STAT

DECEMBER 28, 2023

STAT’s taking a look at some of the recent health policy trends that states will start to implement in 2024. Some states have pioneered new programs to increase their oversight over drug costs, health care costs, and health care mergers, and those are beginning to generate both results and lessons learned.

Insurance 94

Insurance Hospitals 94

Fierce Healthcare

APRIL 8, 2024

Health insurers are gearing up to release their first-quarter results over the next several weeks, and a new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Adv | A new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Advantage has made for a cloudy outlook.

Insurance 113

Insurance 113

Digital Pharmacist

SEPTEMBER 20, 2023

The Medicare Open Enrollment period for 2024 is quickly approaching – this is a critical time for both your patients and your pharmacy. This leaves very little time before patients need to re-evaluate their insurance. Every year, the enrollment period runs from October 15 to December 7.

Independent Pharmacies 105

Independent Pharmacies Insurance Nursing Homes Immunization 105

STAT

AUGUST 4, 2023

The Centers for Medicare and Medicaid Services originally said it would cut payments meant to help safety net hospitals by $115 million in 2024. The federal government will pay hospitals that treat poor and uninsured patients almost $1 billion less next year, a cut that’s more than eight times larger than the one proposed in April.

Insurance 94

Insurance Hospitals 94

Fierce Healthcare

JULY 12, 2023

High-quality therapy can be expensive for a lot of individuals and it's estimated that one-third of therapists don't accept insurance at all. | The new funding will accelerate Octave’s expansion to more regions later this year and all 50 states in 2024.

Insurance 94

Insurance 94

STAT

FEBRUARY 28, 2024

In 2023, enrollment in Medicare Advantage, the version of Medicare run by private insurers, surpassed 50% of eligible beneficiaries for the very first time. These insurers cited higher than average health care utilization rates as the culprit and warned that 2024 would likely see more of the same. In fact, the opposite is true.

Insurance 145

Insurance 145

STAT

FEBRUARY 16, 2024

million adults older than 65 and people with disabilities were enrolled in a Medicare Advantage plan as the calendar flipped to 2024 — another year of steady, albeit slower, growth for the taxpayer-funded program. Roughly 33.4 Enrollment increased 7.1% Continue to STAT+ to read the full story…

Insurance 118

Insurance 118

Fierce Healthcare

MARCH 8, 2024

LOS ANGELES—Health insurers have access to a bevy of valuable data, and the push toward interoperability made it easier for those data to be shared with providers. |

Insurance 125

Insurance 125

STAT

MAY 1, 2024

CVS Health got walloped at the outset of 2024 as older adults in its Medicare plans continue to get a lot more medical care than the company expected. The company, which absorbed the health insurer Aetna in 2018, marketed its Medicare Advantage plans aggressively last year and expanded its geographic reach more than any insurer.

Insurance 92

Insurance 92

Fierce Healthcare

DECEMBER 20, 2023

Health systems, insurers, retailers like CVS and tech companies like Amazon are all scrambling for a bigger piece of the medical pie.

Insurance 132

Insurance 132

Fierce Healthcare

AUGUST 15, 2023

In what the insurer bills as its third consecutive year of significant expansion into the market, Health Care Service Corporation will offer Medicare Advantage (MA) plans in 99 additional counties | Health Care Service Corporation says it will offer Medicare Advantage plans in 99 additional counties for 2024.

Insurance 52

Insurance 52

STAT

JANUARY 3, 2024

Hospitals and clinics are expecting a slightly better 2024 compared to last year thanks to a return to mostly in-person care, patients resuming preventive visits and the gradual easing of labor costs and shortages. Continue to STAT+ to read the full story…

Hospitals 99

Hospitals Insurance 99

Fierce Healthcare

SEPTEMBER 29, 2023

The industry is just two weeks away from the beginning of Medicare's annual enrollment period, a critical window for the hottest market in insurance. | The industry is just two weeks away from the beginning of Medicare's annual enrollment period, a critical window for the hottest market in insurance.

