Each minute an acute ischemic stroke goes untreated destroys roughly 1.9 million neurons. Yet door-to-needle times — the interval from a patient’s emergency department arrival to the clot-dissolving medication — still vary between hospitals, between facilities in one health system,…
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Tech-enabled healthcare company Included Health is launching health plans for self-insured employers Jan. 1, 2028. According to an Oct. 1 news release, Included Health will offer two plans that aim for total cost of care savings from 6% to 15%.…
Federal employees and retirees will pay 10.9% more on average for their health insurance premiums in 2027, marking the third consecutive year of double-digit increases. The U.S. Office of Personnel Management released the 2027 rates Sept. 30, framing the figures…
Picture your next capital plan: inpatient beds, ambulatory surgery capacity, virtual programs, clinic footprint, and the workforce to support them, all defined down to the last decimal. Now picture getting the balance wrong in your most lucrative service lines. Healthcare…
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Vulnerabilities in CMS’ preclusion process contributed to Medicare Advantage and Part D plans making $72 million in payments for services linked to revoked providers from 2022 through 2024, the HHS Office of Inspector General found. Revocation ends a provider’s enrollment…
CareSource has named Stephanie Williams as its new chief financial officer. She succeeds Larry Smart, who will be retiring after serving as the insurer’s CFO for 6 years, according to an Oct. 1 news release. Ms. Williams first joined CareSource…
Tacoma, Wash.-based MultiCare Health System is launching a health insurance plan. MultiCare Health Plan, announced Oct. 1, will operate as a wholly owned subsidiary of the 13-hospital nonprofit system. Its first product is a Medicare Advantage HMO with prescription drug…
Health plans are measured on member experience, security, quality and efficiency. Yet one capability quietly underpins all four: Knowing, with confidence, exactly who each member is. As member data spreads across digital and assisted channels, that confidence erodes. Duplicate records,…
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Every premium-labor shift, every unfilled specialty role and every room that stays dark reflects a staffing decision. Such decisions are usually one made reactively, one coverage crisis at a time. Workforce shortages, rising case complexity and growing financial pressure are…
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A Massachusetts federal judge dismissed claims against Aetna on Sept. 30 in antitrust litigation over the use of Zelis’ repricing tools. The judge determined the providers’ latest complaint did not plausibly allege Aetna used the tools. The plaintiffs filed a…
