News

Cigna and Express Scripts announced April 3 they’re launching a Patient Assurance Program that will ensure individuals with diabetes pay no more than $25 out-of-pocket for insulin each month.

The federal mandate that went into effect Jan. 1 requiring hospitals to post prices of their services online isn’t doing much good, according to the authors of an opinion piece published in the Annals of Internal Medicine.

UnitedHealthcare and the American Medical Association on April 2 announced they’re collaborating on a project aimed at better identifying and addressing social determinants of health.

The creators of CMS’s Overall Hospital Quality Star Rating ratings system—aka “Hospital Compare”—intended to present healthcare consumers with an easy, user-friendly way to choose a hospital. However, since the ratings went live in 2016, the system has proven both confusing to consumers and confounding to hospitals.

It’s been 33 years since the federal government began requiring hospitals to take in patients after stabilization in the ED if the case called for admission and the hospital had the clinical expertise to provide the extended care. Yet Medicaid patients and the uninsured still have higher odds of getting transferred than those with high-quality insurance plans.

In a series of late-night tweets published April 1, President Trump suggested Republicans’ proposed replacement for the Affordable Care Act will be put to a vote after the 2020 election, edging healthcare out of the spotlight just a week after his administration backed a federal judge’s ruling to invalidate the whole law.

A federal judge rejected the Trump administration’s efforts to expand access to association health plans March 29, throwing small businesses that rely on those plans into a state of uncertainty, the Washington Post reported.

Women physicians who work in reproductive health for women earn an average $67,000 less per year than men working in the same field. The pay gap cuts across subspecialties within it, such as reproductive endocrinology, and it holds even after adjusting for years of experience, hours worked and other variables.

Two United Nations agencies have joined forces to create the Focus Group on Artificial Intelligence for Health (FG-AI4H)—a group of global representatives the UN hopes will help shape a streamlined, transparent process for vetting AI technologies in the healthcare space.

Roughly 1 in 7 patients—or 14.5 percent of hospital admissions in the U.S.—experience surprise medical billing despite seeking care at an in-network facility, according to an analysis by the Health Care Cost Institute (HCCI).

CMS has launched an AI challenge that’s incentivizing innovators to develop solutions for a range of administrative challenges, like predicting unplanned hospital admissions and adverse events, the agency announced March 27.

Medicare fee-for-service (FFS) programs racked up an estimated $23.2 billion in improper payments in 2017, according to CMS data—almost $19 billion more than Medicaid FFS’ $4.3 billion and a red flag that the program’s documentation requirements might not be up to par.