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 ...