How Medicaid work requirements will dent hospital margins
A new Commonwealth Fund analysis estimates U.S. hospitals’ annual operating margins will drop by 12.5% to 14.2% in 2027 should...
$1T healthcare shift is coming, driven by virtual care, AI: PwC
Growing demand for care and a rapidly aging population could drive U.S. healthcare spending to $8.6 trillion by 2035, more...
New tech company Stellarus expands to more health plans
Stellarus, a Blue Shield of California sister company that was spun out in January, is banding together with two Blues...
URAC starts AI accreditation for users and developers of AI
Healthcare accreditation body URAC is rolling out the nation’s first accreditation program for users and developers of healthcare artificial intelligence. ...
Prior authorization has created a perception problem
Clear communication, as part of the doctor-patient relationship, is one of the most fundamental aspects of healthcare delivery. Patients need...
Docs say Medicare payment rates continue to pressure finances
Physicians are asking for greater certainty around Medicare reimbursement, arguing that compounding payment decreases over time have drastically increased the...
Major payers set to grow market share over next decade: report
A new analysis from Morningstar estimates that the major national firms will continue to grow their share of the market...
Kaiser Permanente, Renown Health unveil insurance, outpatient JV
Integrated nonprofit health systems Kaiser Permanente and Renown Health have announced a joint venture giving the former an entry into...
Omada touts strong results of GLP-1 companion program
Despite the hype about weight loss drugs known as GLP-1s, serious questions have remained about their efficacy when patients wean...
CVS hit with lawsuit over dropping Zepbound from formulary
A new class action lawsuit alleges that CVS Caremark unlawfully changed their coverage for popular GLP-1 drug Zepbound. Earlier this...
