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Molina posts mixed Q4, says ACA shoppers not switching for savings
In an effort to drive greater membership in the marketplaces this year, the payer cut prices by 4% on average. But that didn't spur the growth hoped for in 2020, particularly in Texas and Florida.
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Hospitals, clinics most likely to be hit with ransomware attack
Nearly 1,500 healthcare companies have been hit with an attack over the past four years, affecting 6.6 million patients, according to a report published Tuesday by Comparitech, which rates IT privacy tools.
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Wearable heart rate sensor accuracy didn't vary across skin tones in small Duke study
But results from an analysis of 53 people, published Monday in NPJ Digital Medicine, revealed differences in accuracy by device manufacturer across activity type.
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Rival surprise billing efforts jockey for attention in election year
Two new pieces of draft legislation, one from the House Ways and Means committee and another from the Education and Labor panel, were introduced Friday as Congress struggles to make headway on the issue.
UPDATED: Feb. 10, 2020 at 9:55 a.m. -
FDA OKs 1st AI tool to help non-specialists take cardiac ultrasounds
The De Novo authorization comes weeks before the agency will host a meeting on artificial intelligence in radiology.
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Q&AOne Medical's CFO on why primary care is ripe for disruption
The company's IPO was for 17.5 million shares at $14, the low end of its range. On the listing day Jan. 31, shares jumped to about $20. Since then, the stock price has continued to rise.
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Kaiser income nearly triples to $7.4B in 2019, driven by investments
The results come as nonprofit healthcare operators across the country face rising scrutiny from regulators and lawmakers for what critics call excessive profits for a tax-exempt entity.
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Payers, providers on different pages on SDOH, consumerism, value-based care
"In our 10 years of fielding this research, I don’t think we’ve seen healthcare industry leaders so polarized on some strategic issues," said Change Healthcare SVP David Gallegos, "and so tightly aligned on others."
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AMA survey shows more doctors embracing telehealth
The use of clinical decision support within EHRs, the promotion of patient engagement to treat chronic conditions and allowing patient access to clinical data have also grown, but at more modest rates.
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Azar touts 2019 greatest hits, glosses over setbacks in state of HHS speech
He skated over some high-profile efforts from the Trump administration that didn't bear fruit or sparked bad publicity last year, such as efforts to lower drug prices, Medicaid work requirements and cutting away at the ACA.
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CMS proposes changes to Part D drug tiers, real-time benefit info for seniors
The proposed rule would also allow patients with end-stage renal disease to enroll in MA plans starting in 2021. Payer groups, however, voiced concerns about the change.
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Epic found not liable for product inaccessible to blind employee
The National Federation of the Blind sued the EHR giant, claiming its software is inaccessible to blind users, in violation of Massachusetts law.
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VA facility claimed as 'world's 1st' 5G-enabled hospital
The Palo Alto Health Care System's 5G infrastructure — the fifth generation of cellular mobile communications — will be operational this week, VA Secretary Robert Wilkie said Wednesday.
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Cigna touts 2019 medical cost trend
CEO David Cordani defended the company's strategy to pursue partnerships with other players such as Prime Therapeutics and Oscar. "It's a dynamic marketplace and those who create the most value will win," he said.
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Hospital margins rose in December following slump
Hospitals saw increased volumes and revenues in the last month of 2019 despite increases in bad debt and charity care, along with mixed performance on expenses, according to a new report from Kaufman Hall.
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Humana eyes doubling primary care membership, reports MA boost in Q4
Building off a new joint venture between a subsidiary and private equity firm, the payer said its primary care clinics still cover a "relatively small portion" of the overall Medicare Advantage business.
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FDA greenlights 1st emergency use coronavirus test
The decision means the diagnostic can now be used at any CDC-qualified lab. FDA said several other diagnostic developers are pursuing emergency use authorization.
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HHS defends forcing hospitals to reveal negotiated rates
The agency took a jab at industry in its rebuttal to hospitals' legal challenge: "If patients pay less for healthcare, however, someone else receives less. Therein lies the genesis of this suit."
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January price increases confirm slowing drug inflation
Payer and public pressure has led to slowing hikes, but more products are subject to increases, analysts say.
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Cerner teases M&A, divestitures, touts backing for interoperability rules
CEO Brent Shafer re-upped the EHR giant's support for two HHS rules promoting free data sharing between health IT systems, due to be finalized any day, which rival Epic Systems has lobbied stridently against.
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Lawmakers push for more oversight at CMS innovation center
A bipartisan group in the House introduced a bill that would require HHS to track how demonstration models impact patient access to care and potentially overhaul or eliminate those found to have adverse effects.
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HHS partners with Regeneron on coronavirus drug development
The agency previously worked with Regeneron on the development and testing of an experimental Ebola treatment that proved effective in the 2018 outbreak of that disease.
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Number of nurse practitioners more than doubled over 7 years
The increase led to an estimated loss of 80,000 registered nurses, and signals a potential shift of labor away from hospitals and into other primary care settings, Health Affairs researchers said.
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Flu dampens Centene's Q4 medical loss ratio
CEO Michael Neidorff also weighed in on the Trump administration's proposal to partially reshape the Medicaid program into a block grant system, calling it a potential net positive for payers.
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Hospitals spent $2.5B on social determinant programs from 2017 to 2019
The amount health systems are putting into SDOH initiatives is dwarfed by $60 billion in community benefit spending, but it's nevertheless a "substantial investment," Health Affairs researchers note.
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