Accounting & Financial Management
The hospital claims that reimbursements for the drugs were determined by a payment model that is no longer valid.
The company said it plans to use the funding to help expedite its product roadmap and advance AI foundation models for medicine.
Insurers generally have sufficient ratings headroom to withstand higher MA utilization rates, analysts found.
The state has seen some success in overhauling its provider payment structure in a push to advance value-based care.
The state has seen some success in overhauling its provider payment structure in a push to advance value-based care. Tom Borys and Abe Berman of the OneCare Vermont ACO discuss.
For 2023, Centene logged $2.7 billion in profit and $154 billion in revenue, both year-over-year improvements.
Cano Health has received a commitment for $150 million in financing.
The baby boomer population, which has driven the growth of MA, is reaching its peak potential of profitability.
The only negative trend was a dramatic increase in the use of the Independent Dispute Resolution process.
A significant spike in utilization is putting cost pressure on insurers, which will likely affect earnings.