Data analytics for payers: Improving maternal health outcomes while reducing total cost of care
How health plans can use analytics to improve maternal care and reduce avoidable utilization
UnitedHealth, FTC reach proposed settlement in insulin case
The tentative deal comes months after CVS Health reached a proposed settlement in the lawsuit alleging major pharmacy benefit managers are inflating insulin costs.
Major Medicare Advantage insurers appear to deny care for profit, federal watchdog finds
MA insurers commonly deny requests for post-acute care — but none more frequently than UnitedHealth, Humana and CVS, the HHS OIG said. Insurers were not happy about the findings.
Abridge partners with Eli Lilly, Nvidia as AI scribe eyes expansion
The company is working with Nvidia to build a foundation model for clinical conversations, and it scored a strategic investment from drugmaker Eli Lilly, Abridge announced during a sweeping keynote Thursday.
CMS increases oversight of state Medicaid demonstrations
States will have to provide more rigorous financial analyses for their Medicaid demonstrations beginning in 2027, according to new federal guidance.
CMS creates office dedicated to health technology
The Office of Health Technology and Products is the latest technology development from the CMS as it doubles down on digital tools.
Health plans say AI is pushing healthcare costs higher
Nearly 70% of surveyed health plans said providers’ use of AI documentation and coding tools was a top three trend inflating commercial healthcare costs next year, according to a new report from PwC.
UHS deal exposes pitfalls of physician group acquisitions
Despite major financial struggles, some providers at a physician group in Washington, D.C., say the contract terms from its new, and much larger, parent is not the lifeline they want.
Humana divests interest in end-of-life provider Gentiva valued at $900M
The insurer is offloading its interest in the massive end-of-life care provider to an undisclosed group of investors, amid widespread concern about private investors’ activity in healthcare.
Medicare insolvency date creeps forward thanks to ‘Big Beautiful Bill,’ trustees find
The trust fund underpinning Medicare’s hospital benefit is set to run out of money one quarter earlier than previously expected as tax cuts in the GOP’s reconciliation legislation shrink Medicare’s revenue.