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Public health emergency extended another 90 days

13 hours ago · The Department of Health and Human Services has renewed the public health emergency for the eighth time due to the COVID-19 pandemic.. On Friday, HHS Secretary Xavier Becerra issued the renewal for another 90 days. A public health emergency has existed since January 27, 2020.

Actived: 1 days ago

URL: https://www.healthcarefinancenews.com/news/public-health-emergency-extended-another-90-days

UnitedHealthcare and Optum launch virtual-first health

(9 days ago) The new health plan opens up the possibility for eligible UHC members to receive various types of care, the companies say. Major insurer UnitedHealthcare has unveiled a new virtual-first health plan dubbed NavigateNOW, developed in conjunction with sister company Optum, which promises a more integrated approach to both virtual and in-person care.

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Centene completes acquisition of Magellan Health

(8 days ago) Centene Corporation has announced that it has completed its acquisition of Magellan Health, thereby enabling the health insurer to provide whole-health, integrated healthcare solutions, the company said this week. The stated goal is that this will allow Centene to deliver better health outcomes at lower costs for complex, high-cost populations.

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Banner Health unifies patient engagement strategies into

(7 days ago) Banner Health is among the largest nonprofit health systems in the country, operating in six states, and is also one of the largest employers in Arizona, with over 50,000 employees. Luma Health has been growing since its founding in 2015. In November, the company announced $130 million in Series C funding, bringing the total raised to $160 million.

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New Medicaid option promotes enhanced mental health, says

(3 days ago) Photo: LucaLorenzelli/Getty Images. The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has unveiled a new option for supporting community-based mobile crisis intervention services for those with Medicaid. Authorized under the American Rescue Plan, the agency said it's part of an effort to work

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Health plans provide $1.5M to spur medical home adoption

(4 days ago) Six health plans -Aetna, CDPHP, the Hudson Health Plan, MVP Health Care, UnitedHealthcare and Empire BlueCross Blue Shield - have provided $1.5 million in incentive payments to 236 separate primary care physicians in 11 practices in New York that have achieved patient-centered medical home recogniti

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Clover Health sees Medicare Advantage enrollment jump 25%

(9 days ago) Clover Health's Medicare Advantage enrollment for 2022 has beaten expectations, increasing 25% over the previous year, according to the insurer. This outpaces the overall industry growth average of about 10% year-over-year. Clover began the year already above its 2022 average MA membership guidance of 82,000 lives.

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Castlight Health and Vera Whole Health announce merger

(7 days ago) Photo: skynesher/Getty Images. Healthcare data company Castlight Health and primary care provider Vera Whole Health are merging in a deal estimated to be worth $370 million. Clayton, Dubilier & Rice, Vera's majority equity holder, will invest up to $338 million to support the combination. Anthem, a long-time customer of Castlight, will also

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Health plans provide $1.5 million to spur PCHM adoption

(3 days ago) Six health plans -Aetna, CDPHP, Hudson Health Plan, MVP Health Care, UnitedHealthcare and Empire BlueCross Blue Shield - have provided $1.5 million in incentive payments to 236 separate primary care physicians in 11 practices that achieved patient-centered medical home recognition by the NCQA.

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TeamHealth wins lawsuit against UnitedHealth Healthcare

(7 days ago) A Nevada jury agreed with TeamHealth that United engaged in unfair reimbursement practices. Tennessee-based TeamHealth Holdings has won a lawsuit against UnitedHealthcare, which alleged the insurer's shared savings plan encouraged the underpayment or termination of physician contracts. The suit claimed UHC underpaid on 11,000 claims for a …

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Optum to acquire Change Healthcare Healthcare Finance News

(4 days ago) Its information and technology-enabled health services business, Optum delivers integrated solutions to improve population health. Change Healthcare focuses on accelerating the transformation of the healthcare system through data and analytics-driven solutions to improve clinical, financial, administrative and patient engagement outcomes.

