Plus, CMS again pauses surprise billing arbitration

This Week

Aug 12, 2023

Majority of Medicare Advantage enrollees don't fully understand their plan 


Doximity lays off 10% of workforce, stock slides as company downgrades revenue guidance


CMS again pauses out-of-network billing arbitration after judge sides with providers


Primary care business Cano Health lays off 700 employees, now exploring sale as its cash dwindles


Ongoing cyberattack on Prospect Medical Holdings forces facilities offline, disrupts services - Paige Minemyer

 

Featured

Majority of Medicare Advantage enrollees don't fully understand their plan

Despite nearly three-quarter of respondents in a new survey saying they are satisfied with their MA plan, more than half of people don't understand the plan's complexities.
11-14
Sep
Philadelphia, PA
 

Top Stories

Doximity lays off 10% of workforce, stock slides as company downgrades revenue guidance

Doximity, a digital platform for medical professionals, cut its workforce by 10%, or 100 employee positions,  and downgraded its revenue guidance as it faces economic pressures and slowing sales among its pharmaceutical customers.

CMS again pauses out-of-network billing arbitration after judge sides with providers

The Texas Medical Association scored another win against the administration's billing dispute resolution process in the district courts, this time successfully litigating against an administrative fee hike and requirements over which items could be jointly reviewed.

Primary care business Cano Health lays off 700 employees, now exploring sale as its cash dwindles

Primary care company Cano Health is exploring a sale as its cash dwindles and plans to lay off 700 employees, or 17% of its workforce. It also warned that the company may run out of cash in the next 12 months.

Ongoing cyberattack on Prospect Medical Holdings forces facilities offline, disrupts services

An outage disclosed Aug. 3 is affecting facilities across the holding company's 16-hospital footprint. Some representatives at affiliate systems have describe the incident as a ransomware attack.

Kaiser Permanente reports $2.1B profit, 2.9% operating margin in Q2 2023

The nonprofit giant logged a 7.2% year-over-year increase in operating revenues as well as a major boost from its investment portfolio.

Cigna taps Virgin Pulse to launch new personalized digital health platform

Cigna is teaming up with Virgin Pulse to launch a new, personalized digital health program for its members.

Optum taps CMS, Blue Cross NC veteran Patrick Conway to lead PBM unit

Optum Rx has a new leader at the helm. Patrick Conway, M.D., will step into the role of CEO of the pharmacy benefit management giant.

Babylon closes US business, lays off employees after MindMaze take-private deal collapses

Beleaguered digital health company Babylon Health shuttered its Austin, Texas, headquarters and laid off 94 employees as it has struggled to secure more financing to continue operations.

Insurers are set to receive $12.8B in MA bonus payments this year. These are the companies getting the biggest payouts

Health plans are set to receive $12.8 billion in Medicare Advantage quality bonus payments this year, with UnitedHealthcare topping the list at $3.9 billion in bonuses.
 
Fierce podcasts

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'Podnosis': A closer look at intersectionality and intersexuality

This week on "Podnosis," we take a closer look at intersectionality and a group that has been ignored: intersex individuals.
 

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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