Plus, Kaiser Permanente reports $2.1B profit

This Week

Oct 7, 2023

Court strikes down Trump-era rule that allowed insurers to not count copay assistance


Medicare enrollment begins in 2 weeks. Here's what major payers are offering for 2024 


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


Health tech companies Commure, Athelas unveil merger plans to drive automation, LLM tech into health systems


Digital health investments shift to disease treatment, workflow solutions and VBC in Q3: Rock Health - Paige Minemyer 

 

Featured

Meet the Fierce 50

The Fierce 50 special report shines a spotlight on 50 remarkable individuals and organizations reshaping biopharma and healthcare. Explore their profiles across five categories, each representing a pivotal aspect of the industry.

 

Top Stories

Court strikes down Trump-era rule that allowed insurers to not count copay assistance

Patient advocacy groups are celebrating a court's decision to strike down a Trump-era rule on copay accumulators.

Medicare enrollment begins in 2 weeks. Here's what major payers are offering for 2024

The industry is just two weeks away from the beginning of Medicare's annual enrollment period, a critical window for the hottest market in insurance.

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.

Health tech companies Commure, Athelas unveil merger plans to drive automation, LLM tech into health systems

Healthcare technology company Commure plans to merge with Athelas, a provider of healthcare workflow automation software, to grab a bigger piece of the health system market. The deal is backed by a $70 million investment from General Catalyst.

Digital health investments shift to disease treatment, workflow solutions and VBC in Q3: Rock Health

In Q3 2023, U.S. digital health startups raised $2.5 billion across 119 deals, the second-lowest quarter by funding total since the fourth quarter of 2019, Rock Health reports.

Cigna to pay $172M to settle claims it overcharged Medicare Advantage program

Cigna will pay $172 million to settle allegations brought by the U.S. government that it submitted false and inaccurate Medicare Advantage diagnostic codes in a bid to boost its reimbursement.

Independence Blue Cross touts enhanced Medicare Advantage offerings for 2024

The MA enhancements touted by Independence Blue Cross include reducing premiums for its Personal Choice 65 PPO while including a Part B giveback and a bigger allowance for vision, dental, hearing and over-the-counter items.

Brightside Health to start serving Medicare, Medicaid beneficiaries

Brightside Health announced expanded partnerships with major health payers including Centene, Optum and Lucet on Thursday.

ProHealth Care taps Optum for strategic technology partnership

Wisconsin-based health system ProHealth Care has signed on with Optum for a "strategic relationship" that aims to streamline its administrative needs to improve care for patients.
 
Fierce podcasts

Don’t miss an episode

'Podnosis': Strategies for safer healthcare workplaces amid rising violence

Violence in healthcare workplaces is a growing concern, with clinicians and other workers facing alarming rates of violence on the job. In this week’s episode of “Podnosis,” Fierce Healthcare’s Anastassia Gliadkovskaya sits down with Andrea Mazzoccoli, Ph.D., the former chief nurse and quality officer for Bon Secours Mercy Health, to delve into the urgent need for comprehensive workplace violence strategies.
 

Resources

Whitepaper

2023 Benchmark Report: The State of Healthcare Customer Experience

Benchmark report uncovers the increasing importance of communications for member loyalty and retention, with an emphasis on clarity and ease.
 
 

Upcoming Fierce Events

5-6
Oct
San Diego, CA
16-18
Oct
Boston, MA
2-3
Nov
Austin, TX
14-15
Nov
Free Virtual Event
5
Dec
Edison Ballroom, New York City

View all events