The Centers for Medicare and Medicaid Services is opening a special Affordable Care Act enrollment period for beneficiaries losing Medicaid or Children’s Health Insurance Program coverage due to the end of the continuous enrollment requirement.

The federal government extended telehealth waivers for two years, but the current higher rate of reimbursement is in place only through the end of this year. During the public health emergency, the Centers for Medicare and Medicaid Services reimburses providers at the non-facility rate, which creates payment parity between an in-person and a telehealth visit.

CVS Health has launched Virtual Primary Care, an virtual care offering focused mainly on primary care and mental health services. Virtual Primary Care, which offers 24/7 on-demand care, is now available to Aetna commercial members nationwide who are enrolled in eligible fully-insured and self-insured health plans. Members can schedule a primary care visit within days […]

Nioura Ghazni, a partner in the corporate practice group of Sheppard Mullin’s San Francisco office, says that hospital leaders have to focus on streamlining mission and operations, adding revenue streams, and avoiding regulatory risk.

Optum Rx is attempting to lower prescription drug prices for members. How is it doing it? We’ll delve into that and other news in this week’s Top Stories, including Amazon’s launch of a generic medication subscription service, and a new accelerator for early-stage technology companies. For more news and features from Jeff Lagasse, visit Healthcare […]

Elevance Health saw revenues climb more than 9% during the fourth quarter of 2022, hitting $39.9 billion, up from $36 billion in Q4 2021. But profit was down 16.5% year-over-year, declining from $1.1 billion last year to $949 million in 2022. Operating revenue was $39.7 billion in the fourth quarter of 2022, an increase of […]

HCA Healthcare, based out of Nashville, announced this week multiple HCA Healthcare Foundation grants, through its Healthier Tomorrow Fund, to provide high school students early access to careers in healthcare, and to connect unemployed and underemployed jobseekers with healthcare career opportunities. The foundation is giving $250,000 to community colleges and universities and $130,000 to the […]

Aligning with the Kingdom’s Vision 2030 objectives, the National Center for Health Workforce Planning focuses on initiatives including reskilling and upskilling of healthcare workers, says the group’s CEO Ziad Nakshabandi.    

A new report from the U.S. Department of Health and Human Services estimates that if the Inflation Reduction Act’s provision capping the cost of insulin at $35 for a month’s supply for Medicare beneficiaries had been in place in 2020, 1.5 million seniors across the country would have saved an average of $500 on insulin […]

Increased data transparency between health plans and providers on care and coding gaps results in higher compliance, process improvement and positive behavior changes among network providers, according to a new report from information technology company IllumiCare.