Friday, February 24, 2023

Why Outcome Health needed a half-billion dollarsWhy Outcome Health needed a half-billion dollarsWhy Outcome Health needed a half-billion dollars

Why Outcome Health needed a half-billion dollars

Held up as a success, the company was drowning in debt after the Accent Health acquisition and worried about missing sales targets, according to trial evidence.



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IU Health reports $715M loss in 2022, moves forward with price reductionsIU Health reports $715M loss in 2022, moves forward with price reductionsIU Health reports $715M loss in 2022, moves forward with price reductions

IU Health reports $715M loss in 2022, moves forward with price reductions

Indianapolis-based IU Health reported a $715.11 million loss in 2022, compared with a $861.51 million gain a year earlier, citing high labor costs and the impact of its price-reduction plan.



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Montana lawmakers consider Medicaid rate changes to stop nursing home closuresMontana lawmakers consider Medicaid rate changes to stop nursing home closuresMontana lawmakers consider Medicaid rate changes to stop nursing home closures

Montana lawmakers consider Medicaid rate changes to stop nursing home closures

Senate Bill 296 would direct health officials to consider inflation, cost-of-living adjustments, and other factors in setting Medicaid reimbursement rates.



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Thursday, February 23, 2023

NY hospital residents and fellows win right to unionize NY hospital residents and fellows win right to unionize NY hospital residents and fellows win right to unionize

NY hospital residents and fellows win right to unionize

The decision follows a rejection from the hospital in November—which pushed the process to an NLRB election



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How Amazon built its healthcare strategy from Haven to One MedicalHow Amazon built its healthcare strategy from Haven to One MedicalHow Amazon built its healthcare strategy from Haven to One Medical

How Amazon built its healthcare strategy from Haven to One Medical

Amazon's healthcare history dates back to 2018. Here's a look at the discontinued projects, current offerings and what could be next.



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Kaiser Permanente downsizes regional HQ, relocates 1,200 employees to cut costsKaiser Permanente downsizes regional HQ, relocates 1,200 employees to cut costsKaiser Permanente downsizes regional HQ, relocates 1,200 employees to cut costs

Kaiser Permanente downsizes regional HQ, relocates 1,200 employees to cut costs

Kaiser said it will move employees to its Pleasanton campus in early 2024, significantly reducing annual costs.



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Amazon CEO promotes One Medical in letter to customersAmazon CEO promotes One Medical in letter to customersAmazon CEO promotes One Medical in letter to customers

Amazon CEO promotes One Medical in letter to customers

Amazon.com features a letter from CEO Andy Jassy highlighting the company's acquisition of primary care provider One Medical.



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Humana to exit employer market Humana to exit employer market Humana to exit employer market

Humana to exit employer market

Humana plans to focus its efforts on government-sponsored products such as Medicare Advantage.



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Wednesday, February 22, 2023

Teladoc Health reports $13.6B loss for 2022 Teladoc Health reports $13.6B loss for 2022 Teladoc Health reports $13.6B loss for 2022

Teladoc Health reports $13.6B loss for 2022

The company recorded $13.4 billion in non-cash goodwill impairment charges in 2022 related to its Livongo merger.



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Trinity Health's MercyOne to close Genesis Health System deal next weekTrinity Health's MercyOne to close Genesis Health System deal next weekTrinity Health's MercyOne to close Genesis Health System deal next week

Trinity Health's MercyOne to close Genesis Health System deal next week

Trinity Health’s MercyOne is set to add Genesis Health System's four hospitals to its portfolio within days, according to a source familiar with the deal.



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Star witness testifies against Outcome Health founders in fraud trialStar witness testifies against Outcome Health founders in fraud trialStar witness testifies against Outcome Health founders in fraud trial

Star witness testifies against Outcome Health founders in fraud trial

Ashik Desai, who cut a plea deal, details how the company is alleged to have secretly overbilled advertisers such as AbbVie.



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Court blocks ex-Cigna exec from new CVS jobCourt blocks ex-Cigna exec from new CVS jobCourt blocks ex-Cigna exec from new CVS job

Court blocks ex-Cigna exec from new CVS job

Cigna won a temporary injunction preventing former Express Scripts President Amy Bricker from working at CVS Health.



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Amazon closes $3.9B deal to acquire One Medical Amazon closes $3.9B deal to acquire One Medical Amazon closes $3.9B deal to acquire One Medical

Amazon closes $3.9B deal to acquire One Medical

Multiple news outlets reported late Tuesday that the Federal Trade Commission has declined to block the deal between the two companies.



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Tuesday, February 21, 2023

Medicare Advantage enrollment growth slowed for 2023Medicare Advantage enrollment growth slowed for 2023Medicare Advantage enrollment growth slowed for 2023

Medicare Advantage enrollment growth slowed for 2023

Medicare Advantage enrollment grew 5.5% for the current plan year, a decline from a record 9% for 2022, according to the Chartis Group.



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Meet the Top Women Leaders in Healthcare class of 2023Meet the Top Women Leaders in Healthcare class of 2023Meet the Top Women Leaders in Healthcare class of 2023

Meet the Top Women Leaders in Healthcare class of 2023

Our Top 25 Women Leaders, Luminaries and Women to Watch programs honor women who are elevating healthcare delivery and guiding improvement across the country.



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HAP, CareSource to expand Medicaid coverage with joint ventureHAP, CareSource to expand Medicaid coverage with joint ventureHAP, CareSource to expand Medicaid coverage with joint venture

HAP, CareSource to expand Medicaid coverage with joint venture

Henry Ford Health's integrated insurer, HAP provides coverage to fewer than 40,000 in Michigan while CareSource has 2.3 million members in seven states.



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FTC’s enforcement action against GoodRx ‘a wakeup call' for digital health companiesFTC’s enforcement action against GoodRx ‘a wakeup call' for digital health companiesFTC’s enforcement action against GoodRx ‘a wakeup call' for digital health companies

FTC’s enforcement action against GoodRx ‘a wakeup call' for digital health companies

The Federal Trade Commission’s recent enforcement action against GoodRx has created uncertainty over how the rules are being interpreted.



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MetroHealth issues response to ousted CEO's 2nd lawsuitMetroHealth issues response to ousted CEO's 2nd lawsuitMetroHealth issues response to ousted CEO's 2nd lawsuit

MetroHealth issues response to ousted CEO's 2nd lawsuit

A recent court filing restated the health system's position that its former president and CEO had no authority to award himself $1.9 million in bonuses.



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Monday, February 20, 2023

The Check Up: John Baackes, L.A. Care Health PlanThe Check Up: John Baackes, L.A. Care Health PlanThe Check Up: John Baackes, L.A. Care Health Plan

The Check Up: John Baackes, L.A. Care Health Plan

The CEO of L.A. Care Health Plan discusses his company's role in CalAIM, which aims to transform California's Medicaid program.



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LA Care Health Plan CEO offers updates on California's Medicaid transformation ambitionsLA Care Health Plan CEO offers updates on California's Medicaid transformation ambitionsLA Care Health Plan CEO offers updates on California's Medicaid transformation ambitions

LA Care Health Plan CEO offers updates on California's Medicaid transformation ambitions

John Baackes, CEO of LA Care Health Plan, discusses what the organization has learned following the launch of California Advancing and Innovating Medi-Cal in January 2022. 



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