Author: Scott Welch
The Trump administration has proposed flat rates in Medicare Advantage (MA) for 2027, and insurers argue in new commentary that those levels do not reflect the realities of the program. In late January, the Centers for Medicare & Medicaid Services (CMS) released its annual proposed advance notice governing MA and Part D. The proposal includes ...
Gov. Gavin Newsom named San Francisco County’s CARE Court program as one of the lowest-performing in California on Monday, as part of a new effort to bolster his signature mental health care program. “Through CARE Court, we have seen inspirational stories of recovery and resilience, but many counties continue to lag behind their peers,” Newsom ...
Cigna’s Evernorth has acquired CarepathRx just two years after making a significant investment in the company, a spokesperson confirmed to Fierce Healthcare. In June 2023, the company formed a strategic partnership with CarepathRx, a pharmacy that dispenses to hospitals and health systems. Alongside the partnership, which aimed to boost access to specialty care, Evernorth took a ...
Samantha Smith of Harrisburg, Pennsylvania, went into the operating room for emergency removal of an ectopic pregnancy. “I’m grateful I didn’t die,” she said, but she was shocked to see that the outpatient surgery was billed to her insurer for about $100,000. Jamie Estrada of Albuquerque, New Mexico, twice received injections of lidocaine in his ...
Star Quinn moved to Kingsport, Tennessee, in 2023, the same year the state began covering dental costs for about 600,000 low-income adults enrolled in Medicaid. But when Quinn chipped a tooth and it became infected, she could not find a dentist near her home who would accept her government health coverage and was taking new ...
Teladoc Health reported better-than-expected fourth-quarter financial results with both revenue and earnings exceeding analysts’ expectations, driving a 15% jump in the company’s stock Thursday. But the telehealth giant continues to face headwinds as it works to shift from subscription to visit-based revenue models. Teladoc also is transitioning its virtual mental health business, BetterHelp, to accept ...
Ascendiun today announced the national launch of Worthy, a movement to rebuild the U.S. healthcare system so that it is affordable, transparent and truly worthy of every person it serves. The announcement follows a standing-room only launch event held earlier today in New York City, where Ascendiun president and CEO Paul Markovich was joined by ...
A simple handful of pecans each day could deliver heart-health benefits, a new study found. The research, done by the Illinois Institute of Technology and published in the journal Nutrients, analyzed more than 20 years of studies exploring how pecans affect heart and metabolic health. The study was a review of existing research, not a new ...
An estimated 31,000 registered nurses and other front-line Kaiser Permanente health care workers will return to work on Tuesday after a four-week strike in California and Hawaii to demand better wages and staffing. The United Nurses Associations of California/Union of Health Care Professionals said in a statement Monday that “significant movement at the bargaining table” prompted an ...
What Does Today’s Supreme Court Decision Striking Down Tariffs Mean For The Pharmaceutical Industry?
The Trump administration has other legal avenues to impose tariffs on pharmaceuticals despite today’s Supreme Court decision striking down many of the administration’s current tariffs. In a 6-3 decision, the court ruled that President Donald Trump did not have the authority to impose tariffs under a 1977 law, the International Emergency Economic Powers Act. But ...