Care Delivery

Two institutional-based health plans in New England have announced their plans to merge.

Unionized workers from one of the nation’s largest health systems have voted to strike against the healthcare organization in early October amid ongoing labor negotiations.

 

Drugmakers, wanting to develop new products informed by disease insights, are snapping up genetic profiles of hospital patients and spending hundreds of millions of dollars to get the data. But the practice is throwing into question who should control this “valuable genetic data."

Enrollment of people who are ineligible for subsidies on the individual healthcare market appears to be slowing down, according to a recent report from CMS.

Hospital prices continue to rise and are a major contributor to overall spending in the healthcare sector, which is expected to hit $6 trillion by 2027.

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.