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Elevance lowers guidance on ‘unprecedented’ Medicaid challenges Executives mentioned the enhanced prices pressuring its Medicaid business would increase soon after states current payment fees to raised match member acuity.

Medicaid overtakes Medicare Edge as health and fitness insurers’ bogeyman in Q2 Inspite of troubles in Medicaid and MA, main insurers still posted massive earnings in the second quarter — lots of assisted by health expert services divisions.

Transparency will develop into increasingly significant this calendar year, especially for scientific conclusion support equipment or algorithms that assist with claims appraisals, claimed CB Insights’ Lennox-Miller.

An post from Deep Dive Healthcare engineering trends to watch in 2024 Gurus focus on their predictions for financial commitment and consolidation in digital health, adoption of synthetic intelligence and the way to strengthen cybersecurity in healthcare this yr.

four ways to attenuate the specter of legacy medical devices Older healthcare gadgets with unsupported application pose cybersecurity threats that regulators and sector are having difficulties to unravel. Here i will discuss 4 methods authorities say can assist mitigate threats.

Artificial intelligence Amid mounting desire and expenditure inside the House, It truly is clear AI’s apps in healthcare will only keep on to improve.

An posting from Dive Temporary CVS Overall health slashes infusion providers offerings, blaming field headwinds CVS Overall health will quit offering many infusion expert services and close or provide 29 pharmacies in the approaching months, a spokesperson mentioned.

You should not skip tomorrow's healthcare marketplace news Enable Healthcare Dive's cost-free newsletter preserve you informed, straight from a inbox.

Difficulties await the healthcare click here sector, which remains to be recovering almost 4 several years following the COVID-19 pandemic began. Insurers and hospitals deal with growing expenses though electronic wellness providers battle to strategize soon after several years-low amounts of investment decision.

As corporations proceed to digitize, cybersecurity remains a substantial obstacle, with healthcare information breaches exposing many hundreds of 1000s of people’ sensitive personalized and health details.

Employers are focusing on plan patterns to handle healthcare fees: study Practically 50 percent on the companies surveyed explained healthcare expenditures will exceed spending plan projections this calendar year, WTW said.

The flagship event on the HFMA attracts healthcare finance leaders from hospitals, wellbeing units, providers and payer markets to discuss issues while in the marketplace. The party appeals to more than 3,000 attendees and permits authorities to connect with finance leaders and personalized academic periods.

Blue Defend of California is promising a less complicated, much less expensive pharmacy Gains model. Can it provide? Major issues cling around the California health and fitness insurer's bold experiment — obtaining five distributors execute PBM capabilities previously performed by just one — that would threaten BSCA's predicted savings.

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