Friday, April 14, 2023

Digital therapeutics at a crossroads after Pear’s downfall Digital therapeutics at a crossroads after Pear’s downfall Digital therapeutics at a crossroads after Pear’s downfall

Digital therapeutics at a crossroads after Pear’s downfall

After Pear Therapeutics filed for Chapter 11 bankruptcy, the digital therapeutics industry is staring down a challenging reimbursement and funding environment.



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UnitedHealth expects Medicare Advantage gains despite CMS changesUnitedHealth expects Medicare Advantage gains despite CMS changesUnitedHealth expects Medicare Advantage gains despite CMS changes

UnitedHealth expects Medicare Advantage gains despite CMS changes

UnitedHealthcare expects to add more than 900,000 Medicare Advantage members in 2023 despite regulatory changes aimed at curbing growth. 



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Biden administration asks Supreme Court to preserve abortion pill accessBiden administration asks Supreme Court to preserve abortion pill accessBiden administration asks Supreme Court to preserve abortion pill access

Biden administration asks Supreme Court to preserve abortion pill access

The Justice Department and Danco Laboratories filed their requests with the high court less than two days after an appeals court ruling in the Texas case.



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Here's what the exchanges look like in 2023Here's what the exchanges look like in 2023Here's what the exchanges look like in 2023

Here's what the exchanges look like in 2023

The number of insurers entering the exchanges grew at its slowest rate in four years, according to a McKinsey & Company report.



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Thursday, April 13, 2023

Express Scripts makes price transparency move amid government scrutinyExpress Scripts makes price transparency move amid government scrutinyExpress Scripts makes price transparency move amid government scrutiny

Express Scripts makes price transparency move amid government scrutiny

Pharmacy benefit managers including Cigna's Express Scripts are injecting price transparency into the supply chain as state and federal authorities take closer looks at PBM business practices.



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Lifespan restructures leadership team, hospital president steps downLifespan restructures leadership team, hospital president steps downLifespan restructures leadership team, hospital president steps down

Lifespan restructures leadership team, hospital president steps down

Lifespan is restructuring its senior leadership team for more accountability and faster decision-making with physician input.



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Biden announces expansion of healthcare access for DACA participantsBiden announces expansion of healthcare access for DACA participantsBiden announces expansion of healthcare access for DACA participants

Biden announces expansion of healthcare access for DACA participants

The action allows participants in the Deferred Action for Childhood Arrivals program, or DACA, to access government-funded health insurance programs.



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Appeals court preserves access to abortion pill but tightens rulesAppeals court preserves access to abortion pill but tightens rulesAppeals court preserves access to abortion pill but tightens rules

Appeals court preserves access to abortion pill but tightens rules

The decision came late Wednesday as the court ruled the FDA's approval of the abortion pill mifepristone can remain in effect.



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Salesforce sets sights on home healthSalesforce sets sights on home healthSalesforce sets sights on home health

Salesforce sets sights on home health

In recent years, Salesforce has increased its investment in developing software for health systems and other provider organizations. 



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Wednesday, April 12, 2023

White House plans HIPAA update to protect abortion recordsWhite House plans HIPAA update to protect abortion recordsWhite House plans HIPAA update to protect abortion records

White House plans HIPAA update to protect abortion records

The proposal comes after a Texas federal judge ruled on Friday to halt the FDA approval of the abortion pill mifepristone.



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Outcome Health guilty verdict draws the line between fraud and faking itOutcome Health guilty verdict draws the line between fraud and faking itOutcome Health guilty verdict draws the line between fraud and faking it

Outcome Health guilty verdict draws the line between fraud and faking it

"The lesson there is don’t cross the line," University of Chicago professor Steven Kaplan said.



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UVA Health pursues statewide expansionUVA Health pursues statewide expansionUVA Health pursues statewide expansion

UVA Health pursues statewide expansion

UVA Health acquired three hospitals in 2021 and recently launched a $300 million biotechnology institute.



