News
United Healthcare eases pediatric care prior authorization requirements
1+ hour, 21+ min ago (41+ words) Healthcare Finance News United Healthcare eases pediatric care prior authorization requirements United Healthcare has announced that it is removing two-thirds of authorization requirements for pediatric care by year's end. Email the writer: email protected...
Hospitals sue CVS Health alleging it redirected $250 M in 340 B funds
3+ day, 55+ min ago (547+ words) Three hospitals have sued CVS Health alleging the company redirected $250 million in savings from the 340 B program. Mount Sinai Hospital, including St. Luke's-Roosevelt Hospital and Mount Sinai Beth Israel, the University of Kansas Hospital Authority and the University of Michigan…...
Providence Health Plan is ending most of its insurance business
1+ week, 23+ hour ago (358+ words) Providence Health Plan has announced it is ending most of its health insurance business beginning in 2027." This includes its Individual and Family business and Employer Group/Commercial plans. Beginning in 2027, members enrolled in Individual and Family or Employer Group/Commercial…...
States race to demonstrate RHTP progress
1+ week, 1+ day ago (19+ words) Healthcare Finance News " current_year Healthcare Finance is a publication of HIMSS Media...
CMS expands access catastrophic health insurance coverage
1+ week, 3+ day ago (621+ words) The Trump administration is expanding access to catastrophic health plans in a final rule released on Friday. Catastrophic health insurance offers a low monthly premium but with a high deductible, protecting enrollees from worst-case medical scenarios. These plans offer an…...
SDOH moved from theory to savings for one health plan
1+ week, 4+ day ago (23+ words) Healthcare Finance News SDOH moved from theory to savings for one health plan...
CMS issues moratorium on hospice and home health agency enrollment
2+ week, 1+ day ago (209+ words) The Centers for Medicare and Medicaid Services is implementing a six-month, nationwide moratorium on new Medicare enrollment for hospices and home health agencies." The stoppage is part of efforts of Vice President JD Vance's Anti-Fraud Task Force. The six-month ban…...
Health systems join payers as early adopters of electronic prior authorization
2+ week, 1+ day ago (332+ words) Providers Atlanti Care, Bon Secours Mercy Health, Cleveland Clinic, Froedtert Theda Care, Ochsner Health, Providence, Rush University System for Health, Sanford Health and Tennessee Oncology have joined payers as early adopters of the Electronic Prior Authorization Acceleration initiative by the…...
Q&A: Adventist Health Care Exec VP and CMO on navigating Medicaid funding cuts
2+ week, 2+ day ago (770+ words) Dr. Patsy Mc Neil, Executive VP and CMO of Adventist Health Care Question: Dr. Mc Neil, what are the financial ramifications to Adventist Healthcare of the federal government's $900 billion cut in Medicaid funding over the next 10 years?" Dr. Mc Neil:…...
Yale New Haven Health partners to enroll patients in Medicaid
2+ week, 2+ day ago (340+ words) Yale New Haven Health, which is among the largest providers of Medicaid services in Connecticut, is advancing efforts to enroll patients who qualify for Medicaid, but who are not currently enrolled." YNHHS has partnered with healthcare financial AI company Escher…...