News
Bipartisan bill to boost Medicare doctor pay unveiled
2+ hour, 48+ min ago (32+ words) Modern Healthcare Bipartisan bill to boost Medicare doctor pay unveiled Elevance Health will avoid federal sanctions on its Medicare Advantage operations, executives said Wednesday....
Elevance slides as profit guidance raise fails to impress
9+ hour, 45+ min ago (37+ words) Modern Healthcare Elevance slides as profit guidance raise fails to impress HCA took a $550 million hit on exchange coverage losses in the first half of the year....
Medicare doctor pay would dip slightly under proposed rule for 2027
23+ hour, 51+ min ago (47+ words) Modern Healthcare Medicare doctor pay would dip slightly under proposed rule for 2027 The federal government in September 2024 sued the countryâs three largest pharmacy benefit managers for allegedly inflating the list price of insulin drugs....
CMS reports strong ACO REACH savings before model sunsets
5+ day, 5+ hour ago (44+ words) Modern Healthcare CMS reports strong ACO REACH savings before model sunsets Results published this week from the Centers for Medicare and Medicaid Services show ACO REACH closed out 2024 with strong savings and quality performance....
Memorial Hermann to exit commercial insurance business
6+ day, 5+ hour ago (31+ words) Memorial Hermann Health Plan to exit commercial insurance business Modern Healthcare Memorial Hermann to exit commercial insurance business CVS Health plans to sell its Omnicare pharmacy services subsidiary to GenieRx Holdings....
Exchange insurers owe $11.2B in ACA risk-adjustment payments
1+ week, 2+ day ago (38+ words) Modern Healthcare Exchange insurers owe $11.2B in ACA risk-adjustment payments The Centers for Medicare and Medicaid Services plans to recalculate 2026 Medicare Advantage star ratings for all insurers....
Elevance Health sues over Medicare Advantage star ratings
1+ week, 6+ day ago (37+ words) Modern Healthcare News Elevance Health sues over Medicare Advantage star ratings The Centers for Medicare and Medicaid Services plans to recalculate 2026 Medicare Advantage star ratings for all insurers....
CMS proposes 2.4% hospital outpatient pay bump, 340B cuts
1+ week, 6+ day ago (38+ words) Modern Healthcare News CMS proposes 2.4% hospital outpatient pay bump, 340B cuts The draft rule would also significantly cut pharmaceutical reimbursements for hospitals in the 340B Drug Pricing Program....
Congress eyes boost to direct contracting, cutting out insurers
1+ week, 6+ day ago (46+ words) Modern Healthcare News Congress eyes boost to direct contracting, cutting out insurers Healthcare organizations are seeing widespread executive turnover as CEOs and other leaders retire, step down or shift roles, leaving boards to navigate succession and strategy....
CMS proposes 2.4% home health pay increase for 2027 - Modern Healthcare
2+ week, 2+ min ago (40+ words) CMS proposes 2.4% Medicare pay increase for home health providers Modern Healthcare News CMS proposes 2.4% Medicare pay increase for home health providers UnitedHealth Group, CVS Health and other leading healthcare companies are counting on artificial intelligence to invigorate earnings....