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Elevance lowers advice on ‘unparalleled’ Medicaid difficulties Executives claimed the elevated prices pressuring its Medicaid organization would increase soon after states updated payment charges to raised match member acuity.
Healthcare technology traits to observe in 2024 Professionals talk about their predictions for healthcare industry traits, like financial investment and consolidation in digital health and fitness, adoption of synthetic intelligence and improving upon cybersecurity in healthcare in 2024.
“What we want to see is consolidation, cherry-picking the most beneficial procedures, use from the very best tech, the ideal teams coming alongside one another to actually give total methods to your difficulties in healthcare rather than particular person resources,” Goldsack reported.
Payer/company interactions As M&A intensifies and corporations embrace extra holistic and value-primarily based care types, partnerships became far more intently intertwined.
Even though the intent is good, many hospitals are already functioning on slender margins — Specially rural services that require to stay functioning to protect entry to care in the communities they serve, stated DiME’s Goldsack.
A Cigna-Humana merger could facial area an extended regulatory hold off. But it might get accredited. As rumors swirl which the two significant wellbeing insurers are inching towards a merger, professionals say antitrust businesses have grounds to dam a deal — but will not be thriving.
“We don't desire this sale to blow up Until it Unquestionably has to,” Cost mentioned. “But whatever they’re remaining questioned to do is just a bridge as well far.”
“This is where you'll see a little bit of that separation among the wheat along with the chaff with regard to the businesses which have built really robust clinical designs with excellent unit economics and might scale, as opposed to those that perhaps ended up however drafting off of COVID pandemic tailwinds,” she reported.
Difficulties await the healthcare market, which remains to be recovering approximately four many years following the COVID-19 pandemic commenced. Insurers and hospitals face increasing fees when electronic health businesses battle to strategize soon after yrs-small levels of expense.
As organizations continue to digitize, cybersecurity remains an important obstacle, with healthcare facts breaches exposing many thousands of patients’ delicate particular and wellbeing data.
New antitrust merger pointers could have important chilling impact on healthcare offers Regulators have Traditionally struggled to make a situation versus complicated and non-classic tie-ups. That could modify While using the new suggestions.
CMS retains accountable care corporations harmless for ‘very suspect’ Medicare billing Aberrant billing for urinary catheters last 12 months could have built it more difficult for ACOs in Medicare to bring in shared discounts. get more info That’s not the situation beneath a new closing rule.
“The pace of alter and technological know-how in healthcare over the last number of a long time has become a lot quicker than I have ever noticed just before,” he explained.