Humana targets internal cuts amid Medicare Advantage challenges: Humana will look for ways to improve operating efficiency and medical cost management ...
modernhealthcare.com/finance/humana-medicare-advantage-profit-2024
Paid articlePaid
Chamber of Commerce sues to block FTC’s noncompete ban: The nation’s largest business lobby argued that the Federal Trade Commission lacks the authority to issue ...
modernhealthcare.com/legal/ftc-chamber-of-commerce-lawsuit-noncompete-ban
Paid articlePaidQuick Glance: US implements ban on worker 'competition agreements' with business groups filing lawsuits
- The U.S. Federal Trade Commission has approved a framework to eliminate agreements often signed by employees to refrain from joining their employers' competitors or establishing rival businesses.
- The ban on noncompete agreements is projected to boost worker earnings by up to $488 billion over the next decade and facilitate the establishment of over 8,500 new businesses annually.
- Prominent business associations have criticized the framework and declared legal actions, contending that noncompete agreements assist companies in safeguarding trade secrets and advancing competitiveness.
- Unions have endorsed the FTC's vote in favor of the ban, hailing it as a significant triumph for workers that will enhance the national economy by fostering entrepreneurship.
Anthem Blue Cross faces suit for alleged patient discharge delays: The California Hospital Association's suit alleges Anthem Blue Cross of California violates ...
modernhealthcare.com/providers/anthem-blue-cross-lawsuit-california-hospital-association
Paid articlePaid Larry Ellison: Oracle moving world HQ to Nashville: The headquarters will feature a community clinic where Oracle can test its software ...
modernhealthcare.com/digital-health/oracle-larry-ellison-oracle-headquarters-nashville
Paid articlePaid Advocate Health finishes first post-merger year with $2B surplus: The sprawling health system saw significant financial improvement in 2023 from pandemic-era ...
modernhealthcare.com/finance/advocate-health-merger-profit-2023
Paid articlePaid Why Community Health Systems isn't ready to buy hospitals: Community Health Systems continues its efforts to cut costs and boost efficiency.
modernhealthcare.com/mergers-acquisitions/community-health-systems-chs-hospital-sales
Paid articlePaid UPMC lays off 1,000 employees, citing market challenges: The cuts will affect mostly non-clinical, non-member-facing and administrative workers ...
modernhealthcare.com/labor/upmc-layoffs-administrative-employees
Paid articlePaid UnitedHealth Group cuts jobs in Optum's naviHealth division: An internal document shows the layoffs at naviHealth, part of UnitedHealth Group's Optum unit ...
modernhealthcare.com/insurance/optum-layoffs-navihealth-unitedhealth-group-uhg
Paid articlePaid Why some conservatives are targeting healthcare consolidation: Some conservative Republicans are joining Democrats to advance policies aimed at reining in the ...
modernhealthcare.com/politics-policy/vertical-integration-republicans-roger-marshall
Paid articlePaid Adventist HealthCare's Terry Forde will move to Health First: Terry Forde, president and CEO of Adventist Health, will leave in August to lead Health First ...
modernhealthcare.com/people/health-first-adventist-healthcare-terry-forde
Paid articlePaid Cigna, Humana merger deal ‘math now works,’ Jefferies says: The two companies had reportedly been discussing a cash-and-stock deal in November ...
modernhealthcare.com/mergers-acquisitions/cigna-humana-deal-jeffries
Paid articlePaid Change cyberattack affected 'substantial proportion' of America: UnitedHealth Group said it will take several months before it can identify and notify affected ...
modernhealthcare.com/cybersecurity/change-healthcare-update-patient-data
Paid articlePaid Nursing homes blast higher staffing minimums: Nursing homes worry the Biden administration's higher staffing mandate could deepen workforce shortages and force ...
modernhealthcare.com/providers/nursing-homes-staffing-final-rule-reaction
Paid articlePaidQuick Glance: Biden's Landmark Staffing Mandate for Nursing Homes
- The Biden administration has implemented first-ever staffing requirements for nursing homes to enhance care quality.
- The rule mandates 24/7 registered nurses and a minimum of 3.48 hours of care per resident daily.
