The attorney general of Ohio is accusing pharmacy benefit managers of illegally driving up drug prices. What are the details? We’ll examine that and other issues in this week’s Top Stories, including Better Therapeutics’ recent layoffs, and clinicians views on EHRs. For more news and features from Jeff Lagasse, visit Healthcare Finance News. In this […]

Providers and payers are speaking out against a Texas court decision yesterday that blocks preventative care coverage, including for HIV, cancer, and a range of reproductive health interventions, mandated in the Affordable Care Act. 

Hospital margins are still struggling, but they’re beginning to stabilize, according to Kaufman Hall’s National Hospital Flash Report for March. Margins in February were down slightly from the previous month, representing the eighth straight month in which the variation in month-to-month margins has decreased relative to the last three years. Due to external economic factors, […]

New legislation introduced in the Senate by Bill Cassidy (R-LA) and Jeff Merkley (D-OR) seeks to curb overpayments to Medicare Advantage plans by imposing changes to MA risk adjustment.

Telemedicine can help deliver healthcare to the underserved, according to Howard Rubin, CIO at Evara Health, an FQHC.  

To highlight their HIMSS23 session, Margie Zuk and Penny Chase of MITRE share updates to the Medical Device Cybersecurity Regional Incident Preparedness and Response Playbook.  

Ahead of a final rule that would limit the amount of time insurers have to approve prior authorization requests and would require an electronic, FHIR API standard, UnitedHealth Group on Wednesday said it would reduce the use of its prior authorization process by 20% for some non-urgent surgeries and procedures.

Insurer Centene has appointed Tanya McNally to the role of senior vice president and chief people officer, the company announced this week. As chief people officer, McNally will lead the Human Resources function and “drive strategies to optimize employee and business success,” the company said. She’ll also be tasked with growing talent management programs focused […]

Is big data too big? Next month, Kristen Mclaughlin and Nitin Gupta will attempt an answer.

The Food and Drug Administration has approved the first nonprescription, “over-the-counter” naloxone nasal spray, Narcan.