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Weekly Digest

This Week

Nov 9, 2024

Doctors, facing another pay cut in 2025, call for permanent Medicare payment reform

Insurers prep for Trump admin friendly to Medicare Advantage and mergers, hostile to Medicaid and ACA

CVS taps former UnitedHealthcare CEO Steve Nelson to lead Aetna

UnitedHealth Group, University of Minnesota partner to launch course on value-based care

Clover Health pushing for growth, shows 74% net income boost - Paige Minemyer

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Doctors, facing another pay cut in 2025, call for permanent Medicare payment reform

By Heather Landi

The Centers for Medicare and Medicaid Services is moving forward with a 2.9% cut to physician payments in 2025 despite protest from major industry groups.

Insurers prep for Trump admin friendly to Medicare Advantage and mergers, hostile to Medicaid and ACA

By Noah Tong

Major health insurers are seeing stocks increase as investors ready for a Trump term receptive to Medicare Advantage and mergers. Health plans reliant on Medicaid and the ACA saw their stocks dip.

CVS taps former UnitedHealthcare CEO Steve Nelson to lead Aetna

By Paige Minemyer

CVS Health announced two key leadership appointments as it continues the push to improve its financial performance.

UnitedHealth Group, University of Minnesota partner to launch course on value-based care

By Paige Minemyer

UnitedHealth Group partnered with the University of Minnesota's medical school to launch a four-week elective course that exposes fourth-year medical students to value-based care and has them working in person with Optum clinicians.

Clover Health pushing for growth, shows 74% net income boost

By Noah Tong

Clover Health feels its in a strong position with a robust star ratings performance and its proprietary AI. The company recorded a net loss of $8.8M this quarter.

CMS puts forward meager offering for digital health in final Medicare physician fee schedule rule

By Emma Beavins

Digital therapeutics, telehealth, rural heath clinics and opioid treatment programs all got updates in the final 2025 Medicare physician fee schedule rule, but CMS was limited by its statutory authority to make many substantial changes to digital health policy.

CVS holds back guidance as it outlines plan to right the ship at Aetna

By Paige Minemyer

CVS did not release formal guidance for 2024 as part of its earnings call Wednesday morning as it continues to navigate headwinds at the insurance business.

US Supreme Court reviews case impacting billions in Medicare DSH payments for hospitals

By Heather Landi

The U.S. Supreme Court heard oral arguments Monday in a case centered on Congress’ formula for calculating disproportionate share hospital payments.

Elevance Health says star ratings snub cost insurer $375M

By Noah Tong

Elevance Health is hitting back at CMS star ratings over statistical variation and inability of replication in the latest lawsuit to face the feds.

Hospital groups blast senators' site-neutral Medicare payment reform plan

By Heather Landi

The lawmakers argue that site-neutral Medicare payment reform would lead to lower healthcare costs for patients and save taxpayer dollars. However, hospital groups were quick to slam the proposal.

Fierce podcasts

Don’t miss an episode

Best practices for health system-startup partnerships

This week on "Podnosis," we explore how startups can better align with providers to create impactful tools that integrate seamlessly into healthcare workflows.

Closing the menopause care gap

Beyond the silo: How engagement fuels healthcare innovation

Resources

Whitepaper

The Healthcare Opportunity in Grocery

As healthcare continues to evolve, nontraditional providers like grocery stores are cementing their roles as key players in the space. How do wellness offerings impact grocery store visitation patterns? We dove into the data to find out.