CHS deal to sell 3 Pennsylvania hospitals falls through after buyer fails to secure funds
Some lawmakers are concerned the facilities may close absent a deal.
CMS proposes new guardrails on Medicare Advantage prior authorizations, marketing
The Biden administration is attempting to push through a slew of reforms to the controversial MA program in its final months in power, though it will need the Trump administration’s buy-in to get them across the finish line.
Nearly a quarter of Americans are underinsured: report
Twenty-three percent of working-age adults with health insurance face high out-of-pocket costs that make it difficult to afford care, according to a survey by the Commonwealth Fund.
Indiana health system withdraws merger application after regulator pushback
Union Health said it would submit a new Certificate of Public Advantage application to try to acquire Terre Haute Regional Hospital.
HIPAA audits not effective at improving cybersecurity: OIG
The HHS’ Office for Civil Rights’ audit program was too narrow in scope to effectively assess data protections and reduce cyber risks in the healthcare sector, according to the report.
Biden administration proposes Medicare, Medicaid coverage of pricey weight loss drugs
About 7.4 million Americans with obesity could have insurance coverage for drugs like Wegovy if the Trump administration allows the rule to go into effect — at the cost of $40 billion to federal and state governments.
Sanofi joins J&J, Eli Lilly in proposing 340B rebate model
Sanofi plans to phase in its own rebate model for 25 drugs — including anti-inflammatory injectable Dupixent, one of the top 10 drugs in global sales — early next year. It’s unclear how regulators will react.
Healthcare costs are going to increase by double digits — again, per WTW
While some factors are out of employers’ control, it’s up to companies to balance rising costs with budget expectations, experts said.
CHS to sell Florida-based ShorePoint Health System
The $265 million deal with Advent Health is expected to close early next year.
AI could be ‘transformational’ for payers, experts say
Insurers could save 20% in administrative costs and 10% in medical costs by harnessing the technology, experts said during a panel hosted by Healthcare Dive last week.