Insurance 120

Insurance 120

Fierce Healthcare

OCTOBER 11, 2023

Humana CEO Bruce Broussard will step down from the role in the latter part of 2024, and the insurer has already found a successor. Humana CEO Bruce Broussard will step down from the role in the latter part of 2024, and the insurer has already found a successor.

Insurance 109

Insurance 109

STAT

JANUARY 7, 2024

Even though some of the health systems presenting at the conference just lost hundreds of millions in 2023, expect a theme of cautious optimism for the coming year from hospitals, medical groups, health insurers, and the vendors who serve them.

Insurance 99

Insurance Hospitals 99

Pharmafile

MARCH 17, 2023

French pharmaceutical company Sanofi has announced that it will cut the list price of its Lantus (insulin glargine injection) 100 units/ml by 78%, beginning January 2024. read more

Insurance 58

Insurance Pharmaceutical Companies Pharmaceutical Companies 58

STAT

JANUARY 30, 2024

Copyright © 2024 by Uché Blackstock, M.D. access to health care has long depended on insurance and a person’s ability to pay, with patients of color making up a disproportionate number of the under- or uninsured, as I have seen firsthand. From “ Legacy ” by Uché Blackstock, M.D., In the U.S.,

Insurance 134

Insurance Hospitals 134

Fierce Healthcare

SEPTEMBER 11, 2023

At a time when inflation seems to be on the nation’s radar, it’s no surprise that Blue Cross and Blue Shield of North Carolina would tout that members in the healthcare plans it offers in the Affor | The rate decrease, approved by the North Carolina Department of Insurance, will lower total premiums by an estimated $130 million for enrollees in the (..)

Insurance 116

Insurance 116

STAT

DECEMBER 27, 2023

Their increasingly ubiquitous use is having a huge impact not only on patients and the companies that manufacturer these drugs — Novo Nordisk and Eli Lilly — but also investors , doctors, employers, insurers, regulators, and businesses in a variety of industries. Continue to STAT+ to read the full story…

Insurance 84

Insurance 84

STAT

JANUARY 18, 2024

Humana’s Medicare Advantage enrollees got care in the hospital and physician clinics way more often than the company predicted at the end of 2023, forcing the health insurance giant on Thursday to drastically slash its profit projections for both 2023 and 2024.

Insurance 98

Insurance Hospitals 98

Pharmaceutical Commerce

MARCH 4, 2024

Momentum from the previous two years will propel the sector into the rest of 2024, says AM Best analysis.

Insurance 52

Insurance 52

STAT

APRIL 16, 2024

The almost $8 billion UnitedHealth made on operations in the first three months of 2024 was roughly the same as the prior-year period.

Insurance 89

Insurance Hospitals 89

PioneerRx

JANUARY 4, 2024

New year, new insurance — same pillar of the community. The new year brings new possibilities and opportunities to excel at your pharmacy craft.

Insurance 52

Insurance 52

STAT

JANUARY 25, 2024

The country’s second largest private Medicare insurer disclosed Thursday it’s projecting roughly half the profit in 2024 that investors had expected. The news comes a week after Humana already lowered its projected 2023 profit , which still came in at north of $3 billion before taxes.

Insurance 107

Insurance 107

Fierce Healthcare

FEBRUARY 22, 2024

This week, voters said they are worried about insurance premium costs in a new poll, Cigna invests nearly $10 million in 9amHealth, Waltz Health enters the Medicare market and more. Below is a roundup of payer-centric news for the week of Feb.19,

Insurance 57

Insurance 57

STAT

OCTOBER 11, 2023

Bruce Broussard, CEO of health insurance giant Humana, will step down next year after leading the company for more than a decade. 8 and then take over as CEO in the “latter half of 2024,” the company said in a news release. Rechtin will serve as president and chief operating officer starting Jan.

Insurance 97

Insurance 97

Fierce Healthcare

JANUARY 9, 2024

2024 UPDATED: Tuesday, Jan. 9 at 3:00 ET | This week, PBM Liviniti has announced a partnership with Noom, Michigan regulators take insurers to task for not covering cancer therapies and self-funded employer-sponsored insurance plans saw an uptick in enrollment. Below is a round-up of payer-centric news for the week of Jan.

