living-preserving insulin drugs.

Elevance lowers advice on ‘unprecedented’ Medicaid problems Executives mentioned the greater expenditures pressuring its Medicaid company would strengthen soon after states updated payment rates to higher match member acuity.

Medicaid overtakes Medicare Advantage as health and fitness insurers’ bogeyman in Q2 Regardless of issues in Medicaid and MA, major insurers however posted substantial earnings in the next quarter — many served by well being products and services divisions.

Epic hit with antitrust lawsuit by details startup Particle Overall health Particle alleges Digital health and fitness record vendor Epic made use of its place as a “monopolist” to avoid competition while in the payer market place.

An write-up from Deep Dive Healthcare technological innovation developments to look at in 2024 Professionals go over their predictions for expense and consolidation in digital wellness, adoption of synthetic intelligence and the way to enhance cybersecurity in healthcare this 12 months.

In exchange for money, Steward promised its hospitals as collateral. Price explained to the court docket the Massachusetts offer undercuts the lenders’ power to protected their financial loan.

The Commonwealth has already set in an incredible amount of money to even get us up to now and [I’m] not subjecting [the hospitals] to threats although there are actual persons sitting in beds today.”

Blue Cross Blue Defend to pay $two.8B to settle course action service provider antitrust scenario It's the most important antitrust settlement to this point inside the healthcare field, In line with law organization Whatley Kallas, which represented the plaintiffs.

Deep Dive // Adjust Healthcare cyberattack Change cyberattack serves as wake-up call for healthcare cybersecurity The outage exhibits why health techniques should system for inevitable cyberattacks, assessing pitfalls and Placing operational backups in position, gurus say.

Humana and CVS are downsizing their Medicare Benefit programs for 2025. check here Which insurers could benefit? Countless Many seniors could swap designs in the course of following yr’s open enrollment, based upon how greatly the MA sector giants slash Gains within an try to boost revenue.

de la Torre accountable for his greed and to the hurt he has brought about to hospitals and clients through The usa. This Committee intends to maneuver forward aggressively to compel Dr. de la Torre to testify towards the gross mismanagement of Steward Wellness Care.”

The occasion, which showcases the newest investigation and greatest methods for clinicians, includes a scientific summary Competitiveness in addition to makes it possible for vendors to make CME credit score.

The flagship party in the HFMA attracts healthcare finance leaders from hospitals, wellness methods, companies and payer marketplaces to debate issues in the field. The party draws in above three,000 attendees and will allow professionals to interact with finance leaders and customized academic periods.

CHAI releases draft framework for AI high-quality assurance labs The Coalition for Wellness AI is trying to get comments within the proposals, which detail how the group will certify labs in addition to a “nutrition label” that aims to offer buyers additional details about AI versions.