Accounting & Financial Management
Emblem will establish a restitution process to repay members who paid out-of-pocket for mental health services because they were unable to find an in-network provider.
A strong MFN law could be a meaningful step toward bringing U.S. prices in line with those paid by other high-income countries, says Patients for Affordable Drugs Now.
Michael Dalton, Ovatient founder and CEO, says the CMS-led Rural Health Transformation Program will only succeed if funds are used to build new value-based, virtual-first models for providing care to rural communities.
The layoffs follow the August acquisition by Sycamore Partners.
The Alliance for Advancing Rural Healthcare includes Arcadia, Castlight Health, Covista, Mission Mobile Medical, Telemedicine.com, TruBridge and Walgreens.
Hospitals must balance continued outpatient expansion with necessary inpatient modernization, report says.
New AI system validates service invoices before payment, giving health systems control over a $323 billion spend category.
MA enrollment increases of 1%-3% over the last two years compare with 7%-10% between 2017 and 2024.
Prime says it will invest $150 million over five years in the Maine facilities.
Humana purchased Florida-based MaxHealth from private equity firm Arsenal Capital Partners for an undisclosed sum.