Plus, MA plans scored billions from home visits

This Week

Oct 26, 2024

HLTH24 Day 1: Kaiser Permanente CEO Greg Adams on Risant Health's future M&A


Amazon One Medical, Cleveland Clinic to open primary care clinics in northeast Ohio


Cigna-Humana merger talks are back on: report


Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical


HLTH24: CopilotIQ, Biofourmis merge to carve out bigger slice of in-home care solutions market - Paige Minemyer

 

Featured

HLTH24 Day 1: Kaiser Permanente CEO Greg Adams on Risant Health's future M&A

Greg Adams, Kaiser Permanente chair and CEO, detailed Risant Health's future M&A strategy as it aims to build out value-based care.
 

Top Stories

Amazon One Medical, Cleveland Clinic to open primary care clinics in northeast Ohio

Academic health system Cleveland Clinic is teaming up with an industry disruptor to expand primary care services in northeast Ohio.

Cigna-Humana merger talks are back on: report

Cigna has brought merger talks with Humana back from the dead, according to a new report in Bloomberg.

Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

A federal watchdog is questioning whether UnitedHealthcare, Humana and other Medicare Advantage payers are either creating diagnoses out of thin air to inflate payments from Medicare or are not providing adequate care to sick members.

HLTH24: CopilotIQ, Biofourmis merge to carve out bigger slice of in-home care solutions market

Health tech companies CopilotIQ and Biofourmis announced a strategic merger on Monday that combines tech-enabled in-home care solutions from pre-surgical optimization to acute, post-acute and chronic care.

Blue Cross plan accused of fraud in 'ghost network' class-action lawsuit

Anthem Blue Cross Blue Shield of New York is making it hard for members to receive care from mental health professionals due to poorly run provider directories, or ghost networks, a lawsuit claims.

HLTH24: A look at outcomes in Highmark's new behavioral health program

LAS VEGAS—A year ago at HLTH, Highmark and Spring Health announced a partnership that aimed to boost access to behavioral health care. Now, the Pittsburgh-based insurer is offering the first look at how the program is working for patients.

HLTH24: Blue Shield of California, Salesforce join forces to streamline prior authorization

LAS VEGAS—Blue Shield of California and Salesforce are teaming up to simplify and streamline the prior authorization experience.

HLTH24: Essence Healthcare to give MA plan members free Oura ring for health tracking

The company inked a unique partnership with Essence Healthcare, a provider of Medicare Advantage plans, to provide some MA plan members with an Oura Ring device and its app at no cost.

Transparency has led to uniformity in healthcare costs—but not necessarily lower prices: white paper

Recent price transparency regulations have caused prices to converge for outpatient services but led to more discrepancy for inpatient services, according to findings from Turquoise Health.
 
Fierce podcasts

Don’t miss an episode

Beyond the silo: How engagement fuels healthcare innovation

This week on "Podnosis," we examine why diverse viewpoints are essential for tackling the industry’s toughest challenges and how building real engagement serves as the bedrock for innovation.
 

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.
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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.
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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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