Insurance 52

Insurance 52

Fierce Healthcare

OCTOBER 2, 2023

SCAN Health Plan, a nonprofit health insurer specializing in Medicare Advantage (MA) offerings, is choosing to move faster than the government’s drug price negotiation timetable and is also offerin | SCAN Health Plan is launching a Medicare Advantage plan geared toward women and cutting 13 name-brand drug prices starting in 2024.

Insurance 70

Insurance 70

The Checkup by Singlecare

JANUARY 4, 2024

In 2023, Flovent manufacturer GlaxoSmithKline (GSK) announced their decision to discontinue Flovent-branded products starting January 1, 2024. The authorized generics were introduced in May 2022 and October 2023 but will be used exclusively starting January 1, 2024. Not all alternatives will have the same insurance coverage.

Insurance 105

Insurance Insurance Coverage FDA 105

STAT

AUGUST 17, 2023

Blue Shield of California, a health insurance company that covers almost 5 million people, is restructuring how it will pay for prescription drugs by dividing the work up among five different vendors — two of which include Amazon and Mark Cuban’s pharmacy company.

Health Insurance Companies 80

Health Insurance Companies Insurance 80

DiversifyRx

OCTOBER 5, 2023

These expenses encompass salaries, bonuses, taxes, benefits, and insurance for all revenue-generating employees. The post 3 Critical KPIs for Pharmacies in 2024: Boosting Cash Flow first appeared on DiversifyRx. Whether the owner’s compensation should be included depends on various factors. No wasted time or guesswork.

Independent Pharmacies 52

Independent Pharmacies Insurance Communication 52

The Checkup by Singlecare

MARCH 7, 2024

The truth is that its prices can vary depending on a lot of factors, including insurance coverage. Without insurance , Ozempic costs vary but average about $1,300 per pen (a month’s supply) depending on the dosage , where you live, and which pharmacy you use. How much does Ozempic cost? Does Medicare cover Ozempic?

Compounding Pharmacies 93

Compounding Pharmacies Insurance Insurance Coverage Compounding 93

STAT

MARCH 16, 2023

by 78% and also place a $35 cap on out-of-pocket costs for commercially insured patients who take the treatment, which is called Lantus. Following the lead of its rivals, Sanofi will cut the price of its most widely prescribed insulin in the U.S. The moves will go into effect on Jan.

Insurance 98

Insurance 98

The Checkup by Singlecare

APRIL 30, 2024

In March of 2024, the FDA approved an additional indication for Wegovy. Wegovy can be expensive without any insurance coverage or discounts, but there are various ways to save, and you may be able to get it for $25 a month. You’ll likely pay less if you have health insurance with a prescription drug plan that covers Wegovy.

Insurance 52

Insurance Insurance Coverage FDA 52

The Checkup by Singlecare

DECEMBER 8, 2023

SingleCare is here to help with your 2024 wellness goals. SingleCare’s prescription savings card is for everyone—regardless of insurance status. RELATED: I lost my health insurance—now what? Self-improvement is a common goal, with 48.5% Keep reading to see some of our favorite reviews from the year.

Insurance 105

Insurance Customer Service Dosage 105

The Checkup by Singlecare

APRIL 30, 2024

Without insurance, the current average retail price of Rinvoq is $8,319 for 30 extended-release tablets. Insurance coverage for Rinvoq Coverage for Rinvoq varies by plan, so be sure to check with your health insurance company for details on how much you’ll be expected to pay for Rinvoq.

Insurance 52

Insurance Insurance Coverage Specialty Pharmacies Health Insurance Companies 52

STAT

JULY 18, 2023

The institute plans to publish its methodology for assessing new health technology as soon as September, and start publishing reports on specific sectors, like disease types or tech mechanisms, in 2024, executive director Caroline Pearson told STAT.

Insurance 89

Insurance 89