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Clover Health and Cricket Health partner to target chronic

(3 days ago) Clover Health is a risk-bearing organization focusing on health equity and seniors who have historically lacked access to affordable high-quality healthcare. The technology of Clover Assistant aggregates patient data from across the health ecosystem to support clinical decision-making.

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New York now requiring COVID-19 boosters for healthcare

(2 days ago) The agency has determined that the protective health benefits of a single booster dose of the Pfizer shot outweigh the potential risks in those who fall under that age group. The boosters, according to the FDA, provide continued protection against COVID-19 and the associated consequences that may occur, such as hospitalization and death.

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CVS Health projecting $304 billion in revenue next year

(4 days ago) CVS Health has projected a healthy chunk of revenue in 2022 to the tune of at least $304 billion, and during its Investor Day the company said it may take in as much as $309 billion.. The organization also updated its guidance for …

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UnitedHealth Group and Change Healthcare amend merger

(5 days ago) UnitedHealth Group and Change Healthcare have amended the timing of their $13 billion merger agreement, according to Change's November 3 earnings statement.. On November 1, Change and UnitedHealth agreed not to consummate their merger before February 22, 2022, unless they receive written notice from the Department of Justice prior to the date …

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Hospitals pay high turnover costs due to RNs leaving the

(3 days ago) The 2021 NSI National Health Care Retention & RN Staffing Report found that since 2016, the average hospital has turned over about 83% of its RN staff and 90% of its overall workforce, with the cost of turnover for a bedside RN ranging between $28,400 and $51,700 – enough to cause many hospitals to lose between $3.6 and $6.5 million per year.

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Nonprofit health plans focus on reducing premiums

(8 days ago) Presbyterian Health of New Mexico's Complete Care, on the other hand, is a wrap-around program that combines primary, urgent and home care for patients with complex medical needs, including those with functional decline and at …

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13.6 million people now covered by ACA plans, with a month

(2 days ago) The open enrollment period in 2021 is outpacing all previous years in terms of enrollment, with a historic high of more than 13.6 million people already enrolled in health insurance coverage for 2022 through HealthCare.gov and state-based marketplaces through the Affordable Care Act, according to the Department of Health and Human Services.. HHS …

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Federal healthcare spending increased 36% in 2020 due to

(8 days ago) However, when spending for federal public health and other federal programs (which includes COVID-19 supplemental funding) is removed, NHE growth was only 1.9%, a slower rate of growth from the 4.3% increase in 2019, largely due to reduced use of medical care goods and services because of the pandemic.

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Healthcare executives believe AI can improve patient

(7 days ago) Healthcare executives increasingly believe in the power of artificial intelligence to help improve patient outcomes, support cost savings and promote health equity, according to a new Optum survey of 500 senior healthcare executives. Most healthcare organizations – 98% – either have a strategy or are planning one.

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White House requiring insurers to cover at-home COVID-19

(7 days ago) The U.S. Department of Health and Human Services is providing up to 50 million free, at-home tests to community health centers and Medicare-certified health clinics for distribution at no cost to patients and community members. The program is intended to ensure COVID-19 tests are made available to populations and settings in need of testing.

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Healthcare technology development is being accelerated by

(2 days ago) Challenges remain, however, especially with budget shortfalls plaguing many hospitals and health systems. "The reality is, we already had very slim operating margins in health systems, and now a lot of providers are dealing with budget shortfalls," said Huey.

