Senate Democrats are introducing legislation to extend enhanced premium ACA tax credits by three years, according to Senate Minority Leader Chuck Schumer. The bill would come to the Senate floor for a vote Dec. 11, “and every single Senate Democrat…
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Premera Blue Cross named Rajat Puri as COO, according to a Dec. 4 news release. Mr. Puri will focus on managing the insurer’s technology and operations teams to improve member experience across customer service, billing, claims processing, information technology and…
More than half of ACA marketplace enrollees would be likely to pick up extra work if healthcare costs increase by $1,000 per year, a Dec. 4 KFF analysis found. With enhanced tax credits set to expire at the end of…
Cost Plus Drugs co-founder Mark Cuban and Humana CEO Jim Rechtin said their companies are working together, Forbes reported Dec. 4. “We’re talking to CenterWell,” Mr. Cuban said during the Forbes Healthcare Summit. “I would say we are treating the…
Having a sense of purpose promotes health engagement, according to research published Dec. 4 by The Cigna Group. But fewer than one-third of adults have it. In collaboration with YouGov, Cigna’s “Vitality in America” report fielded responses from 5,000 Americans.…
Two New York state lawmakers are pressing the state’s health department to investigate UnitedHealth Group’s physician practice arm, Optum, according to a Dec. 3 report from Mid Hudson News. New York state Sen. Peter Harckham and Assemblyman Matt Slater called…
Traditional consultants deliver reports and recommendations — then leave hospitals to figure out the rest. It’s a model that’s falling short in today’s healthcare environment. That’s why hospitals are shifting toward co-managed partnerships. These models embed clinical and operational leaders…
On Demand
Presented by:
Presenters
John Birkmeyer, MD
President, Medical Group, Sound Physicians
Roberta Luskin-Hawk, MD
Regional President, Sound Physicians
Melissa Buchner-Mehling, MD, CHCQM, CPHYADV, FABQAURP
Associate Chief Medical Officer, Sound Physicians
The One Big Beautiful Bill Act (OBBBA) will slash Medicaid spending by $900 billion over the next decade with an estimated 7.5 million people losing coverage. These shifts will hit health systems hard, especially those serving Medicaid expansion and undocumented…
Presented by:
The U.S. Government Accountability Office found significant fraud risk in the ACA application process, according to a Dec. 3 agency report. Auditors applied for coverage under fictitious identities to test marketplace enrollment controls. The marketplace approved coverage for the four…
Aetna is bundling pharmacy prescriptions and medical procedures into a single clinical review, according to a Dec. 4 news release. Providers previously had to submit two prior authorizations, but, as of November, providers only have to file one medical review,…