Business Intelligence

Every year Accrediting Organizations survey more than nine thousand Medicare/Medicaid program providers and suppliers.

Optum Rx is working with Calibrate to bring its medication management strategy to employers seeking GLP-1 covered benefits.

Insurers generally have sufficient ratings headroom to withstand higher MA utilization rates, analysts found.

Mary Langowski replaces John Driscoll as executive VP and president of U.S. Healthcare, with Driscoll transitioning to a senior advisory role.

Up to 400 people could lose their jobs at One Medical and Amazon Pharmacy, according to reports.

For 2023, Centene logged $2.7 billion in profit and $154 billion in revenue, both year-over-year improvements.

Cano Health has received a commitment for $150 million in financing.

The baby boomer population, which has driven the growth of MA, is reaching its peak potential of profitability.

Novant Health bought three for $2.4B and UCI Health has agreed to pay $975M for four.

CDS Hooks is a standard for web service that uses FHIR to represent the patient data, but it also has a standard to provide clinical decision support recommendations, says Dr. Howard Strasberg, vice president of medical informatics at Wolters Kluwer, who with Robert Jenders, professor of Medicine at UCLA will be speaking at HIMSS24.