Specialty health systems pursue mergers partnershipsSpecialty health systems pursue mergers partnershipsSpecialty health systems pursue mergers partnerships

Specialty health systems pursue mergers, partnerships

Facilities such as City of Hope, Phoenix Children’s Hospital and UVA Health are acquiring or building hospitals within their respective states and beyond.

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Insurance companies on the hook for record risk-adjustment paymentInsurance companies on the hook for record risk-adjustment paymentInsurance companies on the hook for record risk-adjustment payment

Insurance companies on the hook for record risk-adjustment payment

Among for-profit carriers, Bright Health owes the largest risk-adjustment sum of $1.9 billion and Centene is poised to recoup the biggest amount at $782.2 million. 

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HCA Healthcare reports data breach possibly affecting 11M patientsHCA Healthcare reports data breach possibly affecting 11M patientsHCA Healthcare reports data breach possibly affecting 11M patients

HCA Healthcare reports data breach possibly affecting 11M patients

The Nashville, Tennessee-based health system said exposed information includes patient names, locations, contact information and birth dates.

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What happens when a health insurance company failsWhat happens when a health insurance company failsWhat happens when a health insurance company fails

What happens when a health insurance company fails

Friday Health Plans and Bright Health Group have flopped as health insurance companies. Their troubles are causing ripple effects throughout the healthcare system.

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Federal agencies seek answers on medical payment productsFederal agencies seek answers on medical payment productsFederal agencies seek answers on medical payment products

Federal agencies seek answers on medical payment products

The inquiry will focus on how medical credit cards impact patients’ finances and why providers promote them.

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Hospitals to receive $9 billion under proposed 340B remedyHospitals to receive $9 billion under proposed 340B remedyHospitals to receive $9 billion under proposed 340B remedy

Hospitals to receive $9 billion under proposed 340B remedy

Some 1,600 affected 340B-covered hospitals would receive the $9 billion payment that looks to offset the 340B reimbursement reductions the Supreme Court deemed unlawful. 

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Judge dismisses lawsuit over Teladoc-Livongo mergerJudge dismisses lawsuit over Teladoc-Livongo mergerJudge dismisses lawsuit over Teladoc-Livongo merger

Judge dismisses lawsuit over Teladoc-Livongo merger

Judge Denise Cote ruled that many of the statements made by Teladoc executives were general expressions of optimism, rather than intentionally misleading.

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HHS proposes restoring limits on short-term health insuranceHHS proposes restoring limits on short-term health insuranceHHS proposes restoring limits on short-term health insurance

HHS proposes restoring limits on short-term health insurance

The Biden administration aims to roll back Trump-era regulations allowing consumers to enroll in short-term, limited-duration health plans for up to 364 days.

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Biden launches a new push to limit healthcare costsBiden launches a new push to limit healthcare costsBiden launches a new push to limit healthcare costs

Biden launches a new push to limit healthcare costs

Gearing up for his 2024 reelection campaign as inflation remains a dominant concern for voters, President Joe Biden has emphasized his policies to help families manage their expenses.

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Oracle Health's chairman on Cerner layoffs the renegotiated VA dealOracle Health's chairman on Cerner layoffs the renegotiated VA dealOracle Health's chairman on Cerner layoffs the renegotiated VA deal

Oracle Health's chairman on Cerner layoffs, the renegotiated VA deal

Dr. David Feinberg said he appreciates that Oracle has a certain impatience with how fast things can get fixed.

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ATI Physical Therapy could lose NYSE listing as stock price tanksATI Physical Therapy could lose NYSE listing as stock price tanksATI Physical Therapy could lose NYSE listing as stock price tanks

ATI Physical Therapy could lose NYSE listing as stock price tanks

ATI Physical Therapy went public in a SPAC deal in June 2021.

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Home health association sues CMS HHS over proposed payment cutsHome health association sues CMS HHS over proposed payment cutsHome health association sues CMS HHS over proposed payment cuts

Home health association sues CMS, HHS over proposed payment cuts

The National Association for Home Care and Hospice is challenging a proposal to reduce provider payments by $375 million in 2024.

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Medicare Advantage quality bonus program needs reform: Urban InstituteMedicare Advantage quality bonus program needs reform: Urban InstituteMedicare Advantage quality bonus program needs reform: Urban Institute

Medicare Advantage quality bonus program needs reform: Urban Institute

MedPAC and other industry stakeholders have urged CMS to reform its quality bonus program. 

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Abeona Therapeutics to launch gene therapy with $25M in fundraisingAbeona Therapeutics to launch gene therapy with $25M in fundraisingAbeona Therapeutics to launch gene therapy with $25M in fundraising

Abeona Therapeutics to launch gene therapy with $25M in fundraising

The clinical-stage biopharmaceutical firm based in Cleveland said it raised the fund from 'select existing investors' to commercialize its EB-101 cell therapy.

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Maternal deaths in US more than doubled over 2 decades: studyMaternal deaths in US more than doubled over 2 decades: studyMaternal deaths in US more than doubled over 2 decades: study

Maternal deaths in US more than doubled over 2 decades: study

Researchers looked at maternal deaths between 1999 and 2019 — but not the pandemic spike — for every state and five racial and ethnic groups.

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Q&A: Elevance food as medicine director on nutrition's role in healthQ&A: Elevance food as medicine director on nutrition's role in healthQ&A: Elevance food as medicine director on nutrition's role in health

Q&A: Elevance food as medicine director on nutrition's role in health

Elevance Health’s first food as medicine director discusses the insurance company’s goal to address chronic disease through the new position.

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How often do health insurers deny claims? No one knowsHow often do health insurers deny claims? No one knowsHow often do health insurers deny claims? No one knows

How often do health insurers deny claims? No one knows

Insurers’ denial rates — a critical measure of how reliably they pay for customers’ care — remain mostly secret to the public.

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Best Buy Health president shares growth plansBest Buy Health president shares growth plansBest Buy Health president shares growth plans

Best Buy Health president shares growth plans

Best Buy Health President Deborah Di Sanzo discusses why the company sees big opportunities in enabling care delivery. 

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Headspace Health lays off 181 employees Headspace Health lays off 181 employees Headspace Health lays off 181 employees

Headspace Health lays off 181 employees

This is the mental health company’s second round of layoffs in the past year. 

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CMS proposes 2.2% Medicare pay cut for home health providersCMS proposes 2.2% Medicare pay cut for home health providersCMS proposes 2.2% Medicare pay cut for home health providers

CMS proposes 2.2% Medicare pay cut for home health providers

Home health industry groups blasted the proposed Medicare payment rule, contending that a flawed methodology would cause financial struggles and curtail access to care.

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