“For lack of a far better solution to set it, your transparency must be clear,” Lennox-Miller stated. “If you’re demonstrating how your algorithm functions, and It is really simply a math equation or a really intricate set of files, that doesn't aid.”
UnitedHealth sues CMS about Medicare Edge star scores A few plans owned because of the country's largest MA payer are the most recent to check with the courtroom to assistance elevate their worthwhile excellent scores.
Antitrust companies are counting on customers to report anticompetitive habits. That belief might be misplaced.
The manager mentioned he would not adjust to a subpoena to testify prior to a Senate subcommittee subsequent week.
Blue Protect of California sidesteps PBMs with new Humira biosimilar offer It’s The very first time this sort of design has long been used to provide a Humira biosimilar to marketplace, based on the insurer — and it yields a Significantly lower Price than both of those the brand-name Variation of your drug and its biologic copycats.
Authorities talk about their predictions for healthcare industry trends, together with expenditure and consolidation in electronic well being, adoption of synthetic intelligence and bettering cybersecurity in healthcare in 2024. Read the total write-up ➔ Developments shaping the organization of wellbeing coverage in 2024
Healthcare Dive caught up with marketplace specialists to share the best healthcare trends of 2024. Examine much more underneath:
FTC sues main pharmacy reward supervisors around insulin rates The company introduced motion in opposition to Caremark, Convey Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating tactics “artificially inflated” the checklist cost of lifestyle-saving insulin prescription drugs.
Traits shaping the enterprise of health and fitness coverage in 2024 The uninsured fee will rise. Medicare Edge enrollment will swell, with significantly less instability. Key pharmacy profit managers will launch much more transparent solutions. In this read more article’s what industry watchers are expecting in 2024.
Regulators want consumers to flag organization tactics harming current market well being in the healthcare sector, which could bring about a tsunami of recent tips — once and for all and sick, In keeping with industry experts.
As businesses continue to digitize, cybersecurity stays an important challenge, with healthcare knowledge breaches exposing a huge selection of A huge number of people’ sensitive private and overall health info.
Medicare Advantage unrest, Alter Healthcare fallout and much more large takeaways from insurers’ Q1 All main payers noticed elevated utilization but only an unprepared handful of struggled With all the development, the Improve Healthcare cyberattack prompted negligible economical fallout and also a new D-SNP rule opens the doorway to your Medicare expansion possibility.
“Vendors of infused medicines have ongoing to experience a challenging setting for their most hugely specialized, advanced providers, and Coram hasn't been immune to these troubles,” a CVS spokesperson stated about The newest closures. “As such, We now have reevaluated our services offerings.”
An article from Best healthcare conferences to approach for in 2025 Listed below are noteworthy events clinic, payer and tech executives really should think about attending following calendar year, running the gamut from digital health to monetary administration to professional medical innovation.