ACA subsidy lapse cost HCA Healthcare $150M in Q1
The hit was in line with HCA’s expectations. The hospital operator is the first of its peers to detail financial impacts from the expiration of more generous subsidies in Affordable Care Act plans.
Why health plans are missing one of their most costly care categories
The overlooked surgery category quietly driving utilization and cost for health plans
As coordination grows more complex, intelligent care is reshaping the response
Better coordination starts with intelligent care across teams, systems and settings.
FTC, US Anesthesia Partners reach settlement in Texas price collusion case
The private equity-backed anesthesia provider bought and bullied its way to market dominance in Texas, driving up prices for patients, the FTC alleged. The parties have now reached a deal, though USAP will not admit liability.
Medicare AI prior authorization pilot delaying care in Washington: report
The report compiled by Sen. Maria Cantwell, D-Wash., found procedures in the state that were previously approved within around two weeks now take four to eight weeks to be authorized.
CMS, FDA unveil speedier Medicare coverage pathway for breakthrough devices
The pathway is designed to reduce the delay between FDA authorization and Medicare coverage for certain Class II and Class III breakthrough medical devices.
Molina controls costs in Q1 but future Medicaid spending in doubt
The insurer beat analyst expectations for adjusted earnings in the first quarter. But steeper Medicaid membership losses than expected could saddle Molina with higher costs down the line.
AMA urges lawmakers to implement safeguards on AI chatbots
Though chatbots could have some benefits for mental health access, the physician lobby argued “immediate attention is required” to avoid harming patients looking for support.
Flagging first-quarter volumes dragged CHS’ earnings
Executives said consumer fears and aggressive denials from payers fueled declining volumes in the quarter, which led CHS to a $58 million loss. Still, the hospital operator said it expects volumes to pick up in the back half of the year.
Prices rose after No Surprises arbitration for some care: analysis
The data, compiled by the Brookings Center on Health Policy, shows that average prices for some services like imaging were seven-times higher than Medicare prices.