TPG has completed its acquisition of Optum UK, a subsidiary of UnitedHealth Group whose core asset is EMIS Group, a healthcare software company used by the United Kingdom’s NHS. The deal closed March 13, according to UK regulatory filings, and…
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Since the launch of ChatGPT in November 2022, the first stop in a patient’s care journey has been changing. AI apps have surpassed social media apps as the most downloaded since 2025, and according to OpenAI, 40 million people consult…
Inland Empire Health Plan named Patrick Brosnan CFO, effective April 20. Mr. Brosnan will lead overall financial strategy but also oversee specific departments, such as actuarial services, claims and procurement, according to an April 21 news release from the insurer.…
A House bill introduced April 20 by a bipartisan group of representatives, five of whom are also physicians, aims to tighten Medicare Advantage prior authorization timelines and impose stricter denial policies. “Medicare is a promise to America’s seniors that they…
Controlled substance waste is one of the most overlooked cost centers in hospital pharmacy. Each waste event represents not just a lost dose, but lost nursing time, compliance overhead and real diversion risk. A recent multi-site study quantified the problem:…
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Presented by:
Presenters:
- Matthew Gimbar, PharmD
- Paul Stranges, PharmD, MSHI, BCACP, AE-C, FCCP
- John Hertig, PharmD, MS, CPPS, FASHP, FFIP
Elevance Health has set aside $935 million to cover potential costs tied to its ongoing risk adjustment data dispute with CMS, which threatens the insurers’ ability to enroll new members into some of its Medicare Advantage plans. CFO Mark Kaye…
CenterWell, Humana’s pharmacy branch, is collaborating with Mark Cuban’s Cost Plus Drug Co. for an employer-based program, according to an April 27 news release. CenterWell will use Cost Plus Drugs’ SwiftyRx, a digital pharmacy software-as-a-service solution, for medication order intake.…
Expanding access to care and supporting whole-person health is essential to reducing the cost of healthcare. While clinical innovation plays an important role, long-term health outcomes are often shaped by community-based services such as mental health support, housing organizations, food…
Across hospitals, patient flow challenges are playing out daily — delayed discharges, constrained capacity and growing pressure on emergency departments. These issues rarely start in one department. They reflect how effectively patients move across the entire system, from admission through…
UnitedHealthcare’s commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the health systems it negotiates with, the unit’s CEO and CFO said at Becker’s 16th Annual Meeting in Chicago. Dan Kueter,…