| 01.27.24 | Humana posts a disastrous Q4; Intermountain may shutter physician group

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Weekly Digest

Webinar: Navigating the Pharma Data Revolution: From Cloud Advantages to RWE Insights

Monday, February 5, 2024 | 10am ET / 7am PT

Join our exclusive webinar to delve into the current challenges and opportunities we have when it comes to real-world evidence (RWE), and strategies for accelerating access in the ever-evolving landscape of healthcare. Don't miss this opportunity to gain insights from industry experts, register now.

This Week

Jan 27, 2024

Humana CEO: Spike in MA utilization could lead entire industry to reprice plans for 2025

Intermountain-owned physician group to close if no buyer is found by March 29

Epic launches new 'Showroom' website for 3rd-party apps, services

Employers are facing solution fatigue. UnitedHealthcare is launching a new resource hub to help

This startup is building a new model for primary and specialty care in Austin, Texas. It just secured $95.5M to fuel its growth - Paige Minemyer

Webinar: 13 RPM/CCM Mistakes We Made (And You Can Avoid)

Monday, February 19, 2024 | 2pm ET / 11am PT

With new CMS reimbursements and demonstrated clinical efficacy, more and more practices, clinics, and hospitals are implementing RPM and CCM programs. However, given multiple competing priorities, these programs are not always easy to execute. In this entertaining webinar, a retired Navy admiral (and CEO of a telehealth company) recounts the 13 biggest mistakes he and his clients made as they implemented CCM and RPM programs. Hopefully, you can learn from their mistakes! Register now.

Featured

Humana CEO: Spike in MA utilization could lead entire industry to reprice plans for 2025

By Paige Minemyer

Humana primed the pump last week for a disappointing fourth-quarter call, and its stock again dropped Thursday morning as the company posted a $541 million loss.

Intermountain-owned physician group to close if no buyer is found by March 29

By Dave Muoio

Saltzer Health has more than 450 employees across 11 Idaho locations. It attributes its situation to "significant financial pressures," but said it is "optimistic" that at least some services could be sold to a new owner.

Epic launches new 'Showroom' website for 3rd-party apps, services

By Heather Landi

As part of an initiative teased last summer, Epic officially launched this week new third-party vendor programs to connect health tech companies with health systems and providers.

Employers are facing solution fatigue. UnitedHealthcare is launching a new resource hub to help

By Paige Minemyer

UnitedHealthcare is rolling out a new resource hub that seeks to make it easier for members to use wellness offerings while also easing the financial burden on employers.

Whitepaper: Navigating Health Systems' Financial Challenges: A Comprehensive Strategy for Substainable Growth

Revolutionize healthcare with our playbook! Tackle rising costs, meet new patient demands, and navigate the post-pandemic landscape with strategic insights. Download now for key takeaways on cost reduction, overcoming challenges, and unlocking AI's revolutionary potential.

This startup is building a new model for primary and specialty care in Austin, Texas. It just secured $95.5M to fuel its growth

By Heather Landi

Harbor Health launched in 2022 to bring a new care model to the Central Texas market that integrates primary and specialty care services. The company has larger ambitions to build a vertically integrated "pay-vider" business and secured a hefty funding round to fuel its growth.

Centene taps veteran insurance exec to lead Wellcare unit

By Paige Minemyer

Michael Carson will step into the role of president and CEO of Wellcare, reporting to Ken Fasola, president of Centene.

Despite pockets of higher utilization in Q4, Elevance Health execs say trends aligned with expectations

By Paige Minemyer

Elevance Health beat the Street on both earnings and revenue for the fourth quarter of 2023, reporting $856 million in profit.

Price transparency startup Turquoise Health picks up $30M series B funding

By Heather Landi

Price transparency data startup Turquoise Health clinched $30 million in fresh funding to build out its capabilities. The company is building an AI-based platform to support payer and provider contract management, consumer transparency compliance and advanced platform-based analytics.

Elevance Health wants to use AI to simplify and personalize healthcare. Here's how the insurance giant is doing it

By Heather Landi

The health insurance giant, which serves 117 million people, sees opportunities to leverage generative AI and other technologies to make healthcare easier to navigate, chief AI officer Shawn Wang said during an interview at CES 2024.

Instacart taps DispatchHealth to expand its reach to home care providers

By Heather Landi

The company will work with in-home care provider DispatchHealth to enable providers to prescribe food interventions, much like traditional medications, right to patients' homes.

Fierce podcasts

Don’t miss an episode

'Podnosis': Improving the diversity of voice tech

A growing number of companies are introducing diverse voices to their virtual assistants or speech synthesis systems: Apple’s Siri, Amazon’s Polly, Meta’s Voicebox. But what about diversity of voices in healthcare, where the stakes are higher?

'Podnosis': Navigating the AI hype in healthcare

'Podnosis': Breaking down barriers with adaptive recreation

Whitepaper: Improve the healthcare experience with a consumer-centric, holistic approach

Healthcare payers and providers recognize the urgency to enhance consumer experience (CX). Over 60% of consumers anticipate online features for scheduling appointments, accessing medical records, and refilling prescriptions. Download now to explore the advantages of a holistic approach to CX improvement and effective digital transformation tactics.

Resources

Webinar

From M&A to Cultural Transformation: How Healthcare Firms Can Drive Growth From Within

The healthcare sector faces a challenging situation, having relied on a history of mergers and acquisitions to fill portfolio gaps, fuel innovation and drive growth. But is this strategy fit for the future?