Operations
Rule would require PBMs to disclose compensation to self-insured group health plans.
The $600M in no-cost and discounted technology products and services will also aid in the broader modernization of Medicaid systems, CMS says.
Tenor plans to acquire Wilkes-Barre General Hospital and two Lackawanna County hospitals.
Adjusted operating results were impacted primarily by higher medical cost trends, insurer says.
The Indiana Hospital Association wants state and federal lawmakers to modernize the Medicaid reimbursement rate and take other measures to support financial stability.
Stocks slide after Q4 revenue and full-year revenue outlook fall short of forecasts.
"When considering estimated risk score trend in MA driven by coding practices and population changes, the expected average change in payments will be 2.54%," CMS says.
Administrators are three times more likely to be involved in AI policy than clinicians, suggesting staff is using AI without clear guidance.
Ferrin Williams, PharmD MBA, chief pharmacy officer at Scripta Insights, gives insights in this Q&A.
CEO scheduled to testify before House subcommittee on health insurance affordability.