Healthcare News Options
Healthcare News Options
Blog Article
FTC sues big pharmacy gain managers about insulin rates The company brought motion against Caremark, Specific Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating techniques “artificially inflated” the list cost of everyday living-preserving insulin prescription drugs.
Insurers will continue on vertically integrating to maintain a lot more revenue in-household, and federal scrutiny will also have an effect on pharmacy reward supervisors because they unveil new programs they Invoice as far more clear following Congressional inquiries.
Lawmakers heard testimony very last 12 months about algorithms utilized by insurers to forecast exactly how much treatment patients may well need, which advocates argued travel protection denials and push individuals to self-fork out or deal with an appeals course of action. Humana, Cigna and UnitedHealth were being sued last 12 months about their utilization of algorithms to course of action promises.
Transparency will become progressively vital this calendar year, specifically for clinical conclusion assistance equipment or algorithms that assist with promises appraisals, said CB Insights’ Lennox-Miller.
FTC sues significant pharmacy benefit managers around insulin prices The company introduced motion against Caremark, Express Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating techniques “artificially inflated” the list price of existence-saving insulin medication.
The payer advocacy group’s flagship occasion characteristics leaders from big insurers together with educational sessions, networking and exhibit hall time. The annual function lets attendees to engage with leaders at overall health insurance plan service provider companies as well as other professionals from exterior the marketplace.
‘As rapid as you can but no more quickly than is safe’: Hospitals, tech corporations confront AI governance Regulators searching for to erect guardrails about AI are facing a Sisyphean undertaking, authorities mentioned at HIMSS. How does one oversee something which is continually switching?
That’s for the reason that Apollo International Management walked absent with virtually the entire value. The private equity and asset management organization netted somewhere around $325 million in the transactions, As outlined by asset buy Healthcare News agreements.
Will not skip tomorrow's healthcare marketplace news Let Healthcare Dive's cost-free newsletter keep you informed, straight from a inbox.
In Washington, federal regulators may perhaps condition the phase with the industry after antitrust agencies revised merger recommendations final yr that might chill dealmaking.
GLP-1s for weight reduction depart businesses in a bind in excess of protection Employers encounter a tricky conclusion above no matter whether to cover pricey weight-loss medicine that pits the health and wellbeing of their workers in opposition to the health and fitness in their bottom line.
The fourth component discusses ideas to promote data sharing, make improvements to broadband infrastructure and supply direction on cybersecurity. The preceding wellness IT strategy, printed in Oct 2020, drove “sizeable development” across the government and personal sector to speed up accessibility, exchange and usage of Digital wellness info, according to the agency. The brand new prepare aims to construct upon that do the job, aiming to modernize community overall health infrastructure once the COVID-19 pandemic, address wellbeing disparities and deal with the quickly evolving usage of AI in healthcare. When tech giants are promising AI equipment that lessen suppliers’ administrative jobs, some specialists are anxious there isn’t ample oversight in to the immediately creating products and solutions.
CMS retains accountable treatment companies harmless for ‘extremely suspect’ Medicare billing Aberrant billing for urinary catheters past calendar year could have built it more durable for ACOs in Medicare to usher in shared financial savings. That’s no longer the situation below a new closing rule.
Senate committee unanimously votes to hold Steward CEO in contempt “In the event you defy a congressional subpoena, you will end up held accountable — it does not matter who you're or how well related you might be,” said Sen. Bernie Sanders in the hearing.