- Industry voices concerns over staff shortages, estimating a need for over 100,000 additional workers.
- The new regulations will be phased in and could potentially lead to facility closures for non-compliance.
'Heat is on' cross-market hospital merger oversight: researchers
modernhealthcare.com/mergers-acquisitions/cross-market-mergers-prices-health-services-research
Joint Commission launches telehealth accreditation program
modernhealthcare.com/safety-quality/joint-commission-telehealth-accreditation-program
Lina Khan: FTC will weigh cybersecurity in mergers: The Federal Trade Commission chair said the potential impact of breaches like the Change Healthcare ...
modernhealthcare.com/policy/lina-khan-ftc-cybersecurity-change-healthcare-outage
Paid articlePaid Headspace launches direct-to-consumer coaching: Companies see opportunity in offering direct-to-consumer mental healthcare because traditional healthcare ...
modernhealthcare.com/digital-health/headspace-dtc-services-coaching-christine-evans
Paid articlePaid 20M fewer Medicaid enrollees means trouble for providers: Since states resumed eligibility redeterminations a year ago, more hospital bills are going unpaid.
modernhealthcare.com/medicaid/medicaid-unwinding-hospitals-colorado-south-dakota-texas
Paid articlePaid Tenet Healthcare reaches tentative contract with 2,800 workers: If the contract is ratified, Tenet Healthcare workers in California will receive a 14% pay ...
modernhealthcare.com/labor/tenet-healthcare-union-contract-california
Paid articlePaid Providence employees awarded $98M in wage suit: The judgment against Providence Health and Services involves a potential class of 33,000 employees.
modernhealthcare.com/legal/providence-lawsuit-wage-theft
Paid articlePaid UnitedHealth says ransom was paid in Change Healthcare hack: The ransom was paid “as part of the company’s commitment to do all it could to protect patient data ...
modernhealthcare.com/cybersecurity/change-healthcare-update-unitedhealth-ransom
Paid articlePaid CMS finalizes sweeping Medicaid managed care rules: The Biden administration has pledged to increase oversight of Medicaid managed care insurers as more states ...
modernhealthcare.com/medicaid/medicaid-managed-care-rules-transparency-cms
Paid articlePaid Lumeris secures $100M in new funding: The capital brings the total raised by the company to $340 million.
modernhealthcare.com/digital-health/lumeris-funding-deerfield-management
Paid articlePaid Biden administration finalizes Medicaid home care 80/20 pay rule: The Biden administration rule will ensure more Medicaid funding goes into the pockets of direct ...
modernhealthcare.com/providers/medicaid-home-care-rule-transparency-requirements
Paid articlePaid How Mass General Brigham’s Anne Klibanski fights capacity issues: CEO Dr. Anne Klibanski spoke candidly about Mass General Brigham's capacity issues ...
modernhealthcare.com/providers/mass-general-brigham-anne-klibanski-capacity-mergers
Paid articlePaid Medicare Advantage fight shifts to 340B arena: CMS should compel Medicare Advantage plans to retroactively adjust 340B payment rates, hospitals say.
modernhealthcare.com/policy/medicare-advantage-340b-drug-policy-cms
Paid articlePaid Nurses deserve a seat on health tech company advisory boards: Nurses need to be part of conversations on the development and implementation of healthcare ...
modernhealthcare.com/opinion/advisory-boards-nurses-perigen-karen-kolega
Paid articlePaid Community Health Systems to sell Tennessee hospital: Hamilton Health Care System has agreed to purchase Community Health System's hospital in Cleveland ...
modernhealthcare.com/mergers-acquisitions/community-health-systems-tennova-healthcare-hospital-sale
Paid articlePaid Novant, Community Health Systems hit back at FTC in deal lawsuit: The health systems allege that Novant's $320 million proposed acquisition of two North Carolina ...
modernhealthcare.com/legal/novant-chs-community-health-systems-ftc
Paid articlePaid A timeline of Walgreens’ changes under CEO Tim Wentworth: The company has undergone many changes since CEO Tim Wentworth joined it six months ago.
