The smart Trick of Healthcare News That Nobody is Discussing
The smart Trick of Healthcare News That Nobody is Discussing
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Novo CEO pressed by Senate to cut charges of being overweight, diabetes medicines CEO Lars Fruergaard Jørgensen instructed lawmakers the company would contemplate new talks with insurers with regard to the record costs of Wegovy and copyright whenever they pledge to help keep the medicines on their formularies.
Previously this summer time, the agency held lengthy negotiations with Steward in excess of the way to allocate proceeds from income involving medical center functions and housing.
Lawmakers heard testimony past year about algorithms utilized by insurers to predict exactly how much care people may have to have, which advocates argued generate protection denials and push individuals to self-pay or take care of an appeals approach. Humana, Cigna and UnitedHealth were being sued final year in excess of their utilization of algorithms to process statements.
Leaders and executives will have an opportunity to network and become on the forefront of the evolving marketplace in 2025 at a number of the largest healthcare conferences.
Payer/service provider associations As M&A intensifies and companies embrace far more holistic and worth-centered treatment versions, partnerships became far more closely intertwined.
CMS to enhance oversight on Trade brokers The company has noted a expanding quantity of complaints about ACA well being strategy apps submitted by brokers.
Healthcare Dive caught up with sector specialists to share get more info the very best healthcare developments of 2024. Browse extra underneath:
Blue Cross Blue Defend to pay $two.8B to settle class motion supplier antitrust circumstance It is really the biggest antitrust settlement to date within the healthcare business, In accordance with legislation organization Whatley Kallas, which represented the plaintiffs.
“I am now dealing with associates of the assistance Committee to ascertain the top route ahead,” Sanders wrote. “But allow me to be crystal clear: We won't acknowledge this postponement. Congress will hold Dr.
Buzz concerning the likely for AI in healthcare attained a fever pitch in 2023, specifically for generative AI technologies, which can make new material like textual content or visuals.
As corporations continue on to digitize, cybersecurity stays a big challenge, with healthcare info breaches exposing hundreds of 1000s of people’ sensitive personalized and health info.
Medicare Benefit unrest, Transform Healthcare fallout plus much more large takeaways from insurers’ Q1 All main payers saw elevated utilization but only an unprepared several struggled While using the development, the Improve Healthcare cyberattack induced minimum economic fallout along with a new D-SNP rule opens the door to a Medicare growth option.
CVS Wellbeing is discontinuing sure infusion companies presented by way of its Coram enterprise as well as programs to shut or market 29 pharmacies in the approaching months, a spokesperson verified to Healthcare Dive.
Blue Defend of California is promising a less complicated, much less expensive pharmacy Gains model. Can it deliver? Large queries dangle about the California health insurance provider's bold experiment — having 5 vendors carry out PBM functions previously performed by a single — that might threaten BSCA's predicted personal savings.