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Surprise! Telehealth Doesn’t Increase Overall Utilization and Cost As Much as We Thought
"Given concerns that telemedicine?s convenience will lead to more visits, the relatively small increase in visits that we observed was...
Strong Patient Volumes Boost HCA Q1 Revenues
CEO Sam Hazen says the for-profit hospital chain is 'encouraged by our performance.'
Prisma Health Boosts Accountable Care in Partnership with CVS Health Division
The South Carolina-based health system's ACO is working in collaboration with CVS Accountable Care.
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Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Drug Expenditures Surge; Drug Prices Not So Much.
Spending on weight-loss drugs will continue to climb in 2024 and beyond as drug makers catch up with the huge...
U.S. $772.5B Pharmacy Spend in 2023 Driven by Weight-Loss Drugs
Prescription drug spending grew by 13.5% in 2023, but drug cost inflation was lower than the CPI.
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It’s Time to Go Digital with Your Payments: Here’s Why
FTC Chief Says Tech Advancements Risk Healthcare Price Fixing
Algorithms make it possible for companies to fix prices without explicitly coordinating with one another.
How Climate Change Will Turn Up the Heat on Your Payer Business: Part One
Will health insurers be prepared for a climate health crisis? They should be.
Perryman: Texas' Medicaid purge is perilous
Since the expiration of COVID-19-related provisions requiring states to keep residents enrolled in Medicaid, an estimated 2.1 million Texans have...
UnitedHealth Group's CEO realized $25M in 2023
A cybersecurity attack may cost UnitedHealth Group billions, but their CEO made $25 million before the attack.
Cigna to offer Humira rivals with $0 copay at specialty pharmacy
Cigna plans to make close copies of AbbVie's blockbuster arthritis drug Humira available with no out-of-pocket payment to eligible patients...
You've covered your copayment; now brace yourself for the 'facility fee'
States are going after the surprise charges tacked on by hospitals that own outpatient centers.
Docs, patients loathe 'step therapy' rules, but insurers say they're necessary. An IL bill would prohibit the practice.
A bill making its way through the state legislature would prohibit health insurance plans from requiring step therapy for prescription...
New CA rule aims to limit health care cost increases to 3% annually
Payers and providers in California will be limited to annual price increases of 3% starting in 2029 under a new...
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