| 10.29.22 | CMS to start restricting Medicare Advantage TV ads next year

Click here to subscribe to Fiercebiotech.com

2 years ago

Html
Text

Weekly Digest

Webinar: Better Care Delivery Starts with an SDoH Ecosystem

Wednesday, November 9, 2022 | 2:00pm EST / 11:00am PST

Join this webinar to learn how connecting the entire care continuum across a closed-loop SDoH ecosystem will expand access for greater health equity while delivering better outcomes. Register now.

This Week

Oct 29, 2022

CMS to restrict Medicare Advantage TV ads, scrutinize brokers and agents amid high complaints

2 Methodist Health System employees killed in maternity ward shooting

Centene bids adieu to Caremark, awards $35B PBM contract to Express Scripts. - Robert King

Webinar: 400 Critical Vulnerabilities Detected: Which Will Attackers Exploit?

Tuesday, November 8, 2022 | 11am EST / 8am PST

In this session you will learn how to predict the most likely attack routes in your organization, identify your organization’s truly critical cyber gaps, determine the most financially viable mitigation actions, and present your findings clearly to your executive team. Register Now.

Featured

CMS to restrict Medicare Advantage TV ads, scrutinize brokers and agents amid high complaints

By Robert King

CMS is cracking down on Medicare Advantage marketing practices, including implementing a new requirement next year for federal approval of an TV ads before they air.

2 Methodist Health System employees killed in maternity ward shooting

By Dave Muoio

The suspect was on parole for aggravated robbery and was permitted to visit the hospital with an ankle bracelet as his girlfriend gave birth, according to the Dallas Police Department.

Centene bids adieu to Caremark, awards $35B PBM contract to Express Scripts

By Paige Minemyer

Centene brought in $738 million in profit for the third quarter, surpassing Wall Street analysts' predictions.

Highmark steps up coverage of prescription digital therapies as companies see momentum in the payer market

By Heather Landi

Pittsburgh-based Highmark plans to expand insurance coverage for some prescription digital therapeutics cleared by the Food and Drug Administration, marking a major step forward for app makers in the market.

Webinar: Leading in a New Age of Healthcare Communications

Wednesday, November 2, 2022 | 11:30am ET / 8:30am PT

Through an Inspired Exchange with senior communicators on the frontlines of the world’s leading healthcare organizations, participants will glean new insights and approaches for creating teams and communications strategies of the future. Register now.

JPMorgan Chase teams with Vera Whole Health to open primary care clinics for employees

By Heather Landi

JPMorgan Chase is jumping into primary care and is piloting office-based clinics for employees in the Columbus, Ohio area.

These 3 drugs are set for FDA determinations soon. Here's why Optum says payers should take notice

By Paige Minemyer

Another gene therapy product is set for an FDA determination in short order, and this trend should make payers stand up and pay attention, according to experts at Optum.

Alife launches AI technology to advance IVF treatment outcomes, lower costs

By Heather Landi

After two years of R&D, startup Alife launched new artificial intelligence software to help fertility clinics optimize and support clinical decision-making during critical stages of the IVF process.

23andMe betting big on its genomic health service that integrates genetics with primary care

By Heather Landi

23andMe is focused on using Lemonaid Health's virtual care and online pharmacy capabilities to build out genetically-driven telehealth and pharmacogenomic services.

Are most Medicare Advantage plans really 'above average'? Experts question rating system CMS uses for MA

By Frank Diamond

Nearly 70% of Medicare beneficiaries will be covered by Medicare Advantage plans by 2030, according to MedPAC. Experts question whether the star rating system used by the MA Quality Bonus Program needs to be upgraded.

Universal Health Services sees dipping profits despite halving contract labor costs from previous quarter

By Dave Muoio

The acute and behavioral care company said its operations are still feeling the sting of COVID-19 and labor shortages.

Fierce podcasts

Don't miss an episode

'Podnosis': Medicare Advantage and what you missed from the Fierce Health Payer summit

This week on "Podnosis," we talk about how MA plans are rethinking their sales pitch. We also eavesdrop on a panel discussion at the Fierce Health Payer summit on how payers are looking to address social determinants of health.

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

'The Top Line': What went down on Biogen's earnings call, AstraZeneca's prospects after its CTLA-4 approval

Whitepaper: Appreciating the Benefits of Data Sharing is Easy

This paper provides a real-world look at how a network management platform can connect hospitals and health systems with post-acute care partners, helping healthcare organizations create seamless care transitions with fewer blind spots. Download now.

Resources

Whitepaper

Accelerate Chronic Wound Research Through Real World Data (RWD), Technology, and Patient Engagement

Gain insights into improving the quality of chronic wound research with a combination of stakeholder interest and mobile platform technology that produces and measures higher quality images.

Unifying the Digital & Physical Building Hospital Resilience

Learn how IT and facility security professionals are collaborating on key initiatives to mitigate digital and physical security risks and build resilience healthcare system-wide.

Harness the Power of Cloud-Based Data and Analytics to Personalize Healthcare and Improve Patient Outcomes

Personalize the healthcare journey with a data-driven platform.

No Surprises Act: Winning the Dispute Resolution Game

Learn how payers and providers can improve outcomes in No Surprises Act Dispute Resolution by leveraging AI to guide arbitration offers.

The Time has Come to Reinvent the Patient Experience

This report highlights the challenges, opportunities and costs associated with improving the patient intake process and other elements of the patient experience. Read now to learn how healthcare organizations are leveraging digitization to reimagine the patient, clinician and staff experience.

How Vida Addresses SDOH for Better Diabetes Outcomes

Social determinants of health such as limited grocery options, socioeconomic status, and lack of access to technology keep many of your members from achieving positive diabetes outcomes. Learn more about how SDOH factors impact your members’ chronic conditions and how Vida can help.