Epic is working with Amazon Pharmacy, Mark Cuban Cost Plus Drugs and other pharmacy companies to develop a tool that will allow clinicians and patients to compare prescription drug prices directly within its EHR system. The new feature, called Prescription…
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A top CMS official wants provider suspensions to quadruple in the next six months as the agency puts new exclusion authority to work and tests AI tools to catch fraud, Nextgov/FCW reported Oct. 15. CMS Deputy Administrator Kimberly Brandt discussed…
Centene is expanding Custom Health Option and Individual Care Expense Arrangements, formerly known as individual coverage health reimbursement arrangements, to all of its Ohio and Oklahoma employees in plan year 2027. An Oct. 16 news release said the development builds…
The American Hospital Association has launched a website to help hospitals and health systems prepare for electronic prior authorization requirements that take effect Jan. 1, 2027. Major provisions of CMS’ 2024 Interoperability and Prior Authorization Final Rule begin on that…
A year after executives said Optum Health had drifted from its original value-based care model, the smaller business is producing much larger profits, according to UnitedHealth Group’s Oct. 13 earnings release and call. Optum Health’s earnings from operations rose to…
The National Association of Benefits and Insurance Professionals filed a lawsuit against CMS and HHS on Oct. 15 concerning a temporary freeze on new agent and broker registrations with federally facilitated exchanges for 2027. CMS instituted the freeze under an…
Most health systems have spent the last decade adding digital tools one at a time: a website chatbot, a call center IVR, portal messaging, virtual visits. Each works on its own. Together, they create a fragmented experience. A patient who…
Presented by:
- Sanjay Gupta, Executive Vice President & Chief Transformation Officer, Novant Health
- Ran Shaul, Co-Founder & Chief Product Officer, K Health
Erin Brewer is joining Blue Shield of California’s board of directors. Ms. Brewer had served as CFO of Lyft since 2023, and she now serves the company in an advisory capacity. Previously, she held leadership roles at Charles Schwab, Atlassian,…
Rocky Novak is joining UnitedHealth Group as chief marketing officer, effective Oct. 29. According to an Oct. 15 statement shared with Becker’s, Mr. Novak will lead enterprise marketing strategy, deepen stakeholder engagement and manage brands across UnitedHealth. “Rocky will work…
AmeriHealth Caritas is growing its marketplace presence in 2027, bringing plans to two more states — Indiana and Ohio — and expanding its reach in four others. According to an Oct. 15 news release shared with Becker’s, marketplace plans will…
