Plus, HHS details latest inflation-capped Part B drugs

This Week

Mar 30, 2024

Change Healthcare to start processing $14B claims backlog as it restores clearinghouse platforms


Diabetes management tools not worth the cost, study finds. But digital health companies push back on 'flawed' analysis


HHS releases newest list of inflation-capped Part B drugs


Optum to buy struggling Steward Health Care's physician group under proposed deal


Contract negotiations between Providence, Blue Shield of California go publicly south - Paige Minemyer

 

Featured

Change Healthcare to start processing $14B claims backlog as it restores clearinghouse platforms

UnitedHealth Group said on Friday that it plans to restore its largest clearinghouse, called Relay Exchange, over the weekend and will begin processing $14 billion in medical claims.
 

Top Stories

Diabetes management tools not worth the cost, study finds. But digital health companies push back on 'flawed' analysis

The Peterson Health Technology Institute's analysis assessed whether digital diabetes solutions improve users' health outcomes over "usual care." "The digital health industry is maturing and as it matures, it's very important that we raise the bar on expectations and evidence," Caroline Pearson, executive director of the PHTI.

HHS releases newest list of inflation-capped Part B drugs

Now a quarterly tradition, HHS revealed its latest list of 41 drugs to be capped by inflation.

Optum to buy struggling Steward Health Care's physician group under proposed deal

The proposed deal is under review from Massachusetts' healthcare regulator, but has already drawn antitrust concerns from federal lawmakers who pointed to Optum's major share of the physician staffing market.

Contract negotiations between Providence, Blue Shield of California go publicly south

Providence has launched the first public salvo in a spat with Blue Shield of California over ongoing contract negotiations.

How Amazon Pharmacy is using AI to deliver medications faster as it expands same-day delivery

Amazon Pharmacy expanded its same-day medication delivery service to New York City and Los Angeles, with plans to add a dozen more U.S. cities by the end of the year, the company announced Tuesday.

CBO weighs in on PBM reform, AI in healthcare

The Congressional Budget Office addressed a series of questions from lawmakers on health policy priorities ranging from pharmacy benefit management to Medicare spending.

Industry Voices—Healthcare is changing. Hospital staffing must, too

Nurses have been pushed to the limit. Their dedication and resolve is tested every day against the stark reality of an overburdened system. It’s a persistent and pervasive crisis, and the healthcare system has so far failed to adequately address it.

Providers 'wasted' $10.6B in 2022 overturning claims denials, survey finds

Providers spent nearly $20 billion in 2022 pursuing delays and denials across all payer types, yet those efforts are substantially more costly on average when dealing with private plans, hundreds of hospitals and health systems told Premier in a recent survey.

Walgreens narrows profit outlook for 2024, takes $6B hit in Q2 from VillageMD investment

Walgreens lost nearly $6 billion in its fiscal 2024 second quarter to write down the value of its investment in primary care clinic chain VillageMD.
 
Fierce podcasts

Don’t miss an episode

SXSW Insights: The future of AI in healthcare

This week on “Podnosis,” we explore the pressing questions surrounding AI’s role in healthcare. From clinician trust to algorithm accuracy and patient privacy, there’s significant uncertainty about AI’s potential and impact in the healthcare sector, a topic that garnered considerable attention at this year’s South by Southwest conference.
 

Resources

Whitepaper

Future-Ready Your Workforce Strategy

To navigate the complex workforce crisis, while maintaining a focus on improving patient experience, hospitals need flexible workforce solutions and technology to prepare their workforce for the future.
 

Upcoming Fierce Events