Plus, Doximity rolls out ChatGPT-like tool but for doctors

This Week

Feb 18, 2023

CMS, insurers clash over whether Medicare Advantage is going to be cut in proposed rule


Doximity rolls out beta version of ChatGPT tool for docs aiming to streamline administrative paperwork


Kaiser Permanente posts $4.5B net loss in 2022, driven by rising costs, investment losses - Robert King

 

Featured

CMS, insurers clash over whether Medicare Advantage is going to be cut in proposed rule

Health insurers and CMS are clashing over whether a proposed 2024 Medicare Advantage payment rule will actually wind up cutting payments to plans.
 

Top Stories

Doximity rolls out beta version of ChatGPT tool for docs aiming to streamline administrative paperwork

The internet is buzzing with news about ChatGPT, an artificial intelligence large language model developed by OpenAI, and its potential uses in medical practice and education. Doximity rolled out a beta version of a ChatGPT tool for doctors that helps streamline some of their time-consuming administrative tasks.

Kaiser Permanente posts $4.5B net loss in 2022, driven by rising costs, investment losses

The increase in operating expenses was driven by higher care volumes, higher costs of goods and services and increasing labor costs “due to a highly competitive labor market,” per an announcement.

Better Medicare Alliance launches bid to get rid of potential Medicare Advantage pay cut

A new analysis from the advocacy group Better Medicare Alliance contends that a proposed payment rule will slash Medicare Advantage rebates by 29% and lead to higher premiums.

Cigna launches rebrand as it continues to build out portfolio

As it continues to build out its portfolio of businesses, Cigna is updating the branding for its subsidiaries.

Providers want more from CMS on prior authorization reform after proposed changes

Provider groups say CMS needs to go further to reform prior authorization, pressing for the agency to adopt standards for gold carding and to eliminate step therapy.

Which payer raked in the most cash last year? The answer likely won't surprise you

UnitedHealth Group dominated its competitors in 2022, bringing in more than double the amount of profit compared to other major national payers.

Do masks really protect against COVID-19? Meta-analysis authors want to see more evidence

A new meta-analysis finds that wearing masks during the COVID-19 pandemic—even N95 masks—may not have afforded individuals any more protection against the virus.

CMMI releases three new models aimed at lower generic, novel drug costs

CMMI released three new payment models intended to lower drug costs, including a new model aimed at capping certain costs for generics at $2 a month.

20-hospital joint venture Centura Health blunts breakup news with an M&A expansion into Utah

The 27-year-old joint venture "has reached its natural maturity" and will be split between AdventHealth and CommonSpirit Health, though the latter's portion will also be acquiring five Utah hospitals from Steward Health Care, according to announcements this week.
 
Fierce podcasts

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'Podnosis': What can be done about errors in health records, and the postpandemic telepsychiatry sector

In this week's episode of "Podnosis," we talk about what can be done to reduce errors in health records. We also discuss what telemedicine companies—in particular telepsychiatry firms—will face with the looming end of the public health emergency.
 

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Learn how interoperability and digital transformation can create new opportunities for health plans far beyond regulatory requirements.
 

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