Fierce Healthcare

OCTOBER 24, 2023

UnitedHealthcare is expanding its footprint on the Affordable Care Act (ACA) exchanges to four new states in 2024, the insurance giant

Insurance 109

Insurance 109

STAT

FEBRUARY 1, 2023

Medicare Advantage insurers could face an average 2.3% cut to baseline payments in 2024, the Biden administration said Wednesday. The major reason behind the proposed pay cut: Medicare officials want to update data and coding systems that are used to explain the health conditions of an insurance company’s enrollees.

Insurance 119

Insurance 119

The Checkup by Singlecare

MAY 29, 2024

Is OneTouch Verio covered by insurance? With a prescription from your healthcare provider, your insurance may cover glucose testing supplies. Insurance coverage for OneTouch Verio glucose test strips will vary based on an individual plan formulary. How much does OneTouch Verio cost without insurance?

Insurance 78

Insurance Insurance Coverage 78

Fierce Healthcare

OCTOBER 8, 2024

One year ago, we brought together top minds in the health insurance industry at our first Fierce Health Payer Summit. | One year ago, we brought together top minds in the health insurance industry at our first Fierce Health Payer Summit.

Insurance 103

Insurance 103

Fierce Healthcare

JUNE 17, 2024

LAS VEGAS — Last week, leaders across the health insurance industry descended on Sin City to dig deep into the biggest topics facing payers. | LAS VEGAS — Last week, leaders across the health insurance industry descended on Sin City to dig deep into the biggest issues facing payers.

Insurance 131

Insurance 131

Fierce Healthcare

NOVEMBER 6, 2024

CVS did not release formal guidance for 2024 as part of its earnings call Wednesday morning as it continues to navigate headwinds at the insurance business. | CVS did not release formal guidance for 2024 as part of its earnings call Wednesday morning as it continues to navigate headwinds at the insurance business.

Insurance 78

Insurance 78

Fierce Healthcare

SEPTEMBER 16, 2024

Health plans are set to rake in $11.8 billion in Medicare Advantage quality bonus payments, according to a new analysis from KFF.

Insurance 131

Insurance 131

STAT

MAY 20, 2024

Those trends — the same ones that tanked health insurance stocks a few weeks ago — made a strong mark on nonprofit health systems’ first quarter financial reports. That includes things like fighting insurance denials and getting better deals from vendors for key supplies like drugs and medical devices.

Insurance 102

Insurance Hospitals 102

The Checkup by Singlecare

AUGUST 15, 2024

Is Contrave covered by insurance? Insurance plans and Medicare often do not cover Contrave. Aetna’s Standard Control Plan and a Human Medicare plan are examples of ones not covering the drug in 2024. Insurance carriers’ coverage of weight loss drugs is highly variable. How much does Contrave cost without insurance?

Insurance 52

Insurance Controlled Substances FDA Labelling 52

STAT

AUGUST 4, 2023

The Centers for Medicare and Medicaid Services originally said it would cut payments meant to help safety net hospitals by $115 million in 2024. The federal government will pay hospitals that treat poor and uninsured patients almost $1 billion less next year, a cut that’s more than eight times larger than the one proposed in April.

Insurance 97

Insurance Hospitals 97

Drug Topics

APRIL 9, 2024

Brian Rakers, senior vice president of distribution and member support at Pharmacists Mutual Insurance Group, talked cybersecurity during a session at AAP 2024.

Independent Pharmacies 211

Independent Pharmacies Insurance 211

STAT

DECEMBER 28, 2023

STAT’s taking a look at some of the recent health policy trends that states will start to implement in 2024. Some states have pioneered new programs to increase their oversight over drug costs, health care costs, and health care mergers, and those are beginning to generate both results and lessons learned.

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Insurance Hospitals 104

Fierce Healthcare

JUNE 18, 2024

Health insurance executives are captivated by artificial intelligences' use cases. You can’t spell AHIP without AI. Here's where they see advancements on the horizon.