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Human Arc introduces eligibility enrollment solutions

(5 days ago) Human Arc, a leader in reimbursement and other revenue enhancement services for hospitals and health plans, has introduced Eligibility Enrollment Solutions. The introduction represents a significant expansion in Human Arc solutions available to hospitals to optimally handle challenges of eligibility screening and enrollment for programs that reimburse providers …

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CVS Health partners with Microsoft to advance digital

(3 days ago) CVS Health currently leverages Azure cognitive services, like Computer Vision and Text Analytics for Health, that automate certain tasks. In Specialty Pharmacy, for example, CVS Health has digitized intake using these services, including the 40% of prescriptions that arrive as paper or fax – the idea being that it helps technicians fill

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Humana halves 2022 Medicare Advantage enrollment outlook

(9 days ago) Major health insurer Humana is drastically reducing its Medicare Advantage enrollment estimates for 2022 due to a large number of terminations during the last enrollment period, revealing in a new filing with the Securities and Exchange Commission that the former projection of 325,000 to 375,000 new MA members has been slashed to 150,000 to 200,000 …

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Supreme Court split in rulings over vaccine mandates

(2 days ago) In the ruling, the Justices said the core mission of the Department of Health and Human Services is to ensure that the healthcare providers who care for Medicare and Medicaid patients protect their patients' health and safety. In many facilities, 35% or more of staff remain unvaccinated, according to the ruling.

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LifeSpan, Care New England merger could have significant

(3 days ago) As Brown University and Rhode Island's two largest nonprofit healthcare systems continue working toward an integrated academic health system, an independent analysis commissioned by Brown concludes that closer integration of health systems, physician practices and research can create significant economic and societal gains to communities throughout …

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Validation is central to the growth of digital mental

(5 days ago) The future of behavioral health and wellness requires preparation, according to Peter Hames, CEO of Big Health. News Ending racism in healthcare often begins with medical education - and is the target of a new national project Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the

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Insurers are being required to cover at-home COVID-19

(6 days ago) Starting next month, health plans will cover at-home tests for the 150 million Americans with private health insurance, President Biden says. President Joe Biden wants insurers to cover the cost of at-home COVID-19 tests. Biden made his remarks Thursday during a speech before the National Institutes of Health on his "COVID-19 Winter Plan."

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Supreme Court Justices grill on question of emergency

(3 days ago) Keller, representing the National Federation of Independent Business, argued that the Occupational Safety and Health Administration Standard is a one-size fits all mandate that represents an overreach of power. OSHA has never before mandated vaccines or widespread testing and a single federal agency cannot commandeer this action, Keller said.

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Mortality rates dip 33% after NYU Langone Hospital

(8 days ago) In-hospital mortality rates dropped by 33% at a hospital serving one of the highest Medicaid populations in the country after its 2016 merger with NYU Langone Health, according to new research published in JAMA Network Open.. In-hospital mortality at NYU Langone Hospital-Brooklyn – formerly Lutheran Medical Center, in the southeast Brooklyn community of Sunset …

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HIMSSCast: Why a Google vet started a next-gen health

(9 days ago) Clover Health wants to improve physicians' performance by giving them access to cutting-edge AI technology. But the company chose to enter the market, not as a technology vendor, but as an insurer, disrupting traditional payment structures and care-navigation technology in one fell swoop.

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HHS appeals block on healthcare worker vaccine mandate

(4 days ago) Unhappy about a federal court decision that put the brakes on the Centers for Medicare and Medicaid Services' national vaccine mandate for healthcare workers, the Department of Health and Human Services has filed an appeal in the U.S. Court of Appeals for the Fifth Circuit.. On Nov. 4, in a rule that followed through on President Joe Biden's mandate …

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Artificial intelligence-driven protocols enable

(5 days ago) Healthcare organizations ask HHS to delay quality measure reporting for ACOs The American Hospital Association and American Medical Association are among the 11 organizations signing the letter. Ending racism in healthcare often begins with medical education - and is the target of a new national project Inequities can be found in every facet of

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Patients still approve of telehealth, but its popularity

(4 days ago) Rock Health's data showed that telehealth users tend to be younger consumers (ages 18-44) with higher incomes and education levels. Non-white patients were also significantly more likely than their white-only counterparts to use virtual care; 70% of white-only respondents reported telehealth use in 2021, compared to 87% of Hawaiian Native and

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FDA expands use of Pfizer vaccine, green-lights boosters

(Just Now) The agency has determined that the protective health benefits of a single booster dose of the Pfizer shot outweigh the potential risks in those who fall under that age group. The boosters, according to the FDA, provide continued protection against COVID-19 and the associated consequences that may occur, such as hospitalization and death.