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Advocate Aurora's 2022 financial performance take a hit Advocate Aurora's 2022 financial performance take a hit Advocate Aurora's 2022 financial performance take a hit

Advocate Aurora's 2022 financial performance take a hit

In 2022's fourth quarter, Advocate Aurora reported net income of $160.83 million, a nearly 60% drop from a year ago.



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Tuesday, April 11, 2023

UPMC seeks to raise $1.6B for capital projects, debt refundUPMC seeks to raise $1.6B for capital projects, debt refundUPMC seeks to raise $1.6B for capital projects, debt refund

UPMC seeks to raise $1.6B for capital projects, debt refund

The nonprofit system said it will use most of the proceeds for "continuing investments in its facilities and communities."



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EPA proposes limits to carcinogen in medical supply sterilizationEPA proposes limits to carcinogen in medical supply sterilizationEPA proposes limits to carcinogen in medical supply sterilization

EPA proposes limits to carcinogen in medical supply sterilization

The Environmental Protection Agency seeks to reduce workplace and community exposure to ethylene oxide, a chemical linked to cancer that is used to sterilize medical devices, supplies and equipment.



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Outcome Health founders, COO found guilty in federal fraud caseOutcome Health founders, COO found guilty in federal fraud caseOutcome Health founders, COO found guilty in federal fraud case

Outcome Health founders, COO found guilty in federal fraud case

Outcome Health co-founders Rishi Shah and Shradha Agarwal and ex-COO Brad Purdy were convicted of defrauding customers and investors.



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Biden ends COVID national emergency after Congress actsBiden ends COVID national emergency after Congress actsBiden ends COVID national emergency after Congress acts

Biden ends COVID national emergency after Congress acts

The national emergency allowed the government to take sweeping steps to respond to the virus and support the country's economic, health and welfare systems.



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Autism providers look to telehealth to bridge access gapsAutism providers look to telehealth to bridge access gapsAutism providers look to telehealth to bridge access gaps

Autism providers look to telehealth to bridge access gaps

As autism diagnoses rise, providers such as Learn Behavioral and the Center for Social Dynamics use telehealth to reach children from underserved communities.



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Monday, April 10, 2023

CMS proposes 2.8% hospital inpatient reimbursement hikeCMS proposes 2.8% hospital inpatient reimbursement hikeCMS proposes 2.8% hospital inpatient reimbursement hike

CMS proposes 2.8% hospital inpatient reimbursement hike

The fiscal 2024 Medicare inpatient prospective payment system proposed rule from the Centers for Medicare and Medicaid Services also includes new safety and health equity provisions.



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CommonSpirit data breach impacted over 100 facilities, cost millionsCommonSpirit data breach impacted over 100 facilities, cost millionsCommonSpirit data breach impacted over 100 facilities, cost millions

CommonSpirit data breach impacted over 100 facilities, cost millions

The full extent of last year's ransomware attack, which involved more than 600,000 patients, is now known.



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Justice Department appeals Texas abortion pill orderJustice Department appeals Texas abortion pill orderJustice Department appeals Texas abortion pill order

Justice Department appeals Texas abortion pill order

The appeal comes after a Texas federal judge last Friday ordered a hold on the U.S. approval of the abortion medication mifepristone.



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American Medical Association's 1st gay president takes the leadAmerican Medical Association's 1st gay president takes the leadAmerican Medical Association's 1st gay president takes the lead

American Medical Association's 1st gay president takes the lead

At 44, Dr. Jesse Ehrenfeld will be among the AMA's youngest presidents and the first openly gay person to lead the organization when he starts his term.



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No-cost preventive care not likely to disappear, despite court rulingNo-cost preventive care not likely to disappear, despite court rulingNo-cost preventive care not likely to disappear, despite court ruling

No-cost preventive care not likely to disappear, despite court ruling

A federal court ruled that health insurance companies don't have to cover preventive medicine without cost-sharing. They're likely to keep doing it anyway.



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