Insurance 124

Insurance 124

The Checkup by Singlecare

APRIL 18, 2024

Is Dovato covered by insurance? | How much does Dovato cost without insurance? | How to get Dovato without insurance Dovato treats HIV-1 infection by containing two active antiviral ingredients, dolutegravir and lamivudine. Is Dovato covered by insurance? How much does Dovato cost without insurance?

Insurance 52

Insurance Insurance Coverage Dosage Pharmaceutical Companies 52

Fierce Healthcare

JULY 12, 2023

High-quality therapy can be expensive for a lot of individuals and it's estimated that one-third of therapists don't accept insurance at all. | The new funding will accelerate Octave’s expansion to more regions later this year and all 50 states in 2024.

Insurance 94

Insurance 94

Digital Pharmacist

SEPTEMBER 20, 2023

The Medicare Open Enrollment period for 2024 is quickly approaching – this is a critical time for both your patients and your pharmacy. This leaves very little time before patients need to re-evaluate their insurance. Every year, the enrollment period runs from October 15 to December 7.

Independent Pharmacies 105

Independent Pharmacies Insurance Nursing Homes Immunization 105

Oswald's

OCTOBER 8, 2024

Foster in early October to discuss problems with the pharmacy industry in 2024. To put it simply, PBMs are ‘middlemen’ between your insurance company and Oswald’s (or any pharmacy you use) that are supposed to ‘save’ you money. ꝶ The post A Message From Alex October 2024 appeared first on Oswalds Pharmacy. Yang Rohr and Sen.

Independent Pharmacies 52

Independent Pharmacies Labelling Insurance Vaccines 52

Fierce Healthcare

SEPTEMBER 13, 2024

Below is a roundup of payer-centric news headlines you may have missed during the month of September 2024. This month, Humana faces consequences for prior auth delays, Congress members have introduced new No Surprises Act legislation targeting insurers and Aetna has been sued for denying gender-affirming facial reconstruction surgeries.

Insurance 117

Insurance 117

Fierce Healthcare

AUGUST 20, 2024

Below is a roundup of payer-centric news headlines you may have missed during the month of August 2024. Care Health Plan slashed prior auth codes for catheter supplies, and Illinois signed laws cracking down on insurers involving colonoscopies, inhalers and more. This month, Devoted Health completed its series E funding round, L.A.

Insurance 124

Insurance 124

STAT

FEBRUARY 28, 2024

In 2023, enrollment in Medicare Advantage, the version of Medicare run by private insurers, surpassed 50% of eligible beneficiaries for the very first time. These insurers cited higher than average health care utilization rates as the culprit and warned that 2024 would likely see more of the same. In fact, the opposite is true.

Insurance 145

Insurance 145

Pharmaceutical Commerce

SEPTEMBER 23, 2024

In an interview with Pharma Commerce Editor Nicholas Saraceno, Mark Karhoff, supply chain & DSCSA consultant, National Association of Boards of Pharmacy, discusses insurances to the upcoming DSCSA deadline.

Insurance 52

Insurance 52

Board Vitals - Pharmacist

OCTOBER 10, 2024

For the 2024 BoardVitals Medical School Scholarship, we asked current medical students and residents to answer the question: “Reflect on your personal connection to a specific medical specialty. My second client was a 19-year-old experiencing her second unplanned pregnancy without health insurance or a support system.

Medical Schools 52

Medical Schools Insurance Hospitals 52

Fierce Healthcare

APRIL 8, 2024

Health insurers are gearing up to release their first-quarter results over the next several weeks, and a new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Adv | A new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Advantage has made for a cloudy outlook.

Insurance 113

Insurance 113

Fierce Healthcare

OCTOBER 11, 2023

Humana CEO Bruce Broussard will step down from the role in the latter part of 2024, and the insurer has already found a successor. Humana CEO Bruce Broussard will step down from the role in the latter part of 2024, and the insurer has already found a successor.

