Friday, June 16, 2023

Cano Health CEO steps down a day after shareholder meeting Cano Health CEO steps down a day after shareholder meeting Cano Health CEO steps down a day after shareholder meeting

Cano Health CEO steps down a day after shareholder meeting

Cano’s chief operating officer Mark Kent will step in as interim CEO as the company’s board searches for a permanent successor.



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Medicare Advantage utilization spike hits Humana UnitedHealthMedicare Advantage utilization spike hits Humana UnitedHealthMedicare Advantage utilization spike hits Humana UnitedHealth

Medicare Advantage utilization spike hits Humana, UnitedHealth

Humana and UnitedHealth Group priced for higher-than-anticipated Medicare Advantage utilization in the bids they submitted to the Centers for Medicaid and Medicaid Services for 2024. 



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Feds seek to seize $55M from Outcome Health founderFeds seek to seize $55M from Outcome Health founderFeds seek to seize $55M from Outcome Health founder

Feds seek to seize $55M from Outcome Health founder

Prosecutors are going after Outcome Health founder Rishi Shah following his fraud conviction as they now seek the money Shah pocketed from investors and lenders.



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IU Health advances plan to build 44-acre campus in IndianapolisIU Health advances plan to build 44-acre campus in IndianapolisIU Health advances plan to build 44-acre campus in Indianapolis

IU Health advances plan to build 44-acre campus in Indianapolis

The project, which received final board approval in December, will consolidate adult services at IU Health Methodist and IU Health University into one site.



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Thursday, June 15, 2023

Ex-Cano Health directors fail to shake up board at shareholder meetingEx-Cano Health directors fail to shake up board at shareholder meetingEx-Cano Health directors fail to shake up board at shareholder meeting

Ex-Cano Health directors fail to shake up board at shareholder meeting

The reelection of Dr. Alan Muney and Kim Rivera thwarts the plan of three former Cano Health directors who seek changes at the company. 



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Inside AdventHealth CEO Terry Shaw's big expansion plansInside AdventHealth CEO Terry Shaw's big expansion plansInside AdventHealth CEO Terry Shaw's big expansion plans

Inside AdventHealth CEO Terry Shaw's big expansion plans

During Shaw’s six-and-a-half-year tenure as CEO, AdventHealth has grown into a $16 billion organization operating 51 hospital campuses and hundreds of care sites.



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Aveanna Healthcare announces exit of CFOAveanna Healthcare announces exit of CFOAveanna Healthcare announces exit of CFO

Aveanna Healthcare announces exit of CFO

The Atlanta-based home healthcare provider has struggled financially over the past several quarters due increased labor costs and headwinds from the COVID-19 pandemic.



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Providers insurers and pharma play blame game on Wegovy shortageProviders insurers and pharma play blame game on Wegovy shortageProviders insurers and pharma play blame game on Wegovy shortage

Providers, insurers and pharma play blame game on Wegovy shortage

Shortages of the weight loss drug Wegovy are expected to persist through September.



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Wednesday, June 14, 2023

New Senate bill targets PBM fees rebates under Medicare Part DNew Senate bill targets PBM fees rebates under Medicare Part DNew Senate bill targets PBM fees rebates under Medicare Part D

New Senate bill targets PBM fees, rebates under Medicare Part D

The Senate Finance Committee is poised to consider bipartisan legislation that challenges key aspects of how pharmacy benefit managers operate.



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U.S. health spending projected to exceed $7T in 2031U.S. health spending projected to exceed $7T in 2031U.S. health spending projected to exceed $7T in 2031

U.S. health spending projected to exceed $7T in 2031

National health expenditures will increase an average of 5.4% each year from 2022 to 2031, according to the latest projections from the Centers for Medicare and Medicaid Services' Office of the Actuary.



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5 takeaways from Modern Healthcare's ESG summit5 takeaways from Modern Healthcare's ESG summit5 takeaways from Modern Healthcare's ESG summit

5 takeaways from Modern Healthcare's ESG summit

Health system executives at Modern Healthcare’s ESG: The Implementation Imperative Summit addressed strategies to reduce carbon emissions and vetting suppliers based on their carbon footprints. 



