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STAT+: Private equity investment in Medicare Advantage drops

STAT

Major insurance companies like UnitedHealthcare and Humana have edged out private equity firms from investing in Medicare Advantage, according to a new report. But investors have found pockets of profits by backing companies involved in enrolling seniors in MA plans and keeping track of them once they’re there.

Insurance 116
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Black women founders offer health tech solutions to combat Black maternal mortality

STAT

In 2016, when Simmone Taitt had her first pregnancy loss, she was very well insured, had a high-paying job as a tech executive, and had access to one of the top OB-GYNs in New York City. When Black people receive maternal care, they are often not treated the same as white people.

Insurance 113
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Montana may be moving away from its innovative plan for setting hospital prices for public workers

STAT

The plan gained national renown among employers and health care price reform advocates when, in 2016, it established maximum amounts the health plan would pay for all inpatient and outpatient services. Taxpayers help fund the medical plan, which insures public employees and their families, for a total of about 28,800 people.

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STAT+: DaVita faces another probe over ties to kidney care charity

STAT

attorney general is specifically looking at “communications with AKF, documents relating to donations to the AKF, and communications with patients, providers, and insurers regarding the AKF.” ” The probe covers everything from January 2016 to the present day. Continue to STAT+ to read the full story…

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STAT+: Blue Cross Blue Shield plans in California evaded $170 million in taxes, whistleblower says

STAT

These claims renew concerns about whether health insurance companies have skirted the tax code and to what extent tax fraud could exist in the industry. Blue Shield of California evaded $111 million in taxes between 2016 and 2020, according to a complaint that was filed with the Internal Revenue Service on June 27.

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Enbrel patient assistance program

The Checkup by Singlecare

Without insurance coverage, discounts, or other financial support, Enbrel’s typical cash price is $8,430.54 Although Enbrel may seem expensive, it’s important to remember that some health insurance plans, Medicare Part D, and Medicaid plans might cover it. How much does Enbrel cost? for four 1 mL pre-filled syringes. That’s $2,107.64

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Reviewing Consistency and Adequacy of Public vs. Commercial Health Insurance for American Children

PharmExec

JAMA study evaluates differences in coverage types and potential from 2016-2021.