Plus, a rocky start to Q3 payer earnings

This Week

Oct 19, 2024

Medicare Advantage star ratings 2025—Who are the winners and losers?


'I'm another statistic. I feel let down': How HIV prevention stays out of reach for many


DEA sends 3rd temporary extension of telemedicine prescribing rules to White House


UnitedHealth's stocks slide as 2024 outlook underwhelms Wall Street


CVS ousts Karen Lynch, taps Caremark head as new CEO - Paige Minemyer

 

Featured

Medicare Advantage star ratings 2025—Who are the winners and losers?

UnitedHealth and Humana saw star ratings decrease, whereas insurtechs celebrated their scores. We break down how all major insurers—and their investors—are reacting.
 

Top Stories

'I'm another statistic. I feel let down': How HIV prevention stays out of reach for many

Ending the HIV epidemic hinges on both treatment and prevention, particularly through access to PrEP. For at-risk individuals living in the U.S. South—where HIV is a daunting reality—PrEP use is very low compared to the number of new HIV cases.

DEA sends 3rd temporary extension of telemedicine prescribing rules to White House

The third temporary extension is rumored to be for just one year, punting the deadline for the next administration to negotiate permanent rules to December 2025. Telemedicine companies, including those that prescribe Adderall, will be able to continue prescribing as they have since 2020. 

UnitedHealth's stocks slide as 2024 outlook underwhelms Wall Street

UnitedHealth Group kicked off another round of earnings calls for major health insurance companies on Tuesday morning, where it reported $6 billion in profit for the third quarter of 2024.

CVS ousts Karen Lynch, taps Caremark head as new CEO

It's a tumultuous time at industry giant CVS Health, and on Friday the company revealed a shake-up at the top that now has David Joyner stepping in as CEO.

Walgreens focused on growing specialty pharmacy, data analytics within healthcare business

Walgreens reported a loss of $3 billion in the fourth quarter and plans to close 1,200 stores over the next three years as part of the retail drugstore chain's ongoing turnaround strategy amid a rocky fiscal 2024.

UnitedHealth, CVS and Humana increasingly deploy AI and deny post-acute care claims, Senate report finds

A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to control costs and deny prior auth claims.

Blues plans agree to $2.8B settlement in provider class-action suit

Blue Cross Blue Shield plans have agreed to a $2.8 billion settlement to resolve legal allegations from a slew of providers who claim the insurers colluded to prevent competition and lower reimbursements.

Nonprofit health systems launch Longitude Health to improve performance, care delivery at scale

Baylor Scott & White Health, Memorial Hermann Health System, Novant Health and Providence have committed "tens of millions of dollars a year" to Longitude Health, a springboard for new for-profit operating companies.

Microsoft rolls out new healthcare AI tools in partnership with Epic, Paige.ai, major health systems

Microsoft recently unveiled several new AI capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable companies to build their own healthcare AI agents.
 
Fierce podcasts

Don’t miss an episode

How HIV prevention stays out of reach for many

This week on "Podnosis," reporters discuss HIV’s impact in the South, inequitable access to PrEP and share stories from affected patients.
 

Resources

Whitepaper

Price Transparency Compliance Date Looms: Are Hospitals Prepared

As the hospital price transparency deadline looms, hospitals that leverage the proper technology and commit to consistent monitoring can avoid costly errors and remain compliant, avoiding hefty fines, and a loss of patient confidence that can negate community trust.
Whitepaper

The Future of Payment Integrity: Finding Peace of Mind Through Partnership

Discover how MultiPlan’s Payment Integrity solutions are helping payors navigate the complex industry landscape.
Whitepaper

Prostate Cancer: Risk Stratification and Evolving Treatment Options

Prostate cancer is one of the most diagnosed malignancies in men and the second leading cause of cancer mortality. However, treatment decisions depend on several critical factors. This white paper discusses the importance of risk stratification, the role of patient life expectancy, and the latest treatment options available, including radical prostatectomy and radiotherapy

 
 

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