Healthcare Dive - Latest News

Medicare drug price cuts could have limited early impact, but grow with time

Jonathan Gardner — Fri, 16 Aug 2024 09:57:00 -0400

Some industry watchers described the level of price discounts announced by Medicare as a "relief," though they warned of bigger future implications for drug research.

HCA pushed out providers, downgraded care after acquiring Mission Health: report

Susanna Vogel — Fri, 16 Aug 2024 08:56:23 -0400

A scathing report from Wake Forest University accuses HCA of driving away doctors from Mission Hospital after the acquisition.

Kaiser Permanente rolls out Abridge’s AI documentation tool

Emily Olsen — Thu, 15 Aug 2024 16:57:05 -0400

The product, which uses AI to summarize medical information from conversations between patients and clinicians, is now available across Kaiser’s 40 hospitals and more than 600 medical offices.

Medicaid overtakes Medicare Advantage as health insurers’ bogeyman in Q2

Rebecca Pifer — Thu, 15 Aug 2024 14:09:13 -0400

Despite challenges in Medicaid and MA, major insurers still posted large earnings in the second quarter — many helped by health services divisions.

Complex work, shifting tasks: Why nurses might need their own AI documentation tools

Emily Olsen — Thu, 15 Aug 2024 11:18:59 -0400

Shiv Rao, CEO and co-founder of AI notetaking company Abridge, discusses the company’s product geared toward nurses and what’s next for the documentation market.

Texas sues Biden administration over nursing home staffing mandate

Rebecca Pifer — Thu, 15 Aug 2024 11:11:46 -0400

It’s the latest legal challenge against the mandate finalized this spring, which requires long-term care facilities to provide at least 3.48 hours of care per resident each day.

Medicare reveals results of drug price negotiations

Ned Pagliarulo — Thu, 15 Aug 2024 08:39:00 -0400

The agency said the first round of pricing talks, which involved drugs like the blood thinners Eliquis and Xarelto, will result in $6 billion in savings for taxpayers.

Unsealed court filings offer details of DOJ investigation into Prospect Medical

Susanna Vogel — Wed, 14 Aug 2024 16:07:41 -0400

The documents released Tuesday say Prospect is under federal investigation for possible False Claim Act violations, and faces state investigations for failing to safeguard patient data before a ransomware attack last year.

Medicare Advantage prior authorization denials increased in 2022: KFF

Emily Olsen — Wed, 14 Aug 2024 09:12:22 -0400

More than 80% of denied requests were overturned when appealed, but few beneficiaries formally questioned the decisions.

Elevance, Clayton Dubilier and Rice unveil primary care venture Mosaic Health

Rebecca Pifer — Wed, 14 Aug 2024 09:10:12 -0400

New information is emerging about the joint care delivery platform first teased earlier this spring, which is launching without Elevance’s assets.