Plus, HCA hit with 4 lawsuits over data breach

This Week

Jul 22, 2023

CMS urges states to abide by Medicaid renewal requirements


UnitedHealth taps company veteran to lead growing Optum Health arm


HCA Healthcare hit with at least 4 class-action lawsuits days after disclosing massive data breach


Medicare Advantage overpayments continue to balloon. Here are ways policymakers could address the problem


Coalition of 12 Kaiser Permanente unions to picket 50 facilities amid contract negotiations - Paige Minemyer

 

Featured

CMS urges states to abide by Medicaid renewal requirements

As people continue to lose Medicaid coverage, oftentimes because of procedural reasons, CMS is pushing to have people reenroll or transition to other types of coverage.
11-14
Sep
Philadelphia, PA
 

Top Stories

UnitedHealth taps company veteran to lead growing Optum Health arm

Outgoing CEO Wyatt Decker, M.D., will shift to a newly-created role as chief physician at UnitedHealth Group.

HCA Healthcare hit with at least 4 class-action lawsuits days after disclosing massive data breach

The for-profit giant “knew or should have known” that the private information it collects is “highly sought after by criminal parties,” plaintiffs wrote in one complaint.

Medicare Advantage overpayments continue to balloon. Here are ways policymakers could address the problem

While insurers would likely fight massive changes to the program, experts say less drastic updates could still go a long way toward lowering overpayments.

Coalition of 12 Kaiser Permanente unions to picket 50 facilities amid contract negotiations

The demonstrations will involve "tens of thousands" of union participants seeking increased staffing commitments in their next labor contract.

Teladoc doubles down on Microsoft partnership to bring AI, voice tech into telehealth visits

Teladoc is ramping up its investment in AI to infuse innovation into its telehealth solution for hospitals. The largest telehealth company is tapping into its two-year partnership with tech giant Microsoft to integrate AI and speech recognition tech into its Solo virtual care platform.

Elevance Health loses 135K Medicaid members in Q2 as redeterminations resume

Elevance Health posted double-digit profit growth in the second quarter, with its earnings rising by 13.2% year over year to $1.9 billion.

FTC withdraws 'outdated' healthcare antitrust policy statements, following DOJ's lead

The two policy statements, issued in 1996 and 2011, "no longer reflect market realities in this important sector of the economy," the regulator said.

Docs urge Congress to step in as CMS proposes 'biblical' cuts to their payments

The Biden administration is proposing cuts to physician payments in its annual fee schedule, and doctors are not happy. Major industry groups have roundly called for Congress to step in to prevent the Medicare reimbursement changes from going through.

As value-based health moves from philosophy to reality, providers, payers focus on equity and interoperability

Over two days, executives from accountable care organizations, health systems and payers spoke about interoperability, population health, social determinants, the cost of care and taking on risk.
 
Fierce podcasts

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'Podnosis': How reprocessing can reduce waste, and choice architecture and incentive design

This week on "Podnosis," we talk about how reprocessing medical devices can reduce waste. Also under discussion is the role of choice architecture in value-based care.
 

Resources

eBook

The 5 stages of building a modern healthcare contact center ebook

Patient expectations for great experiences are higher than ever, but fragmented patient journeys across channels and data silos are impacting patient experience, acquisition, and loyalty. Here is what your organization can do to match patient expectations.
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What Today’s Healthcare Consumers Expect

Huron’s healthcare consumer survey reveals how consumer preferences and expectations are changing and influencing the healthcare industry.
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How a Cancer Center Reduced Care Variation Using an Oncology-Specific Clinical Decision Support Tool

Learn how a cancer center reduced care variation and increased clinician adoption of clinical decision support technology.
Whitepaper

Why Your Cancer UM Strategy needs to Include Digital Health

Does your cancer cost containment strategy stop with utilization management and prior authorization? Download this white paper to understand ways that digital care management helps address total cost of care for your plan, your employers, and your members
 

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