Illinois fines Centene Corp. $1.25M, citing violations of health parity laws
Illinois' governor, J.B. Pritzker, said his administration "will continue to hold health insurance companies accountable when they fall short of their obligations to consumers." (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - October 21, 2022 Category: American Health Authors: James Drew Source Type: news

Hacker holds Australian health insurer's data for ransom
The data includes patients' diagnoses and treatments. (Source: ABC News: Health)
Source: ABC News: Health - October 20, 2022 Category: Consumer Health News Tags: Health Source Type: news

FDA Panel Backs Removal of Unproven Pregnancy Drug
WASHINGTON — Federal health advisers have concluded that a drug intended to prevent premature births hasn’t been shown to work, clearing the way for U.S. regulators to follow through on a long-delayed effort to get it off the market. The Food and Drug Administration’s advisory panel voted 14-1 Wednesday that the injectable drug Makena should be withdrawn, despite appeals from the manufacturer to keep it available pending additional research. The experts essentially agreed with a 2020 FDA decision that deemed the drug ineffective and called for its removal. The manufacturer, Covis Pharma, had challenged th...
Source: TIME: Health - October 19, 2022 Category: Consumer Health News Authors: Matthew Perrone/AP Tags: Uncategorized Drugs healthscienceclimate wire Source Type: news

Elevance Health Profits Hit $1.6 Billion As Medical And Drug Plans Grow
Elevance Health reported $1.6 billion in third quarter profits as the health insurer formerly known as Anthem continued to grow its national portfolio of medical and prescription drug benefits. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - October 19, 2022 Category: Pharmaceuticals Authors: Bruce Japsen, Senior Contributor Tags: Healthcare /healthcare Innovation /innovation Enterprise Tech /enterprise-tech Decision Maker Content decisionmaker business pharma Source Type: news

Many seniors are paying more for Part D medicines than their insurer
For seniors who rely on Medicare Part D, the out-of-pocket costs for medicines can sometimes be a barrier. Insurers and pharmacy benefit managers (PBMs) continue to shift more and more costs to patients. And anew analysis from the Medicare Payment Advisory Commission (MedPAC) shows why this is a problem that must be addressed. (Source: The Catalyst)
Source: The Catalyst - October 18, 2022 Category: Pharmaceuticals Tags: Health Insurance Part D Medicare Out-of-Pocket Costs Source Type: news

Caregiving app acquired by insurer
Delta Dental of Iowa has acquired Caregiven, a Portland startup with an app designed to help families and friends cope with post-injury, aging-in-place and end-of-life care for their loved ones. Delta and its subsidiary Veratrus Health announced the acquisition earlier this week, saying the insurer intends to incorporate Caregiven into its product portfolio of dental, vision and legal insurance for Iowa employers and workers. “I founded Caregiven so no other daughter would feel what I did when… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - October 18, 2022 Category: Biotechnology Authors: Elizabeth Hayes Source Type: news

Are insurers overpaying for imaging services?
Healthcare insurance firms may be paying too much for imaging services -- wit...Read more on AuntMinnie.comRelated Reading: Patient costs for imaging skyrocket over last 20 years Insurance coverage for prostate MRI is inconsistent across the U.S. Low-value care occurs less often in Medicare Advantage plans Feedback to referring doctors can reduce MSK imaging overuse Imaging exams land on list of low-value care in VA system (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - October 18, 2022 Category: Radiology Source Type: news

Hearing Aids Are Now Available Over the Counter. What to Know Before Buying One
On Oct. 17, hearing aids approved by the U.S. Food and Drug Administration (FDA) became available over the counter for the first time, for potentially thousands of dollars less than prescription hearing aids. Many experts are hopeful that opening the market up will spur the creation of innovative new devices, bring down costs, and encourage hearing-aid use in a country where only a fraction of older adults who are hard of hearing use hearing aids. What do these expanded options mean for people who are thinking about buying a hearing aid? For now, experts say there’s still a lot we don’t know—including whi...
Source: TIME: Health - October 17, 2022 Category: Consumer Health News Authors: Tara Law Tags: Uncategorized Aging healthscienceclimate Source Type: news

Portland app maker acquired by out-of-state insurer
Caregiven is designed to help family members cope with end-of-life care for a loved one. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - October 14, 2022 Category: American Health Authors: Elizabeth Hayes Source Type: news

CVS Health CEO outlines plan to own the ‘entire spectrum' of health care
At an event in Boston on Wednesday, CEO Karen Lynch outlined her plans for  CVS Health to touch the "entire spectrum of someone's health journey." From financing care with its health insurance company Aetna, to receiving care in a lower-cost setting at the MinuteClinic, to getting medications at the traditional pharmacy setting, Lynch told the crowd at Boston Chief Execu tives Club at the Boston Harbor Hotel that CVS has already made strides in how it provides care. CVS (NYSE: CVS) recently acquired… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - October 13, 2022 Category: Pharmaceuticals Authors: Cassie McGrath Source Type: news

CVS Health CEO outlines plan to touch the ‘entire spectrum' of health care
CEO Karen Lynch outlined her plans for  CVS Health to touch the "entire spectrum of someone's health journey" at an event in Boston on Wednesday, From financing care with its health insurance company Aetna, to receiving care in a lower-cost setting at the MinuteClinic, to getting medications at the traditional pharmacy setting, Lynch told the crowd at Boston Chief Executives Club at the Boston Harbor Hotel that CVS has already made strides in how it provides care. CVS (NYSE: CVS) recently acquired… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - October 13, 2022 Category: American Health Authors: Cassie McGrath Source Type: news

CVS Health CEO outlines plan to own the ‘entire spectrum' of health care
At an event in Boston on Wednesday, CEO Karen Lynch outlined her plans for  CVS Health to touch the "entire spectrum of someone's health journey." From financing care with its health insurance company Aetna, to receiving care in a lower-cost setting at the MinuteClinic, to getting medications at the traditional pharmacy setting, Lynch told the crowd at Boston Chief Execu tives Club at the Boston Harbor Hotel that CVS has already made strides in how it provides care. CVS (NYSE: CVS) recently acquired… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - October 13, 2022 Category: American Health Authors: Cassie McGrath Source Type: news

Medicare Advantage Fraud Cases Pile Up; COVID Origins Settled? Nurse's Murder Trial
(MedPage Today) -- Welcome to the latest edition of Investigative Roundup, highlighting some of the best investigative reporting on healthcare each week. Medicare Advantage Is Being Exploited for Big Profits Major health insurers are exploiting... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - October 12, 2022 Category: American Health Source Type: news

How Insurers Exploited Medicare Advantage for Billions
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been accused in court of fraud. (Source: NYT)
Source: NYT - October 8, 2022 Category: American Health Authors: Reed Abelson and Margot Sanger-Katz Tags: Health Insurance and Managed Care Medicare Whistle-Blowers Suits and Litigation (Civil) Regulation and Deregulation of Industry Frauds and Swindling Centers for Medicare and Medicaid Services Source Type: news

How Insurers Exploited Medicare Advantage for Billions: ‘The Cash Monster Was Insatiable’
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been accused in court of fraud. (Source: NYT)
Source: NYT - October 8, 2022 Category: American Health Authors: Reed Abelson and Margot Sanger-Katz Tags: Health Insurance and Managed Care Medicare Whistle-Blowers Suits and Litigation (Civil) Regulation and Deregulation of Industry Frauds and Swindling Centers for Medicare and Medicaid Services Source Type: news