The Trump administration reveals a potential 21 percent cut to the Department of Health and Human Services from the 2017 budget. Approximately $18 billion will be taken from their current $86.3 billion. Conversely, the Food and Drug administration...News
The news and analysis section of the insurer's website leads with the headline: "Don't let the facts get in the way of a good story - our response to recent media coverage."
In an effort to discredit a recent CNN story that launched two state insurance commissioners to question its claims, prior authorization, utilization review and...Arizona News
The 2019 budget requests hits insurer and payer hot spots including ACA Medicare risk corridor payments and cost-sharing reductions, uncompensated care payments, Medicare post-acute care costs and even graduate medical education.
Trump’s proposal outlines his administration’s priorities – Congress makes the decisions.
Purdue Pharma LP said on Saturday that it will stop promoting opioids to physicians, following widespread criticism of the ways that drugmakers market addictive painkillers.
Purdue and other drugmakers have been fighting lawsuits by states, counties and cities that have accused them of pushing addictive painkillers through deceptive...National News
Hospital prices increased 2.2 percent in December, the fastest rate in four years, according to an analysis by Altarum, a nonprofit health-care research organization.
The group analyzes data from the Bureau of Labor Statistics and other sources to estimate the underlying prices that health plans and consumers pay for medical goods...Arizona News
PCH has earned the top rating of three stars from The Society of Thoracic Surgeons (STS) based on congenital cardiothoracic surgery outcomes data for the period from July 2013 through June 2017.
The Cardiothoracic Surgery team at Phoenix Children's is one of just 11 programs in North America to earn this ranking out of 118...National News
Medicare Advantage enrollment is projected to rise to 38 million, or 50% market penetration, by the end of 2025.
Anthem, Humana and WellCare Health Plans are signaling plans to aggressively grow their Medicare Advantage businesses with the help of mergers and acquisitions. The three health insurers are in a competitive battle with...National News
The online retailer is pushing hard to create a marketplace where hospitals could shop to stock emergency rooms, operating suites and outpatient facilities from sutures to hip implants.
Amazon recently dispatched employees to a large Midwestern hospital system, where hospital officials are testing whether they can use Amazon Business...Arizona News
Kellogg hired as Regional Vice President, Provider Experience for the Central West Region. Kellogg will be responsible for oversight of Humana’s Commercial and Medicare provider networks in Humana’s Central West Region, which encompasses Arizona, Colorado and New Mexico. In this role, he will be responsible for building...Arizona News
Banner Health has been preparing to transition its Tucson facilities from Epic to the Cerner EHR, which is used by the rest of the health system, since it entered the Tucson market in 2015.
Difficulties arise from a $45 million conversion to a new EHR — electronic health records — platform. The conversion is the second new EHR...National News
The Human Rights Watch report makes the claim that the overmedication of antipsychotics in nursing homes has become an epidemic.
The report quotes Walter L., a Texas nursing home patient who was given antipsychotics. “Too many times I’m given too many pills…, I can’t even talk. I have a thick tongue when they do that. I ask...Arizona Comings & Goings
Under Uchrin's leadership, Health Choice grew from a small Arizona Medicaid plan into a multi-state managed care organization operating health plans and accountable care networks.Troy Smith, Health Choice’s COO, will serve as interim division CEO after Uchrin's departure March 16. Uchrin has been with Health Choice for 15...News
Policy changes that include new supplemental benefits for services that improve health and quality of life also announced.CMS Administrator Seema Verma said the expansion is an example of addressing beneficiaries' needs, while creating more treatment flexibility and ensuring consumers have more choices. A CMS press release February 1,...Arizona News
In 2016, Mohave County had more opioid prescriptions than people.The vast rural county in northwest Arizona dispensed 127.5 opioid prescriptions per 100 residents that year, making it Arizona's most prolific county by that measure, according to the Centers for Disease Control and Prevention.
The CDC data shows that Arizona's rate of...National News
In a Washington Post opinion piece, the CMS Administrator shares her vision.
Americans are among the most generous people in the world. While this nation was founded on the pursuit of a shared dream, the moral pledge of the American people has been to never leave behind our most vulnerable fellow citizens.
Our aim is...National News
The Community Health Center (CHC) program serves people at nearly 10,000 nonprofit clinics nationwide, almost all of which are in low-income rural and urban areas.
Kaiser Health News reports Congress has allocated $3.6 billion annually to the health centers in recent years. That is about 20 percent of the centers’ budgets—much of...National News
Exempted from the Affordable Care Act's individual mandate penalty, they've grown from 150,000 to 1.1 million enrollees.
These ministries have limited government oversight and have far more freedom to reject applicants with pre-existing conditions or claims that don't meet moral standards. Experts warn that the growth of these...Arizona News
Aurora operates psychiatric hospitals in California, Illinois, Arizona, Massachusetts, Nevada and Texas.
The suit was filed in Sonoma County Superior Court on behalf of Teresa Brooke, the former Chief Nursing Officer at Aurora Santa Rosa Hospital, an acute psychiatric facility in Sonoma County operated by the two companies.
Paige Rothermel given the newly created position.
In this role, she will ignite new opportunities to deliver on what customers need and want, and help drive the mission for improving the quality of life for Arizonans.
Rothermel joins BCBSAZ from Anthem Inc., where she served for more than 30 years. In her most recent role as...National News
Dr. Brenda Fitzgerald, an obstetrician-gynocologist, leaves amid the nation's worst flu epidemic in a decade.
The resignation was announced less than a day after Politico reported on Tuesday that Dr. Fitzgerald, 71, had traded in tobacco stocks even after taking the position at the public health agency. The tobacco trades were small:...
AHCCCS Complete Care will integrate physical and behavioral health care contracts for the majority of the 1.9 million AHCCCS members.
Seven managed care organizations (MCOs) submitted their proposals to serve AHCCCS members across all three geographic services areas in Arizona.
Magellan Complete Care of Arizona, Inc.
Anthem has shocked insureds in six states: Georgia, Indiana, Missouri, Kentucky, New Hampshire and Ohio.
In recent years, Anthem has begun denying coverage for emergency room visits that it deems “inappropriate” because they aren’t, in the insurance plan’s view, true emergencies.
The problem: These denials are made after...Arizona News
The idea is to offer health plans in Maricopa County that promise to save employers money on health insurance premiums.
This is the first time the two organizations not only jointly govern the health plans they are launching, but also will share in the risks of the plans' financial success, said Dr. David Hanekom, CEO of Arizona Care...National News
The Omaha-based carrier plans to offer Medicare Advantage plans with a prescription drug benefit in selected markets.
Mutual of Omaha announces a strategic alliance with Lumeris, a company with over 10 years of experience with Medicare Advantage plans using a successful, collaborative payer model to deliver better clinical outcomes...Arizona News
The two national market leaders in DME will form a single brand to meet the clinical, financial and operational needs of customers across 50 states.
The new brand will operate a national network of more than 1,300 DME provider locations and 21 company-owned distribution centers serving more than 100,000 patients each day. The...