California, Oregon eye common wellness protection The states' proposals, which resemble Medicare for All, want approval from the federal authorities and deal with pushback from major well being programs and insurers.
Investment in digital wellness firms attained decades-very low ranges very last year soon after starting to decrease in mid-2022. Bigger curiosity rates constrained undertaking money’s capacity to raise money, and lessen valuations along with a frozen IPO current market further lowered offered dollars for startups. Nevertheless the decline isn’t an entire collapse to the business. Rather, it displays a normalization once the investment explosion in 2021, gurus reported.
Medicaid overtakes Medicare Edge as health and fitness insurers’ bogeyman in Q2 Irrespective of problems in Medicaid and MA, significant insurers however posted big earnings in the 2nd quarter — numerous assisted by health and fitness products and services divisions.
Epic strike with antitrust lawsuit by data startup Particle Well being Particle alleges Digital well being document vendor Epic utilised its posture like a “monopolist” to stop Level of competition while in the payer current market.
Vendors say statements denials are expanding: survey Approximately three in 4 vendors surveyed by Experian Wellness reported the amount of promises denied by payers shot up in between 2022 and 2024.
The payer advocacy team’s flagship party attributes leaders from main insurers along with instructional classes, networking and exhibit hall time. The annual function makes it possible for attendees Healthcare News to have interaction with leaders at health and fitness insurance coverage supplier firms together with other industry experts from outside the business.
A Cigna-Humana merger could confront a protracted regulatory delay. But it would get authorised. As rumors swirl the two big well being insurers are inching towards a merger, authorities say antitrust businesses have grounds to block a deal — but is probably not successful.
That’s simply because Apollo World-wide Administration walked absent with approximately all the value. The personal equity and asset administration agency netted somewhere around $325 million within the transactions, according to asset buy agreements.
The danger calculus may have by now modified for companies, because they face fines and damages from lawsuits soon after info breaches, she noted.
Two-thirds of healthcare organizations strike by ransomware in earlier yr: survey Virtually 40% of healthcare businesses reported it took in excess of a month to Recuperate immediately after an attack, As outlined by a study by cybersecurity agency Sophos.
Will not miss tomorrow's healthcare marketplace news Allow Healthcare Dive's no cost newsletter preserve you educated, straight out of your inbox.
Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use problem A bipartisan group of two dozen representatives pushed officials to maintain the pandemic-era prescribing improvements for buprenorphine, arguing telehealth raises obtain and helps prevent overdoses.
Humana sues HHS over calamitous Medicare Advantage star ratings lower It’s the newest inside of a string of lawsuits from well being insurers scrambling to guard their prized good quality scores and The cash Those people ratings signify.
States’ various methods complicate hard work to find out affect of Medicaid redeterminations An incredible number of folks have been disenrolled from Medicaid, however it’s also early to acquire a entire photograph of redeterminations’ impact on susceptible Us citizens, industry experts say.