Plus, MA payments set to decline in 2025

This Week

Feb 3, 2024

Cigna inks deal to sell Medicare business to HCSC for $3.7B


Steward Health Care's dire finances have government leaders worried about shutdowns


Payers up against slight decline in 2025 Medicare Advantage payments 


Moody's: Why Medicare Advantage's profitability may be on the decline 


Microsoft's AI 'copilot' takes off with Epic as UNC Health, Lifespan expand tech to more doctors - Paige Minemyer

 

Featured

Cigna inks deal to sell Medicare business to HCSC for $3.7B

HCSC will acquire Cigna's Medicare Advantage, Part D, supplemental benefits and CareAllies businesses, and the parties expect the deal to close in the first quarter of 2025.
 

Top Stories

Steward Health Care's dire finances have government leaders worried about shutdowns

Millions in unpaid rent and other signs of financial distress have led the for-profit to explore divestitures and other potential strategies in Massachusetts and Texas. Leaders in the former have raised alarms that potential closures could overwhelm other providers.

Payers up against slight decline in 2025 Medicare Advantage payments

Medicare Advantage payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment.

Moody's: Why Medicare Advantage's profitability may be on the decline

Medicare Advantage continues to grow, but there are signs that its profitability is on the decline, according to a new report from Moody's Investors Service.

Microsoft's AI 'copilot' takes off with Epic as UNC Health, Lifespan expand tech to more doctors

“We have been very aggressive over the past 12 to 18 months at UNC Health to seek out any and every opportunity to try to remove or reduce the administrative burden for our provider teams," CIO Brent Lamm said.

CMS seeks input on improving transparency in Medicare Advantage

CMS initiated a request for information period Thursday to receive data on all aspects of the Medicare Advantage program including prior authorizations, value-based care and vertical integration. Here's what you need to know.

Humana's CenterWell charts course for latest expansion

The company will open centers in three new metro areas and will add further locations across eight municipalities, Humana announced on Tuesday.

Cognoa's FDA-approved autism diagnostic tool now in network for Highmark members

Canvas Dx leverages AI to empower doctors to quickly and accurately diagnose developmental risk without bias, the company claims. It is the first FDA-approved autism diagnostic tool.

CMS: Cell and gene therapy model to focus first on sickle cell treatments

CMS gave an update to its Cell and Gene Therapy Access Model announced in February, opting to focus first on sickle cell disease.

Cardinal Health acquiring Specialty Networks to expand tech offerings for independent practices

The $1.2 billion cash deal will give Cardinal Health access to Specialty Networks' PPS Analytics platform, which combines real-world data and AI to deliver actionable insights for specialty practices.
 
Fierce podcasts

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'Podnosis': Catching up with the Fierce 15 of 2019

This week on “Podnosis,” we rewind to January 2019 when Fierce Healthcare unveiled its inaugural Fierce 15, spotlighting 15 private companies engaged in pioneering work and making waves in healthcare innovation. In this episode, we reconnect with leaders from two of those companies: Cityblock Health and Civica Rx. 
 

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