modernhealthcare.com/providers/walgreens-tim-wentworth-timeline
Paid articlePaid Medicaid, Medicare Advantage drive Elevance membership loss: Elevance Health's membership in the first quarter dropped 3.9% compared with the same period last ...
modernhealthcare.com/insurance/elevance-health-medicaid-medicare-advantage-earnings
Paid articlePaid Feds launch healthcare antitrust reporting portal: The platform allows the public to report potentially anticompetitive behavior to the Federal Trade Commission ...
modernhealthcare.com/government/ftc-doj-antitrust-reporting-portal
Paid articlePaid WHO’s New AI-Powered Chatbot Is Giving Wrong Medical Answers
modernhealthcare.com/digital-health/world-health-organization-ai-chatbot-sarah-wrong-medical-answers
Medicare’s push to improve chronic care faces enrollment issues: While the Chronic Care management program shows promise in reducing costs ...
modernhealthcare.com/providers/medicare-chronic-care-management-program-enrollment-primary-care-doctors
Paid articlePaid Racial health disparities persist even in top-performing states: A new Commonwealth Fund report urges governments and providers to "look under the ...
modernhealthcare.com/providers/racial-health-disparities-commonwealth-fund-report
Included Health expands virtual-first services amid market crunch: Included Health President Robin Glass said the company is trying to offer members a more ...
modernhealthcare.com/digital-health/included-health-specialty-care-womens-metabolic-robin-glass
Paid articlePaid Aetna lawsuit could reshape MA supplemental benefits: A clinically integrated network sued CVS Health subsidiary Aetna, alleging the insurer passes the cost of ...
modernhealthcare.com/legal/medicare-advantage-benefts-aetna-lawsuit
Paid articlePaid Hospital prices for emergency care varies 16-fold, study shows: Cash prices associated with readying doctors and other personnel for trauma cases ranged from ...
modernhealthcare.com/providers/hospital-prices-emergency-care-2023-jama
Paid articlePaid PE-owned healthcare saw surge in 2023 bankruptcies, report says: Private equity-backed firms accounted for around 20% of healthcare company bankruptcies last ...
modernhealthcare.com/finance/private-equity-healthcare-2023-bankruptcy-envision-genesiscare-no-surprises-act
Paid articlePaid Nursing home staffing mandate draws concerns at Senate hearing: The Senate Aging Committee heard from nursing home workers and educators worried about the ...
modernhealthcare.com/providers/nursing-home-staffing-mandate-senate
Paid articlePaid Epic dispute reveals trust gap between providers, tech companies: The dispute between Epic and Particle Health exposes the larger challenges of data-sharing in ...
modernhealthcare.com/digital-health/epic-particle-health-dispute-data-sharing-carequality
Paid articlePaid 'Food is Medicine' put to test in Mississippi Delta: Does giving diabetes patients fresh fruit and vegetables improve health outcomes? Providers ...
modernhealthcare.com/community-health-centers/food-is-medicine-clinical-trial-mississippi-delta
Paid articlePaid Join us at the 2024 Digital Health Summit on May 14 in Chicago! Gain insights on leveraging digital solutions, reducing costs, improving patient care, and more ... Show more www.modernhealthcareevents.com/event/12963727-5601-41ef-b1f5-becdb9dfb1ee/summary #DigitalHealth #HealthcareEvent #HealthTech
North Carolina treasurer backs FTC efforts to stop Novant deal: The FTC sought a preliminary injunction in March to block Novant Health’s proposed $320 million ...
modernhealthcare.com/legal/novant-health-hospitals-ftc-dale-folwell
Paid articlePaid Walgreens' fourth round of cuts targets corporate workers: A company spokesperson said Walgreens had eliminated positions in its corporate support center ...
modernhealthcare.com/walgreens-layoffs-corporate-support-center
Paid articlePaid Change Healthcare breach could cost UnitedHealth $1.6B this year: UnitedHealth Group offered a closer look at the financial fallout from the cyberattack two ...
modernhealthcare.com/insurance/change-healthcare-update-cyberattack-cost-unitedhealth
Paid articlePaid Pacs Group closes IPO, raises $450M: The skilled nursing facility operator exceeded its expectations for its initial public offering.
