Access to GLP-1 medications for weight loss through ACA marketplace plans is shrinking, according to a new analysis from healthcare advisory group Leverage|Axiaci shared with Becker’s. The analysis was conducted with funding from the Robert Wood Johnson Foundation. Leverage|Axiaci reviewed…
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Bethesda, Md.-based Aledade secured a $500 million senior secured credit facility from Ares Commercial Finance, according to a Dec. 1 news release from the primary care network. The credit facility has the potential to increase to $650 million. It will…
Millions of Americans rely on Medicaid for their contraceptive care. Given the scale of care coverage, KFF reviewed Medicaid claims data from across the country — excluding Georgia and Illinois, due to data issues — to evaluate how Medicaid enrollees…
The American Medical Association voted to approve alternative payment model standards that “bolster rural hospital sustainability,” according to a Nov. 17 news release. Standards include scheduled fixed-cost payments, “adequate” rates for services that could fluctuate and appropriate patient cost-sharing. Payment…
UAB Selma Family Medicine Center, like many practices, struggled to balance care delivery and financial stability. A small billing team faced mounting denials, and accounts receivable days ballooned to 164. Staff were burned out. Revenue was stuck. And leaders couldn’t…
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Pittsburgh-based UPMC reported a turnaround in operating income in the third quarter, in part due to an improved underwriting margin within the system’s health plan. UPMC posted an operating income of $45.6 million (0.5% operating margin) in the third quarter…
Wausau, Wis.-based Aspirus Health’s St. Luke’s Hospital in Duluth, Minn., is set to go out of network with Blue Cross and Blue Shield of Minnesota at the end of the year, according to a patient letter on the hospital’s website.…
Medicare payments for continuous glucose monitors and supplies were greater than supplier costs, according to a Nov. 25 report from the HHS Office of the Inspector General. OIG reviewed costs between July 2022 and June 2023. Medicare Part B payments…
UnitedHealthcare and St. Louis-based SSM Health are set to go out of network in 2026 without a new contract in place. Individuals with employer-sponsored commercial or Medicaid coverage from UnitedHealthcare will lose in-network access to SSM Health’s hospitals, facilities and…
Hospitals are under pressure to move patients through the system faster without compromising care. AdventHealth reengineered post-acute placement and aligned teams around transparent, tech-enabled workflows to reduce length of stay by 9%, halved post-acute placement times and unlocked $71M in…
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