Baltimore-based Johns Hopkins is convening with health plans, health systems, policymakers and patients to further high-value care, according to a document shared with Becker’s on Nov. 7. “The purpose of this convening proposal is to create sustainable improvements in healthcare…
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The demand for autism care is rising, but the specialists who provide it are burning out. Board Certified Behavior Analysts (BCBAs) are at the heart of applied behavior analysis (ABA), a widely used therapy model for individuals with autism and…
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Chris DeRosa, Cigna’s Executive Vice President of Business Improvement and Innovation, retired after more than two decades in leadership positions with the company. Mr. DeRosa had served in his most recent role since March and previously served as president of…
The Blue Cross and Blue Shield Association filed a lawsuit against Medical Lien Pros Nov. 5, alleging the company improperly registered the name “Anthem Blue Cross and Blue Shield.” Community Insurance Co., a plaintiff in the case, does business in…
The nation’s largest payers have filed their third-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended Sept. 30. 1. UnitedHealth Group: $2.3 billion Total net income in the third quarter was $2.3 billion. UnitedHealthcare’s…
Acute pain management remains fragmented across hospitals and departments. Protocols vary by unit. Teams operate in silos. Nonopioid options are underused. Patients fall through the cracks — especially during transitions of care. Without a coordinated approach, health systems face higher…
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CMS is set to launch a pricing model in January that could reshape Medicaid drug costs by aligning them with rates seen in other high-income countries. Eight things to know: 1. The program allows participating drug manufacturers to offer Medicaid…
Cambia Health Solutions and Blue Cross and Blue Shield of Arkansas have signed a definitive agreement to form a strategic affiliation. Under the agreement, Arkansas Blue Cross will continue to operate as an Arkansas-based health insurance company, maintaining its local…
Medicare will begin covering weight-loss drugs in 2026 for the first time under a pricing agreement announced by the White House, according to a Nov. 6 press release. The agreements with Eli Lilly and Novo Nordisk apply most-favored-nation pricing to…
Mercy, a 55-hospital system based in St. Louis, set out to overhaul shift coverage and reduce reliance on premium labor. Four years later, it has built a scalable workforce model that increases flexibility, fill rates and staff satisfaction. So far,…
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