Elevance wins star ratings lawsuit (sort of)
Friday’s district court ruling is the latest suggesting the CMS might have to recalculate every MA plan’s star rating score due to an administrative oversight.
Walgreens-backed CityMD settles with Justice Department over alleged COVID fraud
From 2020 to 2022, CityMD falsely documented insured patients as uninsured before fraudulently billing the federal government for their COVID-19 care, according to regulators. CityMD denies the allegations.
Teladoc Health names former insurance exec as new CEO
Chuck Divita will take the reins as CEO immediately, about two months after the telehealth vendor’s longtime chief executive abruptly departed following flagging financial performance at the company.
Prospect files suit demanding Yale New Haven purchase its three Connecticut hospitals
The health systems have been at odds over the deal, which was first announced in 2022.
The need for sustainable healthcare: Beyond private equity
Read how physician-owned models prioritize patient care over profits in today’s healthcare landscape.
3 ways value-based care is transforming American healthcare
This transition to value-based care is transforming the healthcare system. Medical practices can expect many benefits from this transformation—but only after fully embracing the shift.
Leveraging technology to achieve balance in healthcare
Leveraging technology is crucial for healthcare to enhance care, automate tasks and optimize outcomes.
Affordable Care Act insurers could be on the hook for $1.1B in rebates this year
Rebates this year could cross the billion-dollar mark for the fifth time in the past decade, according to an analysis from the KFF.
9th Circuit orders new $411M antitrust trial for Sutter Health
The California health system beat allegations of anticompetitive conduct in 2022. But a new ruling says the original jury didn’t hear the full story.
Nearly 75% of health workers say documentation impedes patient care: survey
Most respondents said they hadn’t seen a recent decrease in the time or effort needed to record patient care, even as technology companies target AI products to reduce documentation burden.