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Tuesday, June 13, 2023

CMS reiterates call to action on Medicaid terminationsCMS reiterates call to action on Medicaid terminationsCMS reiterates call to action on Medicaid terminations

CMS reiterates call to action on Medicaid terminations

The Centers for Medicare and Medicaid Services is urging states to take advantage of federal regulatory flexibilities to ease Medicaid redeterminations and avoid mass disenrollments.



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Hedge fund investor calls for sale of home health provider Enhabit Hedge fund investor calls for sale of home health provider Enhabit Hedge fund investor calls for sale of home health provider Enhabit

Hedge fund investor calls for sale of home health provider Enhabit

Arex Capital Management called Enhabit's poor share price "primarily self-inflicted."



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'Obamacare' to still cover prevention for HIV, other illnesses amid court battle'Obamacare' to still cover prevention for HIV, other illnesses amid court battle'Obamacare' to still cover prevention for HIV, other illnesses amid court battle

'Obamacare' to still cover prevention for HIV, other illnesses amid court battle

The pact approved by the 5th U.S. Circuit Court of Appeals preserves — at least for now — cost-free preventive care coverage for millions of Americans.



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AMA delegates call for more oversight of A.I. AMA delegates call for more oversight of A.I. AMA delegates call for more oversight of A.I.

AMA delegates call for more oversight of A.I.

The AMA previously established three policies on A.I., supporting how it can advance patient care, but also acknowledging the need for increased supervision.



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Digital therapeutics industry looks to move past Pear's bankruptcyDigital therapeutics industry looks to move past Pear's bankruptcyDigital therapeutics industry looks to move past Pear's bankruptcy

Digital therapeutics industry looks to move past Pear's bankruptcy

As the digital therapeutics industry deals with a lack of reimbursement pathways, companies like Akili Interactive are taking alternate approaches to growth.



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How insurers fared during the first quarterHow insurers fared during the first quarterHow insurers fared during the first quarter

How insurers fared during the first quarter

UnitedHealth Group was the most profitable insurer and Bright Health Group was the least. Here's how publicly traded insurers fared during 2023's first quarter.



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Monday, June 12, 2023

HHS expands Medicaid redetermination flexibilities amid coverage loss concernsHHS expands Medicaid redetermination flexibilities amid coverage loss concernsHHS expands Medicaid redetermination flexibilities amid coverage loss concerns

HHS expands Medicaid redetermination flexibilities amid coverage loss concerns

HHS Secretary Xavier Becerra called on governors to make use of the new flexibilities to assist in Medicaid redeterminations and avoid more procedural disenrollments. 



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New ad campaign hopes to aid Michigan's healthcare worker shortage New ad campaign hopes to aid Michigan's healthcare worker shortage New ad campaign hopes to aid Michigan's healthcare worker shortage

New ad campaign hopes to aid Michigan's healthcare worker shortage

An ad campaign encouraging people to consider healthcare as a career path looks to make a dent in the industry's acute worker shortage. 



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North Carolina governor signs bill permitting Blue Cross to restructureNorth Carolina governor signs bill permitting Blue Cross to restructureNorth Carolina governor signs bill permitting Blue Cross to restructure

North Carolina governor signs bill permitting Blue Cross to restructure

The new law permits Blue Cross and Blue Shield of North Carolina to transfer assets into a parent holding company.



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HHS launches loan repayment program for pediatrician recruitment, retentionHHS launches loan repayment program for pediatrician recruitment, retentionHHS launches loan repayment program for pediatrician recruitment, retention

HHS launches loan repayment program for pediatrician recruitment, retention

In exchange for working three years in a health professional shortage area, eligible pediatric clinicians can earn up to $100,000 to pay off their student loans. 



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CEOs share plans for boosting permanent workforce, expanding careCEOs share plans for boosting permanent workforce, expanding careCEOs share plans for boosting permanent workforce, expanding care

CEOs share plans for boosting permanent workforce, expanding care

Leaders from Virginia Mason Franciscan Health, Essentia Health and MetroHealth discuss their strategies to address staffing shortages and reach more patients.



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