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Elevance lowers guidance on ‘unparalleled’ Medicaid challenges Executives mentioned the enhanced charges pressuring its Medicaid small business would make improvements to just after states updated payment rates to better match member acuity.
Medicaid overtakes Medicare Benefit as well being insurers’ bogeyman in Q2 Irrespective of problems in Medicaid and MA, important insurers however posted big earnings in the 2nd quarter — several helped by overall health solutions divisions.
Transparency will turn out to be more and more important this year, especially for scientific final decision aid applications or algorithms that support with statements appraisals, explained CB Insights’ Lennox-Miller.
An article from Deep Dive Healthcare technological know-how tendencies to observe in 2024 Authorities go over their predictions for expense and consolidation in electronic health and fitness, adoption of synthetic intelligence and how to improve cybersecurity in healthcare this calendar year.
Many Countless seniors could swap strategies through next calendar year’s open enrollment, determined by how significantly the MA sector giants slash Rewards in an make an effort to improve gains.
Healthcare Dive caught up with market industry experts to share the very best healthcare traits of 2024. Go through extra under:
Blue Cross Blue Shield to pay for $2.8B to settle course action provider antitrust scenario It is the most important antitrust settlement up to now during the healthcare sector, In accordance with regulation agency Whatley Kallas, which represented the plaintiffs.
The strategy, designed with greater than 25 federal organizations, consists of a heightened focus in places like synthetic intelligence, public wellness and health and fitness equity, officials claimed inside a site write-up.
Furthermore, insurers are purchasing psychological well being and substance use ailment products and services click here to control costs, and may move clear of position-solutions towards integrated Added benefits platforms.
Cyberattacks initially focused on larger healthcare methods, but smaller sized companies and business associates are actually targets, claimed Amy Magnano, husband or wife at law company Morgan Lewis. Attackers have gotten additional complex too, utilizing AI and machine Finding out equipment to hone their strikes, which include crafting extra powerful phishing e-mail.
Listen to the short article 8 min This audio is vehicle-generated. Be sure to let us know Should you have comments. Steward Health Care been given court acceptance to sell 6 of its Massachusetts hospitals for an combination price of $343 million during a contentious hearing Wednesday, correctly exiting operations within the state.
CVS Overall health is discontinuing sure infusion services offered by way of its Coram business as well as ideas to close or promote 29 pharmacies in the coming months, a spokesperson confirmed to Healthcare Dive.
Late final yr, the ONC finalized a sweeping rule that requires builders of Qualified AI instruments to depth info such as how products are managed and monitored, and recognised threats and inappropriate works by using.