Care Delivery

Out-of-network billing in emergency departments has risen over the last few years, often leaving patients with surprise expenses even when they have insurance coverage and receive care from an in-network hospital.

HHS has awarded $400 million through the Health Resources and Services Administration (HRSA) to fund community health centers, rural organizations and academic institutions to develop and expand services to combat the opioid abuse crisis.

CMS has decided to cover an expensive and new therapy that uses a patient’s own genetically modified immune cells to treat cancer.

Pricing transparency is key for patients having a positive billing experience with their healthcare provider, according to a new survey, but patients aren’t always asking for price estimates or taking the time to shop around for lower-cost services.

Employees at Humana were more likely to make better health choices and have a reduced risk for chronic disease by taking part in the company’s wellness program. In addition, those in the program had lower healthcare costs.

 

The Trump administration is working on a new healthcare plan that can act as an alternative to Medicare for all, which has been adopted in the platforms of several Democratic presidential candidates. The administration is contemplating releasing their plan in September.

CVS Pharmacy is expanding its delivery service, CarePass, nationwide at participating pharmacy locations, the company announced.

Average Medicare Part D premiums have dropped for the third year in a row, according to CMS, and they are projected to decline again in 2020. Medicare Part D plans offer prescription drug coverage to Medicare beneficiaries.

The FDA accepted 137 new drug approvals (NDAs) and biologics license applications (BLAs) in 2018, up 11% from 2017 and 36% from 2012 to 2017, according to a new report.

CVS Health has launched a new platform aimed at addressing social determinants of health, in collaboration with social care coordination platform Unite Us. The initiative is the first in a series of business programs to be announced by CVS Health targeting social determinants of health, which influence roughly 60% of a person’s life expectancy, the company said.

With Medicare for all on the lips of many Democratic presidential candidates and public support for universal healthcare coverage at its highest ever, concerns about healthcare usage under such a system have arisen. However, hospital use isn’t likely to rise under a Medicare-for-all plan, according to research published in the Annals of Internal Medicine.

Civica Rx, the not-for-profit drug company startup created by hospital and healthcare organizations to reduce the impact of rising drug costs and shortages, has found another pharmaceutical partner to manufacture and supply 14 essential sterile injectable medications.