California, Oregon eye common well being protection The states' proposals, which resemble Medicare for All, need approval through the federal government and deal with pushback from key wellbeing techniques and insurers.
Elevance lowers direction on ‘unprecedented’ Medicaid difficulties Executives claimed the improved costs pressuring its Medicaid enterprise would strengthen after states current payment fees to raised match member acuity.
Lawmakers read testimony very last 12 months about algorithms utilized by insurers to predict how much treatment people could need to have, which advocates argued generate coverage denials and force people to self-fork out or deal with an appeals method. Humana, Cigna and UnitedHealth had been sued last calendar year in excess of their utilization of algorithms to procedure promises.
The draft Federal Well being IT Strategic Strategy is divided into four types, with the main a few aims centered on options to boost activities and outcomes for well being IT customers, whilst the fourth goal explores the policies and technological know-how required to guidance them.
Providers say claims denials are rising: study Almost a few in 4 vendors surveyed by Experian Health and fitness said the number of claims denied by payers shot up among 2022 and 2024.
While the intent is nice, several hospitals are currently operating on slender margins — In particular rural services that require to stay functioning to protect entry to care during the communities they provide, explained DiME’s Goldsack.
Healthcare Dive caught up with field professionals to share the best healthcare developments of 2024. Examine a lot more down below:
MA premiums to reduce on regular in 2025 The CMS explained premiums, Positive aspects and strategy selections will hold continual in 2025, even as insurers have warned they may Lower MA choices in a very bid to protect revenue.
Steward personal bankruptcy most likely as large personal debt remains, with couple alternatives left Steward Well being Treatment’s forbearance period finishes in a lot less than 15 times. Analysts say this time, creditors are unlikely to extend the embattled company another lifeline.
Suki raises $70M to increase healthcare AI scribe The website Series D round enables the startup to hurry new merchandise growth, put money into industrial initiatives and add to its Management team.
GLP-1s for fat loss leave employers in a very bind above coverage Companies confront a tricky determination more than whether to cover expensive weight-loss prescription drugs that pits the health and wellbeing in their workforce versus the overall health of their base line.
Employers are focusing on approach models to control healthcare fees: survey Approximately 50 percent in the employers surveyed said healthcare expenditures will exceed funds projections this yr, WTW stated.
Hospitals, inching towards sustained profitability, will divest from less than-carrying out and costly services strains in 2024 when rising investments in ambulatory care solutions. Providers may even Create expand-your-own nursing courses in a very bid to improve recruitment.
“The pace of change and technological innovation in healthcare over the last number of several years has actually been a lot quicker than I've at any time witnessed ahead of,” he said.