modernhealthcare.com/finance/pacs-group-ipo-stock
Paid articlePaid Repairing Medicare Advantage requires shared accountability: Addressing challenges related to Medicare Advantage demands action from all stakeholders: payers ...
modernhealthcare.com/opinion/medicare-advantage-accountability-lifespark-joel-theisen
Paid articlePaid Envision Healthcare names new CEO: Envision Healthcare CEO Jason Owen replaces Henry Howe, who has been the interim CEO since December.
modernhealthcare.com/people/envision-healthcare-jason-owen
Paid articlePaid Mental health startup gets $72M in Series C funding: Two Chairs said the capital will allow it to expand into new markets and invest in its matchmaking platform ...
modernhealthcare.com/digital-health/mental-health-startups-two-chairs-funding
Paid articlePaid Lawmakers rip UnitedHealth at Change Healthcare hearing: Shoring up the healthcare system against cyber threats is going to take a lot of money ...
modernhealthcare.com/politics-policy/unitedhealth-group-change-healthcare-hearing-congress
Paid articlePaid CVS' Oak Street Health to open clinics at retail pharmacies: CVS acquired primary care provider Oak Street Health in May and announced plans to add 50 to 60 Oak ...
modernhealthcare.com/providers/cvs-oak-street-health-open-clinics-retail-pharmacies
Paid articlePaid Feds fine Cerebral over data sharing allegations: The Justice Department issued a proposed order Monday that fined Cerebral for allegedly disclosing consumers' ...
modernhealthcare.com/digital-health/cerebral-ftc-fines-social-media
Paid articlePaid More prior authorization rules may be coming: CMS' Brooks-LaSure: CMS Administrator Chiquita Brooks-LaSure told American Hospital Association conference ...
modernhealthcare.com/politics-policy/prior-authorization-cms-chiquita-brooks-lasure-aha
Paid articlePaid Health sector wary as Congress starts Change hearings: Congress is starting serious consideration of the crippling Change Healthcare cyberattack Tuesday ...
modernhealthcare.com/politics-policy/congress-change-healthcare-hearing-bills-aha-ahip
Paid articlePaid Why Medicare Advantage carriers are suing CMS over star ratings: Elevance Health, SCAN Health Plan and Hometown Health Plan each allege they stand to lose out on ...
modernhealthcare.com/insurance/medicare-advantage-star-ratings-elevance-scan-zing
Paid articlePaid How AI tools could help break language barriers: Cedars-Sinai recently announced the launch of a Spanish-language version of its artificial intelligence-enabled ...
modernhealthcare.com/digital-health/cedars-sinai-ai-language-barriers-spanish
Nearly 1 in 4 adults dumped from Medicaid now uninsured: survey: A survey of Medicaid enrollees found that nearly a quarter who were dropped from the program in ...
modernhealthcare.com/policy/medicaid-unwinding-uninsured-survey
Paid articlePaid Top digital health funding: Grow Therapy receives backing from celebs: Actresses Anna Kendrick and Lily Collins joined professional athletes Dak Prescott ...
modernhealthcare.com/digital-health/top-digital-health-funding-grow-therapy-neuehealth-cariloop
Paid articlePaid Hospitals allege flawed Medicare rates led to underpayments: A lawsuit alleges HHS miscalculated the IPPS base payment rate used in fiscal 1984 ...
modernhealthcare.com/legal/cms-ipps-rate-lawsuit-xavier-becerra
Paid articlePaid Potential CMS measure shows divide over quality training standards: Some health systems are turning to external certification and educational programs to teach ...
modernhealthcare.com/safety-quality/training-standards-kaiser-permanente-rush-university-medical
Paid articlePaid Defense Health Agency shifting toward a telehealth culture: Naomi Escoffery of the Defense Health Agency talks about areas where the Military Health System is ...
modernhealthcare.com/digital-health/defense-health-agency-naomi-escoffery-telehealth
Paid articlePaid Court revives UnitedHealth behavioral health algorithm lawsuit: The lawsuit alleges UnitedHealth reviewed patient claims for substance abuse treatment more ...
