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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

F.D.A. Authorizes Another COVID Booster Shot for People Over 65

The News The Food and Drug Administration on Tuesday authorized an additional round of bivalent booster shots for adults who are 65 and over as well as people with compromised immune systems. The effort is to ensure ongoing protection against Covid, which is still claiming more than 1,300 lives each week. The bivalent shots target ...

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CVS Health Names Former Humana CFO Brian Kane as President of Aetna

CVS Health (NYSE:CVS) on Monday said it had named Brian Kane as president of its Aetna business, effective September 1.

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Salesforce Rolls Out New Healthcare Software Tools With a Focus on Home Health, AI and Automation

Technology company Salesforce has rolled out updates to its Health Cloud software solution with a focus on home health and automating processes for healthcare providers.

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Express Scripts Launches New Solutions To Advance Drug Price Transparency

As pharmacy benefit managers (PBMs) face more scrutiny about their practices and rising drug costs, Express Scripts unveiled new solutions last week that aim to improve price transparency and drive down costs. St. Louis-based Express Scripts is the PBM business of Evernorth, a subsidiary of Cigna. One of its new solutions is called the Copay Assurance Plan, which will ...

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UnitedHealth Expects Medicare Membership Gains to Boost 2023 Profit

UnitedHealth Group beat Wall Street targets for quarterly profit and raised its annual forecast on Friday, as the healthcare giant banks on membership growth in its federal government-backed health insurance plans. UnitedHealth is among the largest players in the Medicare Advantage market, where private insurers offer an alternative to the original Medicare – the federal government’s ...

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About 800,000 Nurses Planning to Leave the Profession by 2027, Data Show

Nearly 100,000 registered nurses were estimated to have left the field during the COVID-19 pandemic and almost 800,000 intend to follow them out by 2027, according to a survey analysis released Thursday by the National Council of State Boards of Nursing (NCSBN). Responses to the poll of more than 50,000 nurses suggest a net nursing ...

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Electronic Health Records Rule Sets Up “Bridge to Nowhere” Insurers Say

A Biden administration effort stemming from the 21st Century Cures Act to make health data sharing more transparent is facing pushback from health insurers. Why it matters: The rule from the Office of the National Coordinator for Health Information Technology aims to get providers and payers to share patient health information in a more seamless way. But health ...

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A Majority Of Payers Used Outcomes-Based Contracting Last Year: Survey

A majority of payers are using outcomes-based contracts for drugs, according to a recent analysis from Avalere. The researchers surveyed 46 health plans based in the U.S. and found that 58% had at least one outcomes-based contract in place in the 2022 plan year. More than a third (35%) said they had at least 10 such contracts ...

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Employee Navigator Announces Acquisition of Ease

Employee Navigator, the leading benefits administration and HR software solution for insurance brokers and employers, today announced the acquisition of Ease, the leading broker centric HR and benefits software solution for small businesses.

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U.S. Patients Blindsided By Telehealth Appointments That Charge A Facility Fee

U.S. patients are being blindsided by telehealth costs and many are facing facility fees even though they haven't stepped foot in a hospital or physician's office, The Washington Post reported April 1.

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