California, Oregon eye common health coverage The states' proposals, which resemble Medicare for All, require acceptance from the federal govt and confront pushback from important well being units and insurers.
Earlier this summer, the agency held lengthy negotiations with Steward above how you can allocate proceeds from product sales in between clinic operations and real estate.
Lawmakers heard testimony very last year about algorithms utilized by insurers to predict just how much treatment patients may possibly have to have, which advocates argued push protection denials and push clients to self-pay or control an appeals process. Humana, Cigna and UnitedHealth had been sued very last year in excess of their usage of algorithms to method promises.
Epic strike with antitrust lawsuit by knowledge startup Particle Wellness Particle alleges electronic wellbeing file vendor Epic made use of its placement for a “monopolist” to stop Competitors within the payer sector.
Greater than three.2 million People in america acquire some sort of infusion therapy each year, As outlined by Bourne’s analysis. The determine is expected to grow about the forthcoming years, given that the populace over sixty five many years aged is projected to double in the following three a long time, chronic disorder continues to increase as well as the Food stuff and Drug Administration inexperienced-lights new injection-based medicine.
The payer advocacy team’s flagship event functions leaders from key insurers together with instructional classes, networking and exhibit corridor time. The annual celebration will allow attendees to engage with leaders at well being insurance policies company providers and other specialists from outside the business.
Healthcare Dive caught up with business industry experts to share the very best healthcare traits of 2024. Study extra beneath:
Blue Cross Blue Shield to pay for $2.8B to settle course action service provider antitrust situation It is the most important antitrust settlement thus far in the healthcare sector, As outlined by legislation business Whatley Kallas, which represented the plaintiffs.
The danger calculus might have by now altered for vendors, as they deal with fines and damages from lawsuits following facts breaches, she mentioned.
FTC sues big pharmacy gain supervisors in excess of insulin charges The agency brought action against Caremark, Express Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating practices “artificially inflated” the record cost of lifetime-preserving insulin medicine.
“In check here the event you consider the mobile phone being a platform, I feel not a soul might have explained to you in 2009 — once the apple iphone was coming out — the industries the apple iphone would disrupt most was destined to be the taxi industry with apps like Uber or even the mapping industry with things like Google Maps,” he claimed.
Medicare Gain unrest, Transform Healthcare fallout plus much more significant takeaways from insurers’ Q1 All major payers saw elevated utilization but only an unprepared couple struggled with the development, the Improve Healthcare cyberattack brought about negligible money fallout and also a new D-SNP rule opens the doorway into a Medicare development chance.
Humana sues HHS more than calamitous Medicare Benefit star rankings lessen It’s the newest inside a string of lawsuits from health insurers scrambling to safeguard their prized good quality scores and The cash those ratings symbolize.
CHAI releases draft framework for AI good quality assurance labs The Coalition for Overall health AI is trying to find responses to the proposals, which depth how the group will certify labs as well as a “diet label” that aims to provide purchasers more information about AI products.