ONC taps Sequoia Project as TEFCA overseer, again
The nonprofit will receive $2 million in funding from the government in the first year of its new five-year contract for managing the interoperability network.
Medicaid cracks down on states over children wrongly losing coverage during redeterminations
The Biden administration is threatening state Medicaid agencies with sanctions after finding an automation glitch that could cause eligible children to lose coverage.
Prisma Health files suit against UnitedHealthcare, alleging ‘bad faith’ contract negotiation tactics
The South Carolina-based health system alleges that the insurer broke its contract and gave “false and misleading” statements to the press about Prisma’s proposed rates for 2024.
‘We’re in the 1999 of the internet era’: a16z’s Julie Yoo on fintech’s potential and the digital health market
Yoo, who leads health tech investment at venture capital firm Andreessen Horowitz, outlined her fintech investment thesis and why the healthcare industry is at an inflection point for adoption.
Prime Therapeutics reports data security incident affecting Blue Shield Minnesota members
The pharmacy benefit manager said an unauthorized user gained access to an employee’s email account, which contained documents with members’ personal health information.
Employers should focus on provider quality to cut low-value care in plans, report finds
In the employer-sponsored insurer market, employers play a “critical” role when it comes to quality and outcomes, according to a report by Morgan Health and Embold Health.
Humana launches in-home senior care program through CenterWell in Georgia, Louisiana
The program builds on Humana’s acquisition of home-based primary care provider Heal earlier this year, and could eventually expand to 10 additional southern and southwestern states.
Advocate Health in black in first H1 as combined system
The nonprofit hospital operator, which formed last year through the merger of Advocate Aurora Health and Atrium Health, reported an improved 0.6% operating margin.
GoodRx adds patient insurance information to drug cost platform for providers
The addition of insurance pricing is a key differentiator for GoodRx’s medication comparison platform, according to an executive. By making Provider Mode more attractive to doctors, the digital health company is also increasing its revenue opportunities.
Bon Secours sues Anthem BCBS over unpaid claims
The Cincinnati-based health system is alleging the Elevance subsidiary owes $93 million following four years of contract disputes.