CMS threatens Elevance with Medicare Advantage sanctions
Federal regulators are planning to suspend enrollment in Elevance’s MA plans by the end of March, in a rare and serious threat to the company’s finances.
Brian Evanko to succeed David Cordani as CEO of Cigna
Evanko, currently COO of Cigna, will assume the chief executive role after Cordani retires in July.
Provider groups push to preserve some IT certification criteria, including AI ‘model cards’
A proposed rule would cull or revise dozens of health IT certification criteria, but providers say regulators should keep some of them to avoid shifting costs or compliance responsibilities back onto clinicians.
AMA creates new maternity care coding system
The doctors’ association is blowing up the U.S.’ decades-old coding system for recording pregnancy services and starting fresh next year, bowing to calls from OB-GYNs and other maternity specialists.
How PBM reforms could push drugmakers into the pricing spotlight
The Consolidated Appropriations Act’s landmark PBM overhaul removes financial incentives tied to pharma list prices, potentially leaving drugmakers to defend their own practices.
Former Optum chief departs UnitedHealth
Heather Cianfrocco, an executive vice president at UnitedHealth and former CEO of its health services division Optum, announced she was leaving the company after a 24-year tenure.
GLP-1s are changing benefits decisions. Here’s how health care decision-makers can stay in control.
GLP-1s: What we know, what’s uncertain and what’s coming next.
6 ways AI is finally tackling healthcare’s paper problem
Paper still slows healthcare behind the scenes – see how AI removes delays before care begins.