Optum Rx shifts to fee-based PBM model in bid to boost transparency
Clients of the drug middleman can pay monthly fees per member that aren’t linked to manufacturers’ list prices or prescription volume.
Worker strikes cost Kaiser over $1B in Q1
Strikes at Kaiser, including a monthlong work stoppage among 31,000 nurses and other employees, added to the nonprofit health system’s rising expenses in the first quarter, which dinged its operating margin.
Feds propose rule to help employers expand fertility benefit coverage
The proposal addresses a key plank in President Donald Trump’s labor agenda and would exempt fertility benefits from the requirements of some federal health coverage laws.
Sanford targets Minnesota growth again with planned deal
Sanford has signed an agreement to add two-hospital system North Memorial Health to its portfolio. If approved, the combination would allow Sanford to expand more deeply in the state after past deals fell apart.
MACPAC calls for increased transparency in Medicaid AI prior authorization
The influential advisory group is recommending policies to boost human oversight and visibility into how Medicaid plans are using the technology, in a bid to prevent risks like inaccuracies or data bias.
Healthcare sector continues to buoy job growth
“Remove healthcare from the equation, and the US labor market is actually losing more than it is gaining,” one economist said.
From hidden costs to smarter choices: Why transparency is key to lowering healthcare spend
The hidden gap driving higher healthcare costs.
4 questions your tech should answer to confidently navigate a risk-based future
A risk-based future is the reality for healthcare, is your organization ready to succeed?
Cross Country Healthcare to be taken private by PE firm for $437M
The deal comes months after an acquisition by travel nursing agency Aya Healthcare collapsed.
Federation of American Hospitals taps new government relations head
Elizabeth Schwartz will head up government relations at the for-profit hospital trade association as health systems brace for federal funding cuts.