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CVS Health and fitness may well conduct layoffs as part of the reduction in expert services. Impacted staff members could be notified in mid-November and terminated in the new yr, in accordance with the spokesperson.
Lawmakers listened to testimony last yr about algorithms employed by insurers to predict the amount care clients might require, which advocates argued generate coverage denials and force individuals to self-pay back or control an appeals course of action. Humana, Cigna and UnitedHealth had been sued very last calendar year in excess of their usage of algorithms to procedure promises.
Epic hit with antitrust lawsuit by details startup Particle Wellbeing Particle alleges electronic health history seller Epic applied its posture like a “monopolist” to circumvent Competitors within the payer market.
Companies say promises denials are expanding: survey Almost 3 in four suppliers surveyed by Experian Well being claimed the amount of statements denied by payers shot up among 2022 and 2024.
Gurus examine their predictions for healthcare business traits, which include investment decision and consolidation in digital wellbeing, adoption of artificial intelligence and increasing cybersecurity in healthcare in 2024. Read through the full short article ➔ Developments shaping the business of overall health insurance policy in 2024
Best healthcare conferences to prepare for in 2025 Listed here are notable functions medical center, payer and tech executives ought to contemplate attending following 12 months, functioning the gamut from digital wellness to fiscal administration to health care innovation.
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Arthur explained to the court docket that Regardless of the transaction’s “zero-dollar economics,” the debtors stand “totally behind the sale.”
Humana and CVS are downsizing their Medicare Edge designs for 2025. Which insurers could reward? Hundreds of A huge number of seniors could change plans for the duration of next 12 months’s open enrollment, according to how drastically the MA marketplace giants slash Gains in an try and improve gains.
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Employers are focusing on strategy patterns to control healthcare expenditures: study Approximately 50 % from the employers surveyed mentioned healthcare fees will exceed funds projections this yr, WTW explained.
Software program overload could Improve electronic health and fitness M&A Consumers of electronic health and fitness items are overcome with place methods, which could accelerate merger and acquisition action in the slowed funding ecosystem, specialists say.
J&J drops 340B rebate prepare pursuing government stress Threatened with steep sanctions and shedding use of Medicare and Medicaid, Johnson & Johnson is rolling again a plan to provide hospitals right after-the-fact rebates for medicine while in the 340B drug low cost program.