CMS commits $100M to support ACA navigators
With open enrollment on the Affordable Care Act exchanges just a few months away, the feds are investing $100 million...
Industry Voices—10 steps to defend against healthcare cyberattacks
The healthcare industry confronts a complex, double-barreled challenge as it tries to combat the recent deluge of dangerous and damaging...
Evolent Health considers a sale to PE, stock price leaps
Evolent Health, a company that offers software solutions to help providers and insurers transition to value-based care, is reportedly in talks...
Humana to settle whistleblower suit for $90M
Humana has agreed to pay $90 million to settle a False Claims Act case related to its Medicare Part D...
Chutes and Ladders—Included Health taps former OptumHealth CFO
Welcome to this week’s Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. Please submit the...
Kaiser Permanente’s operating margin rises to 3.1% in Q2
Kaiser Permanente wrapped up a strong first half of 2024 with a solid quarter, reporting $908 million of operating income...
Medicaid, MA headwinds pressure payers in Q2
Medicare Advantage (MA) and Medicaid woes continued to plague some major payers in the second quarter, with UnitedHealth Group regaining...
HHS wants to expand use of certified health IT tech
The Department of Health and Human Services’ technology office dropped a new proposed rule on Thursday that would require healthcare...
NAACOS worries new ACO REACH changes could force exits
The Centers for Medicare & Medicaid Services (CMS) quietly released changes to the ACO REACH Model, prompting one industry group...