Insurance 109

Insurance 109

Fierce Healthcare

DECEMBER 20, 2023

Health systems, insurers, retailers like CVS and tech companies like Amazon are all scrambling for a bigger piece of the medical pie.

Insurance 132

Insurance 132

Fierce Healthcare

AUGUST 15, 2023

In what the insurer bills as its third consecutive year of significant expansion into the market, Health Care Service Corporation will offer Medicare Advantage (MA) plans in 99 additional counties | Health Care Service Corporation says it will offer Medicare Advantage plans in 99 additional counties for 2024.

Insurance 52

Insurance 52

STAT

FEBRUARY 16, 2024

million adults older than 65 and people with disabilities were enrolled in a Medicare Advantage plan as the calendar flipped to 2024 — another year of steady, albeit slower, growth for the taxpayer-funded program. Roughly 33.4 Enrollment increased 7.1% Continue to STAT+ to read the full story…

Insurance 126

Insurance 126

Fierce Healthcare

SEPTEMBER 29, 2023

The industry is just two weeks away from the beginning of Medicare's annual enrollment period, a critical window for the hottest market in insurance. | The industry is just two weeks away from the beginning of Medicare's annual enrollment period, a critical window for the hottest market in insurance.

Insurance 120

Insurance 120

STAT

JANUARY 7, 2024

Even though some of the health systems presenting at the conference just lost hundreds of millions in 2023, expect a theme of cautious optimism for the coming year from hospitals, medical groups, health insurers, and the vendors who serve them.

Hospitals 107

Hospitals Insurance 107

Fierce Healthcare

JUNE 3, 2024

Blue Cross and Blue Shield of Kansas City is leaving the Medicare Advantage (MA) market at the end of 2024, the insurer announced recently. Blue Cross and Blue Shield of Kansas City is opting out of the Medicare Advantage market.

Insurance 123

Insurance 123

Fierce Healthcare

SEPTEMBER 19, 2024

2024 has been a year that has tested healthcare organizations' cyber resilience, and shone a spotlight on critical vulnerabilities. Cybersecurity leaders at major health systems and leading health insurers say they are now keenly focused on building more a resilient healthcare ecosystem rather than just reacting to threats.

Insurance 85

Insurance 85

Pharmafile

MARCH 17, 2023

French pharmaceutical company Sanofi has announced that it will cut the list price of its Lantus (insulin glargine injection) 100 units/ml by 78%, beginning January 2024. read more

Pharmaceutical Companies 59

Pharmaceutical Companies Pharmaceutical Companies Insurance 59

Fierce Healthcare

MARCH 8, 2024

LOS ANGELES—Health insurers have access to a bevy of valuable data, and the push toward interoperability made it easier for those data to be shared with providers. |

Insurance 125

Insurance 125

STAT

JANUARY 3, 2024

Hospitals and clinics are expecting a slightly better 2024 compared to last year thanks to a return to mostly in-person care, patients resuming preventive visits and the gradual easing of labor costs and shortages. Continue to STAT+ to read the full story…

Hospitals 108

Hospitals Insurance 108

STAT

JANUARY 30, 2024

Copyright © 2024 by Uché Blackstock, M.D. access to health care has long depended on insurance and a person’s ability to pay, with patients of color making up a disproportionate number of the under- or uninsured, as I have seen firsthand. From “ Legacy ” by Uché Blackstock, M.D., In the U.S.,

Insurance 141

Insurance Hospitals 141

Fierce Healthcare

JUNE 10, 2024

Thought leaders from across the insurance industry will descend on Las Vegas this week for AHIP's annual conference, kicking off three days of discussions on the biggest issues facing payers.

Insurance 61

Insurance 61

Fierce Healthcare

SEPTEMBER 11, 2023

At a time when inflation seems to be on the nation’s radar, it’s no surprise that Blue Cross and Blue Shield of North Carolina would tout that members in the healthcare plans it offers in the Affor | The rate decrease, approved by the North Carolina Department of Insurance, will lower total premiums by an estimated $130 million for enrollees in the (..)

Insurance 116

Insurance 116