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Elevance Health filed a lawsuit Nov. 4 against autism therapy group Perfect Child, alleging the in-network applied behavior analysis provider…
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Medicare Advantage insurer and healthcare technology company Clover Health appointed its interim CFO, Clay Thornton, to serve in a permanent capacity, according to a Nov. 4 U.S. Securities and Exchange Commission filing. Former CFO Peter Kuipers departed in March. According…
Oscar Health reported $167.3 million in profit for third-quarter 2026, compared to a net loss of $137.5 million in the same period last year. The company reported its third-quarter earnings Nov. 5. Oscar brought in $5.1 billion in revenue, a…
Picture a patient whose likely transition needs begin to take shape earlier in the inpatient stay. By the time the patient is ready for discharge, key barriers are understood, referral work is underway and the team has greater clarity on…
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The Cigna Group’s total customer relationships declined 6% from Dec. 31, 2025, down to 177.6 million. Cigna reported its third-quarter earnings Nov. 5, attributing the decline in relationships to pharmacy and behavioral customers. Pharmacy and behavioral customers decreased 5% and…
Health systems have spent the past few years building the case for AI one use case at a time. Less clear is what AI will do to the nation’s healthcare bill. The question came up during the opening keynote at…
CMS has delayed by two years its plan to stop paying for remote patient monitoring services delivered by third-party vendor staff. The start date moves from Jan. 1, 2027, to Jan. 1, 2029, under the calendar year 2027 Medicare Physician…
Today’s CIOs are faced with countless opportunities to invest in AI, but with little more than promises that any project will result in measurable ROI. If we believe AI can transform operations across the hospital, what’s the right decision framework?…
Health insurer and hospital stocks climbed Nov. 4 after Democrats won majorities in both chambers of Congress in the Nov. 3 midterm elections, as analysts said the new Congress could delay Medicaid cuts and restore enhanced ACA subsidies. Here is…
HHS, the Labor Department and the Treasury Department are denying recertification for two independent dispute resolution entities — Island Peer Review Organization, known as IPRO, and Network Medical Review Company — according to a Nov. 4 update from CMS. Under…
Democrats swept both chambers of Congress in the Nov. 3 midterm elections, leaving the health insurance industry with a new set of looming political headwinds on affordability and oversight alongside the possibility of restored ACA subsidies and a reversal of…
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