Author: Scott Welch
Employers want greater transparency in their pharmacy benefits, with many viewing a model that eschews rebates as a key way to get there, according to a new survey. The Penta Group surveyed 300 benefits decision-makers, half of whom hailed from companies with 1,000 to 4,999 workers and half from companies with more than 5,000 employees, for Evernorth. ...
Following a series of “most favored nation” (MFN) pricing deals with 17 large pharma companies, the Trump administration released a report Tuesday projecting a potential $529 billion in savings from the policy over the next decade. That $529 billion figure comes from an estimation of prospective MFN, in which biopharma companies pledge to launch all future U.S. ...
Four Californians exposed to the deadly Hantavirus outbreak linked to a Dutch cruise ship are being monitored by health officials — including one Bay Area resident who was aboard the vessel before the illness was detected. The California Department of Public Health said on Monday it is coordinating with the CDC and local health officials after three California ...
The American Medical Association (AMA) rolled out a comprehensive framework to protect physicians from unauthorized artificial intelligence-generated deepfakes. The guide, created by the organization’s Center for Digital Health and AI, aims to modernize physician identity protections while closing legal gaps. The AMA uses the term “augmented intelligence” when referring to AI to emphasize its assistive role in medicine. ...
A study from researchers at Loma Linda University in California suggests that eating eggs — fairly frequently — could be linked to lower risk of Alzheimer’s disease among older adults. The findings, published in the Journal of Nutrition, indicated a 27 percent decreased risk of Alzheimer’s among study participants who ate at least five eggs per week, but even ...
A new task force will investigate healthcare fraud cases in Nevada, Arizona and part of California, the Justice Department announced Thursday. The West Coast Health Care Fraud Strike Force will combine resources from DOJ’s National Fraud Enforcement Division, and its the Health Care Fraud Section, with U.S. attorney’s offices in Nevada, Arizona and the Northern ...
In his earliest days in the governor’s office, Gavin Newsom huddled with his advisers to consider how to realize a key campaign promise: transforming a healthcare system replete with insurance company intermediaries into the nation’s first state-run single-payer model.
“This story was originally published by CalMatters. Sign up for their newsletters.” California has emerged as the epicenter of a sweeping hospice fraud crisis, one that is costing taxpayers hundreds of millions of dollars and putting vulnerable seniors at risk. Yet years after the state acknowledged the problem, key regulatory fixes remain in limbo while ...
Fighting for health care claim approvals 05:19 UnitedHealthcare said on Tuesday it is eliminating “prior authorization” requirements for 30% of medical services that previously required insurer approval, a policy shift that could eliminate red tape and speed access to patient care. The move comes amid pressure on the health insurance industry to limit prior authorizations, ...
At Martin Luther King, Jr. Community Hospital, patients on gurneys line the hallways of the emergency department waiting for care, and overflow mental health patients are consigned to outdoor tents. The 152-bed hospital, which sits on a sprawling medical campus close to the predominantly Latino and Black neighborhood of Watts, is struggling for financial stability. ...