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HHS: Protections against surprise medical bills

(5 days ago) As 2022 gets underway, new federal protections against surprise medical bills have gone into effect. The U.S. Department of Health and Human Services has said these protections will shield consumers from bills from out-of-network providers, facilities and ambulance providers. They went into effect January 1. Implemented under the No Surprises …

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Health Equity :: Washington State Department of Health

(9 days ago) Systematic: Decades of residential segregation practices lead to economic, racial and health inequality. Avoidable: The higher obesity rates could be avoided through environmental changes like bike lanes and supermarkets. Unfair and Unjust: The distribution of resources to the wealthier, white neighborhoods because of the representatives’ self-interests is unfair and unjust.

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Medicare Advantage, consolidation drove healthcare insurer

(2 days ago) The Centers for Medicare and Medicaid Services said that in 2022, MA is projected to reach 29.5 million people compared to 26.9 million enrolled in a Medicare Advantage plan in 2021. For many seniors, MA is the preferred health insurance because of its low upfront monthly costs and added benefits.

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UnitedHealth Group pushes back deadline for Change

(2 days ago) UnitedHealth Group has delayed the deadline for its pending acquisition of Change Healthcare, likely owing to an ongoing investigation into the merger by the Department of Justice. A new filing with the Securities and Exchange Commission indicates the deal may now be finalized in April 2022. Prior to the filing there had not been a specific

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New York health insurer to adopt integrated care

(6 days ago) The Hudson Health Plan, a Medicaid managed care organization based in New York, will implement an integrated care management software system offered by TCS Healthcare Technologies. TCS' Acuity Advanced Care will support Hudson's Utilization Management (UM), Case Management (CM), Disease Management (DM) and Prevention/Wellness (PW) services.

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Biden Administration is requiring insurers, health plans

(6 days ago) The action requires health plans, health insurance issuers offering group or individual health insurance coverage, and health benefits plans offered to federal employees to submit key data to the departments, which will work through the HHS Assistant Secretary for Planning and Evaluation to publish a report on prescription drug pricing trends

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Garnet Health Medical Center Garnet Health

(7 days ago) Garnet Health Medical Center, formerly known as Orange Regional Medical Center, is a 501 (c) (3), non-profit organization. Formed by the merger of Arden Hill Hospital and Horton Medical Center, Garnet Health Medical Center moved the two campuses into a single-site, new, state-of-the-art facility on August 5, 2011.

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Hospital merger and acquisition activity will remain

(1 days ago) Hospitals, health systems and providers, both for-profit and nonprofit, are expected to see continued robust merger and acquisition activity throughout the year, according to a new report from Moody's Investors Service.. Larger health systems will pursue M&A to increase market share and to diversify, in terms of both geography and service lines.

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Supreme Court rejects challenge to New York healthcare

(7 days ago) Among groups which spoke out in favor of the federal vaccination mandate for private employers with more than 100 employees was the American Hospital Association, which said COVID-19 was commonly spread in workplaces, representing a "severe risk" …

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R1 RCM to expand revenue-cycle reach in acquisition of

(7 days ago) Cloudmed serves more than 400 health systems in the country in revenue intelligence, including 47 of the top 50 hospital systems, R1 said in the announcement. The transaction values Cloudmed at approximately $4.1 billion, including $857 million of net debt.

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HHS debuts $30M grant program meant to curb opioid

(8 days ago) While it may be overshadowed by the COVID-19 pandemic, the opioid epidemic is still in full effect in the U.S., and on Wednesday the Department of Health and Human Services announced a harm reduction grant program to support community harm reduction services that curb and treat addiction.. Grants made available through the Substance Abuse and Mental …

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