Plus, 4 takeaways from AHIP 2024

This Week

Jun 22, 2024

The top 10 nonprofit health systems by 2023 operating revenue


Kaiser Permanente's Risant Health signs deal to acquire Cone Health


Amazon Pharmacy expands RxPass subscription service to Medicare patients


Value-based care, GLP-1s: 4 takeaways from AHIP 2024


California employee retirement system flips to Blue Shield of CA for PPO coverage


Mark Cuban's D2C pharmacy won't beat most insured patients' out of pocket drug prices, one study finds - Paige Minemyer

 

Featured

The top 10 nonprofit health systems by 2023 operating revenue

Revenue growth was back on track in fiscal 2023, yet persistent expense pressure and checked reimbursement rates held several of the largest nonprofit health systems' operations in the red.
 

Top Stories

Kaiser Permanente's Risant Health signs deal to acquire Cone Health

The definitive agreement to purchase the $2.8 billion North Carolina nonprofit comes shortly after the value-based care subsidiary completed its deal for Geisinger Health. Terms and a timeline were not disclosed.

Amazon Pharmacy expands RxPass subscription service to Medicare patients

The RxPass program, launched in January 2023, provides unlimited access to 60 eligible generic medications and will ship the medications to customers' homes for a flat monthly fee of $5.

Value-based care, GLP-1s: 4 takeaways from AHIP 2024

LAS VEGAS—Last week, leaders across the health insurance industry descended on Sin City to dig deep into the biggest issues facing payers.

California employee retirement system flips to Blue Shield of CA for PPO coverage

One of the nation's largest buyers for employee health benefits picked Blue Shield of California and Included Health to help bring down insurance costs.

Mark Cuban's D2C pharmacy won't beat most insured patients' out of pocket drug prices, one study finds

Only about 12% of generic prescription fills bring higher costs than the billionaire-backed pharmacy, with median savings among these landing at about $5. Uninsured consumers find the greatest savings, while Medicaid patients see none at all.

Novant Health gives up $320M hospital deal after FTC secures appeals court injunction

"With the FTC’s continued roadblocks we do not see a way to finalize this transaction," a spokesperson for the nonprofit system said Tuesday.

CMS confirms Medicare Advantage quality ratings to get new calculations

CMS is recalculating MA quality ratings after a string of unsuccessful court decisions, a sign the feds are raising the white flag against unhappy insurers.

Color Health taps OpenAI to generate screening plans for cancer patients

Color developed a new copilot app that leverages GPT-4o to identify missing diagnostics and create tailored workup plans for patients.

As nursing visas again hit their annual limit, industry groups call for Congress to step in

"This latest visa freeze halts the flow of qualified international nurses when American hospitals need them most, and the only way to correct it is through congressional action," said American Association of International Healthcare President Patty Jeffrey.

Lawmakers press CMMI's Fowler on lack of cost savings for alternative payment models

CMS' Innovation Center was projected to save nearly $80 billion in U.S. healthcare spending in two decades when it was established in 2010, but it has instead increased costs by more than $5 billion. Lawmakers demanded answers from CMMI Deputy Administrator Elizabeth Fowler in a hearing.
 
Fierce podcasts

Don’t miss an episode

Cybersecurity lessons from the Change Healthcare hack

In this week’s episode of “Podnosis”, Senior Writer Paige Minemyer sits down with Clearwater CEO Steve Cagle to explore the lessons healthcare organizations can learn from the Change Healthcare cyberattack and what it reveals about the industry’s current state of security readiness.  
 

Resources

Whitepaper

The Health Equity Index: How Health Plans Can Get Ahead

Medicare Advantage plans: learn how to leverage data, personalize social risk factor screenings, and collaborate for better health outcomes in our white paper, The Health Equity Index: How Plans Can Get Ahead of the Curve.

Whitepaper

Framework of Observation Care in Admission Decisions

Learn about the utilization patterns of Observation Care as well as the stability of Obs vs. Inpatient admission rates.
Whitepaper

Component Solutions for Implantable Medical Devices

Discover how Murata's small electrical components are revolutionizing implantable medical devices for enhanced reliability and performance.
Whitepaper

The Current State of Healthcare Interoperability

Why rely on a fax machine to safeguard a patient's personal information when you wouldn't transmit your bank details that way? Discover advancements in healthcare interoperability and how to embrace innovative technology to accelerate and enhance patient care.
 
 

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