‘They Need Each Other’: Why Hims & Hers and Novo Nordisk Made Up
Novo Nordisk dropped its lawsuit against Hims & Hers and launched a new collaboration. The deal is advantageous for both companies, experts say.
Why UHS Is Acquiring Talkspace for $835M
Universal Health Services plans to acquire Talkspace for $835 million to create a national behavioral health platform that integrates virtual therapy with in-person care.
The Hidden Administrative Tasks Draining Small Practices
Small practices play a critical role in healthcare delivery, but they cannot continue to absorb ever-increasing administrative demands without consequences.
Cigna’s Rebate-Free Model Sounds Nice, But Experts Are Still Skeptical
As lawmakers consider stricter PBM regulation, Cigna launched a “rebate-free” model to give patients upfront drug discounts, but experts question whether it will lead to meaningful change.
CMS’ New $50B Rural Health Fund — Is It Just Another Band-Aid?
CMS’ new $50 billion rural health fund seeks to help rural providers sustain care in their communities over the next five years. However, experts believe the program will not be enough to stabilize the finances of rural hospitals — especially in the face of worsening reimbursement issues, an ongoing workforce crisis and billions of dollars’ worth of Medicaid cuts on the horizon.
Insurers are Pulling Back on MA. How Does this Affect Patients?
Many insurers seem to be retreating from Medicare Advantage by exiting unprofitable markets and reducing benefits. This could be extremely disruptive to patients, experts warn.
Walgreens to Be Acquired by Sycamore Partners: Where Did the Retail Giant Go Wrong?
Walgreens is selling itself to the private equity firm Sycamore Partners. This comes after the company has faced increased competition from online retailers like Amazon. It remains to be seen, however, if Walgreens will perform better under Sycamore Partners.
The Power Behind Enterprise EHR Software for Large Healthcare Systems
Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems.
Why Walgreens Is Reportedly Considering a Private Equity Buyer
Walgreens is reportedly exploring selling itself to private equity firm Sycamore Partners. It might be the right decision for the company, some experts say.
Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say
Hospitals are facing increasingly burdensome policies from commercial insurers, leading to problems with cash flow and patient safety. Hospital executives think federal regulators need to enact stricter policies that require payers to operate on faster timelines, as well as provide more transparency into their reasons for denying claims.
What Do Experts Make of Risant Health’s Newest Acquisition?
While it it’s too early to judge the success of Kaiser Permanente’s Risant Health, the company’s first two acquisitions show a commitment to adjoining organizations with a strong focus on population health — as well as a dedication to spreading Kaiser’s value-based care delivery models across the country.
Hospital M&A Activity in 2024: What to Expect
Q1 2024 saw a significant rise in the number of hospital M&A deals compared to the past three Q1s. Experts believe this M&A activity will continue to climb throughout this year and next — motivated by both financial distress and hospitals’ desire to improve strategic business lines like value-based care and digital healthcare services.
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Survey on the Healthcare Financial Landscape Offers a Roadmap for Stakeholders
Zelis highlights how employers, payers, and consumers are integrating digital tools to manage healthcare costs.
What’s the current state of population health?
A survey conducted by Numerof & Associates in collaboration with Jefferson College of Population Health founding dean Dr. David Nash found progress toward implementing population health models appears to have slowed in 2018.
What Trump’s proposed drug rebate rule could mean for commercial health plans
On an earnings call, Cigna CEO David Cordani seemed largely nonplussed about the potential rule's impact on the company's bottom line, even after the insurer's blockbuster acquisition of Express Scripts.
Should Apple’s medical clinics make hospitals quiver in their boots?
Experts differ on whether Apple's clinics are a threat to hospitals but agree that collaboration with employer clinics is key as is a commitment to outcomes and cost transparency.
Humana and Heritage team up on value-based care for Medicare Advantage patients
Under the terms of the deal, select Humana Medicare Advantage HMO plan and dual-eligible members in Southern and Central California will have in-network access to Heritage Provider Network's facilities and physician practices.
In absence of mandates, adoption of population health lags
In a new study from consulting firm Numerof & Associates and the Jefferson College of Population Health, more than half of healthcare providers said that they get no more than 20 percent of revenue from risk-based contracts.