This year will not bring ‘full rebound’ for nonprofit hospitals
Many nonprofit hospitals suffered their worst operational year on record in 2022 and this year is unlikely to bring a complete end to financial hardships, according to Fitch Ratings.
Biden administration cracks down on payers over mental health coverage
The HHS and Treasury and Labor departments announced a new proposed rule on Tuesday that requires health insurers to analyze patient outcomes to ensure their benefits are administered equally.
Cigna sued over algorithm allegedly used to deny claims
The lawsuit filed in a California district court alleges the health insurer used the technology to “deny payment in batches of hundreds or thousands at a time,” violating state law.
Average cost of healthcare data breach reaches $11M, report finds
Healthcare continues to be the most expensive industry for data breaches, with costs increasing 53% since 2020.
PE ownership worsens quality, raises costs, according to BMJ review
The analysis comes as private equity investments in healthcare soar and regulators look to crack down on roll-up acquisitions.
ChenMed taps UnitedHealthcare veteran as new president
The family behind value-based medical group ChenMed is stepping down from leadership roles.
How AI helps healthcare organizations achieve the Quintuple Aim
Learn how ambient clinical intelligence (ACI) can help move the needle on every aspect of the Quintuple Aim—and the impact its having on clinicians and patients at WellSpan Health.
New antitrust merger guidelines could have significant chilling effect on healthcare deals
Regulators have historically struggled to halt complex and non-traditional tie-ups. That could change with new guidelines, as the Biden administration increases scrutiny of healthcare M&A, antitrust experts said.
FTC, OCR warn hospitals, telehealth companies about tracking tech
The regulatory agencies sent a joint letter to roughly 130 hospitals and telehealth providers outlining the risks of using online tracking technologies that might disclose sensitive consumer information to third parties.
Prior authorization denials could limit access in Medicaid managed care, OIG reports
Medicaid managed care organizations studied by the HHS’ Office of the Inspector General denied one out of every eight requests for prior authorization in 2019, and most states don’t regularly monitor whether denials are appropriate.