New CMS pilot to test payment scheme for pricey sickle cell gene therapies
The CMS innovation center will coordinate insurance coverage across states to help patients access new treatments with multi-million-dollar price tags.
CHS migrates to Google Cloud data platform, adopts generative AI tools
The for-profit hospital operator said it will use the artificial intelligence in operations tracking, clinical documentation and administrative tasks.
Cigna sells Medicare businesses to HCSC for $3.7B
The transaction exits Cigna from a sector that’s been a huge source of growth for insurers but has seen its earnings potential shrink.
Healthcare CFOs explore M&A, automation and service line cuts in 2024
Companies grappling with liquidity concerns are looking to cut costs and streamline operations, according to a new survey.
HCA beats Q4 expectations, outlines 2024 expansion
HCA executives also announced the retirement of longtime CFO Bill Rutherford during a Tuesday earnings call.
Low operating margins will be new normal for some nonprofit hospitals: Fitch
The sector’s recovery from the COVID-19 pandemic has been slower than expected. In a new report, the credit agency said some hospitals may never reach traditional healthy operating margins.
Medicare ACO participation grows in 2024: CMS
However, growth in Medicare’s flagship shared savings model has plateaued over the past five years, according to government data.
Advocate taps new chief people, culture officer
Effective March 18, Nakesha Lopez will lead human resource and people programs for the 68-hospital nonprofit.
Medicare Advantage profitability is declining, Moody’s says
Insurers’ MA earnings were 2% lower in 2022 than in 2019, signaling profits in the lucrative insurance program may be weakening.
No Surprises Act prevented 10M surprise bills in first nine months of 2023, insurer groups say
AHIP and BCBSA also took aim at providers for allegedly abusing the billing dispute resolution process set up by No Surprises, in the latest salvo over the polarizing law.