Cigna Sells Medicare Business To Health Care Services Corp. For $3.7 Billion

Health Care Service Corporation announced Wednesday that it will buy Cigna’s Medicare business. The $3.7 billion sale will see Health Care Service, the country’s largest customer-owned health insurer, take control of Cigna’s Medicare Advantage, Supplemental Benefits and Part D customers, as well as the CareAllies business that works with healthcare providers. Cigna’s Medicare plans cover over 3.6 million people, with 2.5 million ...

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Pharmacies Are Struggling To Refill Their Own Ranks

Pharmacy retail chains staking their future on expanding the health care services they offer are running into a big problem: It’s getting harder to draw the next generation of pharmacists amid turmoil in the industry. Why it matters: The pharmacies’ ambitions to become go-to providers for vaccinations, patient monitoring and even prescribing are being threatened by workforce shortages and burnout, ...

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UCSF To Pay $100 Million To Acquire Two Struggling S.F. Hospitals

UCSF Health has confirmed that its $100 million deal to acquire two struggling San Francisco community hospitals is just weeks away from closing. The city’s preeminent medical research institution has signed an agreement to purchase St. Mary’s Medical Center at 450 Stanyan St. — San Francisco’s oldest Catholic hospital — and Saint Francis Memorial Hospital at 900 ...

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Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’

States are plowing billions of dollars into a high-stakes health care experiment that’s exploding around the country: using scarce public health insurance money to provide housing for the poorest and sickest Americans. California is going the biggest, pumping $12 billion into an ambitious Medicaid initiative largely to help homeless patients find housing, pay for it, ...

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California System Taps Specialty Pharmacy Partner

Sharp HealthCare, a seven-hospital system in San Diego, partnered with a specialty pharmacy solutions provider Jan. 30. Patients at the health system will soon receive personalized specialty care, including side effect and adherence management, regular follow-ups, access to financial assistance, and free medication delivery. Sharp’s deal with Shields Health Solutions will first focus on four disease states: ...

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Hospital Lobbying Could Sink Effort To Trim Medicare Costs

Hospitals intensely lobbying to stop a bipartisan measure that would trim their Medicare payments are emphasizing how the policy may hobble already struggling rural hospitals. Why it matters: The hospitals’ argument is apparently resonating in the Senate — raising further doubts about whether Congress can overcome pressure from a politically powerful lobby to enact modest Medicare savings. ...

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Hospital-Backed Proposal Would Make Insurers Reveal Prior Auth Denial Rates

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star ratings system that mandates health plans to report certain prior authorization denial rates. The Measures Under Consideration list gives feedback to the Centers for Medicare & ...

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No Pain, No Gain? Your Body Would Like a Word

As a sprint relay track cyclist on the U.S. Olympic Team, Joshua Hartman spends much of his training time lifting weights to build power and speed. In 2023, while trying to deadlift a load near the limit of his ability, he noticed that his form was off, and the weight wasn’t moving as quickly as ...

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The FTC Is Attacking Drugmakers’ ‘Patent Thickets’

The Federal Trade Commission has challenged the validity of over 100 drug product patents, focusing on devices used to deliver medicines, like inhalers and autoinjectors, in an effort to increase competition and potentially lower some prices.

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Anthem Blue Cross and Blue Shield in Nevada Earns NCQA Health Equity Accreditation Plus

Anthem Blue Cross and Blue Shield in Nevada (Anthem) recently earned the National Committee for Quality Assurance (NCQA) Health Equity Accreditation Plus, a recognition of Anthem’s leadership in developing solutions to enhance access to equitable, high-quality healthcare in Nevada.

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