modernhealthcare.com/legal/unitedhealth-behavioral-health-lawsuit-substance-abuse
Paid articlePaid Kaiser Permanente launches food-is-medicine hub: The center will expand on the healthcare provider’s existing food-is-medicine programs.
modernhealthcare.com/providers/kaiser-permanente-food-is-medicine-center-excellence
Paid articlePaid WellBe Senior Medical, QuikMedic to expand partnership: The two organizations plan to expand their existing partnership into four new states this year.
modernhealthcare.com/providers/wellbe-senior-quikmedic-partnership-utah-oregon
Paid articlePaid Walgreens' VillageMD facing lawsuit over use of Meta's 'Pixels': VillageMD joins many providers facing lawsuits for using a social media tracking code patients ...
modernhealthcare.com/legal/walgreens-villagemd-privacy-lawsuit-meta-pixels
Paid articlePaid Medicare must boost physician pay, senators say: A hearing on chronic care under Medicare focused on complexity, declining pay and insufficient coordination ...
modernhealthcare.com/politics-policy/medicare-physician-pay-ron-wyden-mike-crapo
Paid articlePaid Megamergers help drive M&A upswing in 2024: Kaufman Hall: Twenty transactions were announced in the first quarter of 2024, compared with 15 deals in last year’s ...
modernhealthcare.com/mergers-acquisitions/kaufman-hall-ma-deals-q1-2024
Paid articlePaid Why Cleveland Clinic is investing in autism care startups: Autism treatment has been a frequent target of private-equity disruption, but it's less common to see ...
modernhealthcare.com/digital-health/cleveland-clinic-innovations-autism-floreo
Paid articlePaid Insurers 'scrambling' after Medicare Advantage pay cut: Medicare Advantage insurers such as Humana, Centene and Elevance Health have publicly mulled premium ...
modernhealthcare.com/insurance/medicare-advantage-rate-cut-centene-humana-elevance-cvs-health
Paid articlePaid Providers address growing demand for outpatient care: JLL report: Clinicians are increasingly moving to outpatient centers equipped to handle higher-acuity ...
modernhealthcare.com/provider/jll-report-outpatient-care-medical-real-estate
Paid articlePaid CMS proposes 2.6% pay bump for inpatient hospitals
modernhealthcare.com/politics-policy/ipps-rule-medicare-cms-2025
AMA, AHIP, NAACOS outline value-based care best practices: The American Medical Association, AHIP and National Association of Accountable Care Organizations ...
modernhealthcare.com/accountable-care/ama-ahip-naacos-value-based-care-aco
Paid articlePaid Prime Healthcare completes $350 million purchase of 5 hospitals: The purchase agreement, announced in February, consists of $250 million in cash and a $100 ...
modernhealthcare.com/mergers-acquisitions/prime-healthcare-medical-properties-trust-deal
Paid articlePaid Sanford Health to acquire women's health center: Sanford Health said it intends to continue providing reproductive services at the Williston, North Dakota ...
modernhealthcare.com/mergers-acquisitions/sanford-health-great-plains-womens-health-center-nd
Paid articlePaid AHA seeks federal probe of MultiPlan, insurers: The American Hospital Association alleges MultiPlan and several health insurers may be overcharging patients and ...
modernhealthcare.com/insurance/multiplan-cigna-aetna-unitedhealth-labor-department-aha
Paid articlePaid Privacy bill could have sweeping impact on insurers, providers
modernhealthcare.com/politics-policy/american-privacy-rights-act-2024-healthcare
Walgreens-backed VillageMD taps new president: Jim Murray, who has held leadership positions at Centene and Humana, became VillageMD's president and chief ...
modernhealthcare.com/people/walgreens-villagemd-jim-murray
Paid articlePaid Providers still navigating Change outage as systems are restored: Many providers are using workarounds to move claims seven weeks after UnitedHealth Group took ...
modernhealthcare.com/cybersecurity/change-healthcare-update-improvements
Food-is-medicine programs gain speed amid funding concerns: Defining what a food-is-medicine program should include and securing funding have been the top ...
modernhealthcare.com/providers/food-is-medicine-programs-funding
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