FierceHealthcare | Hospitals & Health Systems - Health

Payer Roundup—CVS insider trading scandal; DOJ examining PBMs

Keep up with some of the latest headlines in the payer space with our ongoing monthly roundup for October.

Paragon Health Institute researcher lays out roadmap for healthcare AI as Trump mulls tech policy | Fierce Healthcare

A report on artificial intelligence from conservative think tank Paragon Health Institute could serve as a roadmap for healthcare AI policy for the incoming Trump administration; and the

73% of providers, payers plans to invest more in AI: survey

Nearly 60% of senior executives are bullish about AI's immediate opportunity to improve the patient and clinician experience over the next two years.

Report: 4M could become uninsured if enhanced ACA subsidies end

Should policymakers choose not to extend enhanced ACA subsidies, about 4 million people would likely become uninsured, according to a new analysis.

An emerging cyberthreat: vishing | Fierce Healthcare

Cyberattacks against healthcare organizations are becoming increasingly sophisticated, with new threats constantly emerging.

PBMs strike back at FTC in new lawsuit

Major PBMs are countersuing the Federal Trade Commission, claiming the agency is biased and has too much authority to upend the industry.

Americare taps FeelBetter to tackle polypharmacy risks for patients in long-term care | Fierce Healthcare

FeelBetter, a startup that launched six years ago, is expanding its AI-based medication management platform into long-term care through a partnership with Americare.

Former Oak Street CEO Mike Pykosz leaves CVS

Mike Pykosz, the former CEO of Oak Street Health, will leave CVS Health as part of the company's latest leadership shake-up.

TV personality Dr. Oz nominated to run Medicare, Medicaid

TV personality and surgeon Dr. Oz is Trump's choice to run the Centers for Medicare & Medicaid Services.

FDA advisory committee to roll up sleeves on generative AI

The FDA seeks advice on regulatory challenges it has identified for generative AI used in medical devices.

AMA: Insurance markets remain 'stubbornly highly concentrated'

Many regions are "stubbornly highly concentrated" when it comes to commercial health coverage, according to a new analysis from the AMA.

Dexcom invests $75M in Oura, inks strategic partnership

Oura is partnering with Dexcom to integrate data from glucose biosensors with the Oura Ring, which tracks sleep, heart rate and activity.

2024: A pivotal year in the fight against cardiovascular disease | Fierce Healthcare

For Esperion Therapeutics, 2024 has marked a pivotal transformation in its mission to combat cardiovascular disease.

3 Ways AI Can Enable Health Systems to Achieve the Quadruple Aim | Fierce Healthcare

By: Dave Henriksen

Telehealth companies can prescribe controlled meds through 2025

The DEA finalized a rule that will allow registered providers to prescribe Schedule 2-5 medications via telehealth without seeing the patient in person.

CVS, Glenview Capital reach deal that adds 4 board members

CVS has entered into a deal with key investor Glenview Capital Management that will add four members to its board of directors.

Fierce Health Payer Summit looks to the future for insurers

Fierce Healthcare's Payer Summit took place in Austin, Texas on Nov. 13-14. Industry experts joined Fierce journalists to discuss issues for payers.

Planned Parenthood decries executive power in pending House bill

Civil liberty organizations are sounding the alarm on a bill lawmakers are trying to push through that could hurt nonprofits in healthcare.

Maternal health startup Ruth Health shutters, per CEO

The startup offered a suite of remote patient services, including doula care, pelvic floor training, C-section recovery and more for new moms.

Health tech Q3 earnings recap—Hims & Hers, Doximity, Waystar

Buoyed by strong results in the most recent quarter, Hims & Hers, Doximity and Waystar all raised their 2024 revenue and profitability outlooks.

LexisNexis® Risk Solutions Launches Healthcare DataWake Podcast | Fierce Healthcare

Kaufman Hall: High labor costs challenge hospitals

Labor expenses accounted for 84% of medical groups' total expenses, highlighting the unsustainable nature of traditional employment models.

Chutes & Ladders—Abridge and AccessHope tap industry execs

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

Papa outlines safety and trust standards for home healthcare

Papa, a company that offers companion care, has learned valuable lessons in the past seven years as it has expanded its services to more older seniors.

Amazon One Medical offers subscription-based medical treatments

Amazon One Medical's move into bundled medical treatments puts it in competition with direct-to-consumer telehealth players like Ro and Hims & Hers.

Fierce Health Payer Summit, Day 2

In the Day 2 keynote, Former Secretary of Health and Human Services Alex Azar reiterated his and Republicans' commitment to value-based care.

Massachusetts Blues launches doula program, caregiving support

Blue Cross Blue Shield of Massachusetts is further strengthening its offerings for women.

Trump taps RFK Jr. as HHS Secretary nominee

Trump announced his pick for HHS, Robert F. Kennedy Jr., on Thursday on social media platform Truth Social.

Centene says President Ken Fasola will retire next summer

Ken Fasola joined the team at Centene in 2022 when the insurer completed its $2.2 billion acquisition of Magellan Health.

Rogers Behavioral Health taps Limbic's AI virtual assistant

Limbic offers an AI chatbot that screens potential patients and refers them to care. It aims to be an alternative scalable access point for patients.

Closing gaps in clinical trial infrastructure  | Fierce Healthcare

In this week’s episode of “Podnosis,” we’re diving deep into the current landscape of cli

Optum mounts defense of $3.3B Amedisys deal

DOJ is seeking to intervene in UnitedHealth Group's $3.3 billion acquisition of Amedisys, and the company is already mounting a defense of the deal.

HealthTap, Aeroflow partner to combine virtual care and DME

Patients with chronic conditions need consistent contact with a provider to continue to receive their supplies, but many lack this relationship.

Primary care player Forward shuts down

Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company announced Wednesday.

J&J sues feds for blocking controversial 340B rebate plan

The company filed its lawsuit in district court seeking a ruling that declares its rebate plan legal and clears the way for it to roll out the model.

Fierce Health Payer Summit, Day 1

On Day 1 of the Fierce Health Payer Summit, panelists discussed the role of technology to retain members.

DOJ sues to block UnitedHealth's $3.3B acquisition of Amedisys

The Department of Justice filed suit Tuesday to block UnitedHealth's $3.3 billion acquisition of home health company Amedisys.

Cardinal Health inks two acquisitions worth $3.9B

Cardinal Health plans to buy two companies that will expand its diabetes and gastroenterology businesses as part of its specialty growth strategy.

Lyra lays off 2% of workforce, impacting non-clinicians

A former employee alleges Lyra Health providers faced increased expectations for the number of clients they should see without seeing a pay increase.

Major payers saw mixed financial results in Q3

The third quarter of 2023 was another mixed bag for major insurers as they continue to grapple with significant headwinds.