Plus, 2 major payer mergers put on ice

This Week

Feb 17, 2024

Fierce Healthcare's Fierce 15 of 2024


As AI adoption in healthcare grows, Senate lawmakers weigh regulation, payment approaches


Elevance Health, BCBSLA put $2.5B merger on ice—again


Redesign Health reduces workforce as it slows down pace of new company launches in 2024


Kaiser Permanente reports $4.1B profit, exceeds $100B operating revenues in 2023 - Paige Minemyer

 

Featured

Fierce Healthcare's Fierce 15 of 2024

Meet the winners of Fierce Healthcare's Fierce 15 of 2024.
 

Top Stories

As AI adoption in healthcare grows, Senate lawmakers weigh regulation, payment approaches

As the use of artificial intelligence in healthcare grows, federal lawmakers are weighing how to protect patients without hindering innovation and many in Congress are pushing for stronger regulation.

Elevance Health, BCBSLA put $2.5B merger on ice—again

Elevance Health's $2.5 billion acquisition of Blue Cross and Blue Shield of Louisiana is on pause yet again amid concerns about the impact on competition.

Redesign Health reduces workforce as it slows down pace of new company launches in 2024

Redesign Health, a healthcare startup creator, is reducing its workforce, cutting 77 staff positions, as it slows the pace of new company launches this year, Fierce Healthcare has learned.

Kaiser Permanente reports $4.1B profit, exceeds $100B operating revenues in 2023

The California-based nonprofit noted cost pressures, labor challenges and membership declines but still logged a 0.3% operating income in the wake of 2022's losses.

Alabama health system sues Humana to recoup MA payments after 340B rate revision

After HHS was ordered to revise and repay a five-year 340B pay cut, Baptist Health argues in a recent lawsuit that Humana's failure to do the same breaches the terms of the pair's Medicare Advantage agreement.

CMS: Providers may now text patient info, orders to care teams

Texting patient info has been against Medicare's Conditions of Participations for over half a decade, due to concerns of insecure texting platforms. CMS said it now has more faith in newer, HIPAA-compliant secure texting platforms.

Omada GLP-1 program to prioritize muscle mass restoration through expanded care track

Omada executives shared they are expanding upon its GLP-1 Care Track, pushed by the belief that helping patients regain muscle mass is a critical to weight maintenance after tapering off utilization.

FTC wins $195M judgment against Simple Health over its 'sham' insurance

The Federal Trade Commission has secured a $195 million judgement against Florida-based insurer Simple Health following allegations that it sold "sham" coverage to consumers.

SCAN Group, CareOregon scuttle merger plans

A little over a year after announcing their plans to merge, SCAN Group and CareOregon are calling it quits.
 
Fierce podcasts

Don’t miss an episode

'Podnosis': The Fierce 15 of 2024

This week on "Podnosis," Fierce Healthcare's Paige Minemyer, Dave Muoio and Noah Tong share insights into this year's Fierce 15, discussing the companies that made the cut and the important issues they're addressing.
 

Resources

Whitepaper

The MSK Money Pit

Low-value musculoskeletal care is costing patients, employers and health plans over $90 billion per year—more than $10 million every hour. Learn how to put an end to the waste.
 

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