UnitedHealth Group Leaders See Cost Pressures Enduring
Volume coding payments between hospital operators and insurance companies do not show signs by 2025. And according to the results of the fourth quarter and the 2025 perspectives of UnitedHealth Group Inc., it seems that suppliers have the advantage by now. The leaders of UnitedHealth Group, based in Minnesota, father
Building the Connected Hospital: Bridging Operational Gaps Through Technology
Date: Thursday, February 13, 2025Time: 11:00 am et / 10:00 am ct / 8:00 am ptDuration: 1 hour Are you already registered? Click here To log in. Summary In the current panorama of quick evolution medical care, operational efficiency and patient -centered care depend on the perfect integration of advanced
Could Automation Help More Physicians Stay Independent?
Independent primary care physicians are becoming an increasingly rare breed these days. But one Maine doctor says the automation tools made available through his EhlinicalWorks EHR are helping him thrive as a solo practitioner. Joel Keenan, MD, owner of York Primary Care, says most doctors think continuing as a small
What It Takes to Scale Up Primary Care for High-Needs Older Adults
Accountable care arrangements for home-based primary care are still in their early stages, but have shown promise. During a recent panel discussion, Tom Lally, MD, founder and CEO of Bloom Healthcare, recently spoke about his Lakewood, Colorado-based organization’s experience as the highest-needs population ACO with the best performance on quality
BREAKING: As Congress Rushes to Recess, Healthcare Issues Hang in the Balance
Even as members of Congress prepare for the Christmas recess, political issues continue to be debated and lawmakers’ hours are running out; Among the issues being resolved as of late are questions about the extent of telehealth flexibilities, reimbursement levels for alternative payment models, and managed care prior authorization regulations.
My Favorite Quotes of the Year —Value-Based Care Edition
This time of year, I often put together an article highlighting my favorite quotes from interviews and conferences I covered over the past year. It occurred to me that in 2024 I had the privilege of interviewing so many inspiring physicians, managed care executives, IT professionals, and entrepreneurs working to
New Center to Coordinate Between Medicaid, Maternal and Child Health
A newly established Center for Maternal and Child Health Medicaid Partnerships (CMMP) is a 5-year initiative supported by the Health Resources and Services Administration (HRSA) to strengthen partnerships and guide coordination between Medicaid, CHIP programs and Title V. Title V is a federal-state partnership that funds programs and initiatives to
URMC Studies the Impact of Point-of-Care Ultrasound Enterprise Roll-Out
In early 2021, the University of Rochester Medical Center (URMC) in upstate New York began an enterprise-wide rollout of point-of-care ultrasound (POCUS) devices in 64 departments. Surgeon Michael Rotondo, MD, executive director of the University of Rochester Medical School Group and senior vice president of URMC, recently spoke with Healthcare
CMS comes out with List of Drugs for 2027 Price Negotiation – Healthcare Economist
From the CMS document “Medicare Drug Price Negotiation Program: Select Drugs by Initial PriceYear of applicability 2027“: On January 17, 2025, CMS announced the selection of the following list of 15 drugs covered under Medicare Part D for the second negotiating cycle (initial price applicability
Prospect Medical Holdings Files for Chapter 11 Bankruptcy
For-profit company Prospect Medical Holdings, which owns hospital facilities in California, Pennsylvania, Rhode Island and Connecticut, filed for Chapter 11 bankruptcy in the United States Bankruptcy Court for the Northern District of Texas. The company said it plans to focus on its operations in California and sell Roger Williams Medical
Cityblock Exec Details Expansion of Advanced Behavioral Health Program
Cityblock Health piloted an advanced behavioral health program designed for patients with psychotic disorders or serious substance use disorders. Based on promising results seen in its Washington, DC market, the company has since implemented the model in all seven of its markets. Ruby Mehta, MSW, MBA, director of behavioral health
Looking At the Year Ahead: What Can We Expect Within the Cybersecurity Landscape?
2024 was a year in which the healthcare industry suffered several blows when it came to cybersecurity. Data breaches and ransomware attacks caused significant disruptions to the daily operations of healthcare organizations with significant monetary implications. On February 21, Change Healthcare reported a cybersecurity breach that caused prescription delays at
