FTC sues main pharmacy reward managers above insulin prices The agency brought motion from Caremark, Convey Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating procedures “artificially inflated” the checklist price of life-preserving insulin medicine.
UnitedHealth sues CMS more than Medicare Edge star scores A few options owned because of the country's most significant MA payer are the most up-to-date to check with the court docket to enable elevate their precious excellent scores.
Medicaid overtakes Medicare Gain as health insurers’ bogeyman in Q2 Despite challenges in Medicaid and MA, major insurers still posted significant earnings in the 2nd quarter — lots of served by wellbeing expert services divisions.
The manager reported he would not adjust to a subpoena to testify right before a Senate subcommittee next week.
Nationwide nursing labor shortages have hit the infusion industry tricky mainly because infusion therapy can demand a 1-to-1 nurse-to-affected individual ratio and have to be carried out by nurses with specialized training, In keeping with Bourne Companions.
Professionals focus on their predictions for healthcare market traits, such as financial commitment and consolidation in digital overall health, adoption of synthetic intelligence and bettering cybersecurity in healthcare in 2024. Examine the full report ➔ Traits shaping the enterprise of wellbeing insurance in 2024
For making matters even worse, cybersecurity industry experts aren’t easy to locate, stated Tina Wheeler, spouse and U.S. healthcare leader at Deloitte. Some overall health programs have moved to outsource their cybersecurity groups, particularly if they’re smaller and might’t find the money for an expansive staff members.
CVS replaces CEO Karen Lynch with Caremark head The fiscally battling healthcare and pharmacy giant also pulled its earnings advice, citing amplified healthcare Charge pressures in its health Advantages device.
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In Washington, federal regulators might form the phase to the field right after antitrust organizations revised merger suggestions past yr that would chill dealmaking.
As organizations continue to digitize, cybersecurity continues to be an important obstacle, with healthcare knowledge breaches exposing countless 1000s of sufferers’ sensitive individual and health information.
New antitrust merger recommendations might have significant chilling effect on healthcare specials Regulators have historically struggled to produce a circumstance towards intricate and non-common tie-ups. That might transform Using the new tips.
CMS retains accountable treatment organizations harmless for ‘remarkably suspect’ Medicare billing Aberrant billing for urinary catheters previous year might have produced it more durable for ACOs in Medicare to usher in shared savings. That’s no more the case underneath a fresh remaining rule.
J&J drops 340B rebate system following federal government force Threatened with steep sanctions and losing entry to Medicare and Medicaid, Johnson & Johnson is rolling back again a approach to give hospitals right after-the-actuality rebates for drugs inside the 340B drug discounted application.