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FTC sues big pharmacy benefit administrators above insulin costs The agency introduced motion towards Caremark, Specific Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating methods “artificially inflated” the checklist cost of lifestyle-conserving insulin drugs.This approach aligns with These efforts, the ONC explained. The marketplace is tackling worries such as the speedy growth of AI and greater cyber threats, including an attack at engineering company Adjust Healthcare very last thirty day period.
Medicaid overtakes Medicare Advantage as health and fitness insurers’ bogeyman in Q2 Even with challenges in Medicaid and MA, important insurers nevertheless posted substantial earnings in the second quarter — several helped by wellbeing companies divisions.
Transparency will come to be increasingly important this calendar year, specifically for scientific final decision guidance applications or algorithms that support with claims appraisals, said CB Insights’ Lennox-Miller.
Payer/supplier interactions As M&A intensifies and firms embrace extra holistic and worth-centered care models, partnerships are becoming extra carefully intertwined.
CMS to enhance oversight on Trade brokers The company has claimed a rising amount of issues about ACA wellness program programs submitted by brokers.
A Cigna-Humana merger could facial area an extended regulatory hold off. But it would get accredited. As rumors swirl the two big health and fitness insurers are inching towards a merger, experts say antitrust companies have grounds to dam a offer — but is probably not productive.
2024 could involve much more evolution of the current levels of know-how, rather than earth-shattering new innovations, reported Alex Lennox-Miller, lead analyst in healthcare IT at current market intelligence enterprise CB Insights.
An write-up from Dive Short New federal wellbeing IT strategy increases deal with public well being, AI The draft prepare builds on its predecessor, which the overall health IT company claimed drove “substantial progress” within the use and exchange of electronic well being info.
Two-thirds of healthcare corporations hit by ransomware in earlier 12 months: survey Virtually 40% of healthcare businesses noted it took much more than per month to Get well following an attack, In accordance with a study by cybersecurity organization Sophos.
An posting from Best healthcare trends in 2024 Listed here’s what industry professionals see coming down the more info pike for hospitals, insurers and digital well being firms this 12 months.
Businesses are specializing in system designs to control healthcare costs: survey Almost 50 percent in the companies surveyed claimed healthcare expenditures will exceed spending plan projections this calendar year, WTW said.
Massive procedure-to-program mergers in noncontiguous marketplaces are likely to experience closing delays and, to counteract opportunity scrutiny, well being devices may seek out non-common partnerships with technologies giants, suppliers or telecom companies to prevent scrutiny
This meeting brings collectively leaders from company corporations, pharmaceutical companies, digital overall health corporations and payers to discuss transformations inside of healthcare.