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Elevance lowers steering on ‘unprecedented’ Medicaid issues Executives said the greater costs pressuring its Medicaid business enterprise would enhance soon after states updated payment charges to higher match member acuity.
Lawmakers listened to testimony very last calendar year about algorithms employed by insurers to forecast just how much treatment sufferers could possibly need, which advocates argued drive protection denials and push patients to self-spend or regulate an appeals procedure. Humana, Cigna and UnitedHealth ended up sued past 12 months about their utilization of algorithms to process claims.
Leaders and executives will have an opportunity to network and become on the forefront of an evolving industry in 2025 at a number of the most significant healthcare conferences.
“Zero bucks are coming in the estate. There’s zero thought being furnished to the secured lenders who definitely have liened curiosity in that collateral.”
However the intent is sweet, a lot of hospitals are currently running on slender margins — Particularly rural amenities that have to have to stay functioning to preserve entry to care while in the communities they provide, explained DiME’s Goldsack.
Healthcare Dive caught up with business gurus to share the very best healthcare traits of 2024. Read through more underneath:
Blue Cross Blue Defend to pay for $two.8B to settle class action provider antitrust scenario It can be the largest antitrust settlement thus far inside the healthcare business, In accordance with legislation business Whatley Kallas, which represented the plaintiffs.
Leading healthcare conferences to system for in 2025 Allow me to share noteworthy events clinic, payer and tech executives need to take into account attending future calendar year, operating the gamut from digital wellness to monetary administration to health-related innovation.
In Washington, federal regulators might form the phase for your sector just after antitrust agencies revised merger rules previous yr that could chill dealmaking.
CVS Well being entered the infusion House in 2014, when it procured Coram for $two.1 billion. The retailer has become one of many major 3 national vendors of infusion services by revenue, In keeping with an August report from monetary providers company Bourne Associates.
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“Providers of infused remedies have continued to face a tough environment for their most really specialized, sophisticated solutions, and Coram has not been proof against these challenges,” a CVS spokesperson mentioned about The latest closures. “As a result, We've got reevaluated our provider choices.”
CHAI releases draft framework for AI top quality assurance labs The Coalition for Health AI is in search of opinions about the proposals, which depth how the group check here will certify labs as well as a “diet label” that aims to offer potential buyers a lot more information regarding AI models.