Modern Healthcare
@modrnhealthcr
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Award-winning healthcare business news, research and opinion | https://t.co/IqTQOt0NUe (RTs are not endorsements)
Joined January 2009
Medicare Advantage star ratings lawsuit losses pile up
modernhealthcare.com
Yet UnitedHealthcare, Centene and Alignment Health convinced courts the government erred when calculating 2024 Medicare Advantage star ratings.
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Shared Savings ACOs saved Medicare $2.4B in 2024
modernhealthcare.com
Shared Savings ACOs had another record year of savings in 2024, according to new data released Thursday.
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Unpacking CMS’ prior authorization rule on interoperability
modernhealthcare.com
Federal regulators set new expectations for prior authorization timelines and data exchange.
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Top digital health funding: Blues fund backs Medicaid startup
modernhealthcare.com
Nest Health, which works with insurers to provide care to Medicaid beneficiaries, was among the companies announcing recent funding rounds.
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Alphabet’s Verily shuts down medical devices program, cuts staff
modernhealthcare.com
This marks the second round of layoffs at a major medtech company in the past week.
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Sanford Health expands through Lewis Drug merger
modernhealthcare.com
Lewis Drug, a retailer and pharmacy company, will become part of Sanford Health.
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Why PACE providers are forging stronger ties with health systems
modernhealthcare.com
Providers say alliances with health systems raise brand awareness and help drive enrollment.
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Walgreens taps Motz for CEO as Sycamore finalizes acquisition
modernhealthcare.com
Walgreens named retail veteran Mike Motz as CEO following the close of Sycamore Partners' acquisition of Walgreens Boots Alliance.
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Cost pressures, AI, M&A drive growth in healthcare consulting
modernhealthcare.com
Management consulting firms continue to experience strong healthcare demand, fueled by new regulations, economic constraints and staffing shortages.
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Insurance commissioners under pressure as big premium hikes loom
modernhealthcare.com
States are on the front lines as the individual health insurance market struggles amid cost pressures and policy shifts.
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J&J Abiomed recalls user interface for heart pump: FDA alert
modernhealthcare.com
The issue, which can cause blood flow interruptions or a loss of heart support, is associated with one death.
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‘Solution in search of a problem:’ AHA slams 340B rebates pilot
modernhealthcare.com
Hospitals are pressuring federal regulators to cancel a controversial safety-net payment pilot that would upend discounted drug purchases.
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Aegis Ventures hires former Mayo, Walgreens execs
modernhealthcare.com
Health executives are increasingly moving to work at venture capital firms and startup studios.
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How health systems are saving money with centralized pharmacies
modernhealthcare.com
Health systems are expanding facilities to bring drug inventory, fulfillment and distribution under one roof.
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Facing Medicaid cuts, one health system looks to value-based care
modernhealthcare.com
Cook County Health CEO Dr. Eric Mikaitis says the public health system stands to lose an estimated $250 million annually due to federal policy changes.
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DOJ probing UnitedHealth’s Optum Rx, alongside Medicare practice
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Blue Shield of CA makes interim CEO permanent head
modernhealthcare.com
Mike Stuart has been serving as interim CEO since March.
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Quest Diagnostics, Corewell Health agree to joint venture
modernhealthcare.com
Quest Diagnostics and Corewell Health have entered a definitive agreement to build a laboratory facility and have Quest manage Corewell's hospital labs.
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Eversana acquires Waltz Health, forming alternative PBM company
modernhealthcare.com
The combined company, which will remain closely held, is valued at $6 billion.
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More time, less paperwork: The quiet revolution in primary care
modernhealthcare.com
Concierge and direct primary care practices are gaining traction among physicians, employers and patients who are frustrated with traditional care pathways.
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Always curious and full of energy, Beagles turn every walk into an adventure 🐾🎉.
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