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UnitedHealth sues CMS above Medicare Advantage star rankings A handful of designs owned via the country's premier MA payer are the most up-to-date to talk to the court docket to enable elevate their useful good quality scores.

Why Cigna is capping Value boosts for expensive GLP-1 weight-loss medications The transfer — the main of its form — will come as pharmacy gain supervisors carry on to try to prove their value to clientele, and exhibits how big players are shoring up to fulfill sky-large GLP-1 desire.

Transparency will turn out to be more and more vital this calendar year, specifically for scientific final decision aid applications or algorithms that support with statements appraisals, explained CB Insights’ Lennox-Miller.

FTC sues important pharmacy profit administrators around insulin selling prices The company brought action versus Caremark, Categorical Scripts and Optum Rx, arguing their “anticompetitive and unfair” rebating techniques “artificially inflated” the record cost of lifetime-saving insulin medicines.

Experts discuss their predictions for healthcare marketplace developments, including financial commitment and consolidation in electronic well being, adoption of synthetic intelligence and strengthening cybersecurity in healthcare in 2024. Study the entire report ➔ Tendencies shaping the business enterprise of wellness insurance policy in 2024

Healthcare Dive caught up with marketplace professionals to share the best healthcare developments of 2024. Read extra under:

This yr may show a improvement time period with the wellness technologies sector, industry experts say. Companies and payers will perform to combine electronic instruments in the course of their organizations, and business watchers might even see efficacy and outcomes details after a long time of electronic overall health financial investment.

Feeling Cybersecurity in healthcare: How hackers get in and how organizations can protect themselves A cybersecurity expert clarifies why healthcare businesses are prone to cyberattacks — And the way they're able to bolster their defenses. 

Regulators want individuals to flag organization methods harming market health in the healthcare sector, which could bring about a tsunami of recent guidelines — once and for all and ill, In keeping with industry experts.

GLP-1s for weight reduction depart businesses in a bind about protection Employers experience a difficult selection around regardless of whether to include expensive weightloss drugs that pits the wellbeing and wellbeing in their workers towards the well being in their base line.

Senior executives in digital overall health and advertising and marketing occur with each other In this particular event to give attention to brainstorming and innovation. The convention features an awards plan, networking check here dinner and three days of keynote speeches, academic sessions and panel discussions.

Humana sues HHS about calamitous Medicare Benefit star ratings reduce It’s the newest inside of a string of lawsuits from well being insurers scrambling to guard their prized excellent scores and the money Individuals rankings characterize.

“The tempo of alter and technological know-how in healthcare over the past couple of a long time has long been speedier than I have ever found prior to,” he explained.

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