Plus, Feds sue Cigna over alleged Medicare Advantage overpayments

This Week

Oct 22, 2022

House progressive bill wants to take Medicare out of Medicare Advantage's name

Feds sue Cigna over alleged Medicare Advantage overpayments linked to home assessments

Walgreens targeting tech acquisition as it looks to scale healthcare business unit - Robert King

 

Featured

House progressive bill wants to take Medicare out of Medicare Advantage's name

Two House progressive lawmakers released legislation seeking to rename Medicare Advantage to "alternative private health plans," saying the current name is misleading to seniors.
 

Top Stories

Feds sue Cigna over alleged Medicare Advantage overpayments linked to home assessments

The federal government has filed suit against Cigna, alleging that the insurer submitted false and inaccurate Medicare Advantage diagnostic codes in a bid to boost its reimbursement.

Walgreens targeting tech acquisition as it looks to scale healthcare business unit

Retail drugstore giant Walgreens is bullish on scaling up its primary, post-acute and home care businesses as part of its long-term strategy to become a consumer-centric healthcare company. On the heels of a recent buying spree, the company may be eyeing a health technology acquisition as its next strategic play.

SCAN launches new Medicare Advantage plan for LGBTQ+ seniors

SCAN Health Plan is launching a new plan designed for LGBTQ+ seniors, and executives said they hope the industry takes notice.

Oracle Cerner unveils new tech capabilities: Virtual nursing, tools to streamline charting, billing and data integration

Four months after it was acquired by software maker Oracle, health IT giant Cerner, now named Oracle Cerner, unveiled new tech upgrades to build on its promise of delivering "next-generation" health tech systems.

New Biden order wants CMMI to test payment models that tackle high drug prices

President Joe Biden issued an executive order calling on the Center for Medicare and Medicaid Innovation to test new payment models that can help lower drug prices.

Elevance Health execs express confidence as Medicare enrollment period gets underway

The company released its quarterly earnings report on Wednesday morning. Profits were up 7.2% from the prior-year quarter, where Elevance Health posted $1.5 billion.

UnitedHealth bracing for Medicaid redeterminations to resume

UnitedHealth Group beat the Street with $5.3 billion in profit for the third quarter, according to the company's earnings report released Friday morning.

Demand for primary care projected to slow as Amazon, Walmart pose a growing threat: report

Patient demand for primary care and surgical care services remains below pre-pandemic levels and patient visits "delayed" or "deferred" during the COVID-19 pandemic may be permanently lost, according to a new analysis.

Plan sponsors' satisfaction with PBMs is declining, a new survey shows. Here's why

Satisfaction with pharmacy benefit managers is on the decline, particularly among health plans, a new survey shows.
 
Fierce podcasts

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'Podnosis': The explosion of consumer-initiated lab testing, key issues and trends with Medicare Advantage

This week on "Podnosis," we talk about the explosion of consumer-initiated lab testing. Also under discussion is our special report on the key issues and trends with Medicare Advantage.
 

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