The hospital was looking for someone to lead data, analytics and AI capabilities and to combine that with operations, says Alda Mizaku, chief data and AI officer.  

UnitedHealth Group’s 2024 revenues hit $400.3 billion in 2024 – a 6% year-over-year increase –  and full-year earnings from operations were $32.3 billion. CEO Andrew Witty attributed much of this performance to a strong showing from pharmacy benefit manager OptumRx. “Pharmacy benefit managers play a vital role in keeping those prices down,” said Witty during […]

The “Big 3” pharmacy benefit managers – CVS Caremark, Express Scripts and OptumRx – mark up specialty drugs at their affiliated pharmacies by hundreds or even thousands of percent, according to a new interim staff report from the Federal Trade Commission.

The County of Santa Clara, California and HCA Healthcare have reached a definitive agreement in which the county will purchase Regional Medical Center for $150 million, the county said.

Seventeen health systems have launched the Truveta Genome Project to create what Truveta is calling the largest and most diverse database of genotypic and phenotypic information ever assembled.  The health systems, with Illumina and Regeneron, have invested $320M in Truveta preferred equity at a valuation exceeding $1 billion, according to Truveta. 

There’s variability in the sector depending on financial resources and post-acute settings were not funded under the Health Information Technology for Economic and Clinical Health (HITECH) Act, says Robert Latz, CIO, Trinity Rehabilitation Services.  

The brand-name drugs covered under Medicare Part D have nearly doubled in price, and 25 of them are now up 98% since they debuted in the market, a new AARP Public Policy Institute analysis has found.

The Centers for Medicare and Medicaid Services has issued a rule for additional safeguards to protect consumers from unauthorized changes to their healthcare coverage in the Affordable Care Act marketplace.

The scribe needs specialty support to tackle the “edge” cases such as the complex care provided in the ER and it needs to be coding aware for the financial health of the hospital, says Dr. William Morris, Ambience Healthcare CMO.  

The Centers for Medicare and Medicaid Services is offering eligible nursing homes a shot at applying for Financial Incentive Administrator designation as part of its recently announced Nursing Home Staffing Campaign.