Novo CEO pressed by Senate to cut charges of obesity, diabetes medicine CEO Lars Fruergaard Jørgensen informed lawmakers the corporation would take into consideration new talks with insurers with regards to the list costs of Wegovy and copyright should they pledge to maintain the medicines on their own formularies.
UnitedHealth sues CMS around Medicare Edge star rankings A handful of plans owned because of the nation's premier MA payer are the most recent to talk to the courtroom to assist increase their precious top quality scores.
Lawmakers read testimony last 12 months about algorithms used by insurers to forecast how much treatment patients may well have to have, which advocates argued generate protection denials and thrust patients to self-spend or control an appeals approach. Humana, Cigna and UnitedHealth were sued final yr above their usage of algorithms to course of action claims.
Epic strike with antitrust lawsuit by knowledge startup Particle Well being Particle alleges electronic wellbeing report vendor Epic made use of its situation like a “monopolist” to prevent Level of competition from the payer marketplace.
Payer/company relationships As M&A intensifies and companies embrace additional holistic and value-primarily based treatment designs, partnerships are getting to be a lot more intently intertwined.
Numerous 1000s of seniors could switch programs in the course of following 12 months’s open up enrollment, based on how significantly the MA sector giants slash Advantages in an make an effort to make improvements to income.
The multi-stakeholder conference incorporates keynote speakers and deep-dive sessions that concentrate on click here new and emerging troubles in healthcare. The a few-day agenda incorporates keynote speeches from leaders across healthcare focused on problems like treatment shipping and delivery, workforce, DEI initiatives and well being fairness.
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Top healthcare conferences to strategy for in 2025 Listed here are noteworthy events healthcare facility, payer and tech executives need to take into consideration attending future calendar year, working the gamut from electronic wellness to economic management to professional medical innovation.
In Washington, federal regulators might condition the stage to the sector immediately after antitrust organizations revised merger tips final 12 months that would chill dealmaking.
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Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use dysfunction A bipartisan team of two dozen Associates pushed officials to preserve the pandemic-era prescribing alterations for buprenorphine, arguing telehealth boosts accessibility and stops overdoses.
The flagship function with the HFMA attracts healthcare finance leaders from hospitals, wellness programs, suppliers and payer marketplaces to debate challenges inside the market. The function draws in about three,000 attendees and permits professionals to interact with finance leaders and customized instructional sessions.
J&J drops 340B rebate approach subsequent govt tension Threatened with steep sanctions and losing access to Medicare and Medicaid, Johnson & Johnson is rolling back again a prepare to give hospitals right after-the-simple fact rebates for prescription drugs during the 340B drug low cost system.