April has seen a slew of executive hires, promotions and layoffs across the healthcare industry. For instance, Aledade, Humana and Zimmer Biomet named new executives. There were also layoffs at organizations including Baylor Scott & White Health Plan, Novo Nordisk and UnityPoint Health.

The post Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs appeared first on MedCity News.

Google Cloud is partnering with healthcare organizations including CVS Health, Humana, Highmark Health, Quest Diagnostics and Waystar to deploy agentic AI tools across patient engagement, clinical workflows and revenue cycle management

The post CVS, Humana & More Are Turning to Google’s AI Models appeared first on MedCity News.

Mark Cuban warned that many employers are collecting drug rebate money funded by their sick employees — a practice that can violate fiduciary duties under ERISA. His company, Cost Plus Drugs, is partnering with organizations like Humana’s CenterWell to create direct-to-employer programs that bypass PBMs and deliver medications at lower net prices.

The post Mark Cuban: Employers Are Unknowingly Profiting From Sick Workers’ Drug Costs appeared first on MedCity News.

Providence and Humana launched a new initiative to standardize and streamline data exchange between payers and providers. The program leverages FHIR-based APIs to create a scalable, real-time system that can be replicated across other healthcare organizations nationwide.

The post Providence, Humana Launch Initiative to Standardize Payer-Provider Data Sharing appeared first on MedCity News.

Many insurers seem to be retreating from Medicare Advantage by exiting unprofitable markets and reducing benefits. This could be extremely disruptive to patients, experts warn.

The post Insurers are Pulling Back on MA. How Does this Affect Patients? appeared first on MedCity News.

The Department of Justice has filed a complaint against Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, alleging that the insurers paid illegal kickbacks to brokers to boost enrollment in their Medicare Advantage plans.

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An expanded partnership with Humana will help Aledade’s FQHC and rural health clinic partners share savings in Medicare Advantage.

The post Aledade, Humana Expand Value-Based Partnership to Support FQHCs and Rural Health Clinics appeared first on MedCity News.

Some Humana members can now access Thyme Care’s cancer care services, which include 24/7 virtual care navigation.

The post Humana Taps Thyme Care for Value-Based Oncology Care appeared first on MedCity News.

December saw a slew of executive hires, promotions, exits and layoffs across the healthcare industry. For example, companies like Humana and Mayo Clinic hired new C-suite leaders, organizations including Atlantic Health System and Amwell are saying goodbye to key executives, and firms like CVS Health and Optum announced rounds of job cuts.

The post Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs appeared first on MedCity News.

Humana is leasing clinical space at 23 Walmart Supercenter retail stores. The move is logical for the insurer as it builds out its senior primary care business, experts say.

The post Analysis: Humana is Boldly Going Where Walmart Stumbled appeared first on MedCity News.

Humana and DUOS have partnered to launch a new program that supports Humana’s Louisiana veteran seniors with a chronic condition. These veterans will be connected to DUOS, which can address their health-related social needs.

The post Humana, DUOS Team Up To Support Veteran Seniors appeared first on MedCity News.

This year’s ViVE conference featured a variety of news announcements — from company launches to new products to partnerships to acquisitions and more. In this list, MedCity News compiled short summaries for nine of the conference’s most notable announcements.

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Despite Cigna and Humana ditching their pursuits to combine in December, one industry expert believes there’s still a chance after Cigna announced its plan to sell its Medicare Advantage business to Health Care Service Corp.

The post Cigna MA Sale to HCSC Could Still Clear Way for Humana Acquisition, Expert Says appeared first on MedCity News.

Walgreens has agreed to pay Humana $360 million to settle a drug pricing dispute that has spanned nearly five years. The payout is roughly half of what Walgreens was originally ordered to pay when the issue was first resolved last year.

The post Walgreens to Pay Humana $360M to Settle Claims It Overcharged for Drugs appeared first on MedCity News.

With Cigna mostly focused on the commercial market and Humana mostly focused on the Medicare Advantage market, the rumored combination rumors check out, according to one industry expert.

The post Expert: The Rumored Humana/Cigna Combination Makes Sense appeared first on MedCity News.

In a new agreement, Interwell Health will provide care to Humana Medicare Advantage HMO and PPO members with chronic kidney disease in 13 states. It will also serve patients with end-stage kidney disease across the country.

The post Humana Taps Interwell Health for Kidney Care appeared first on MedCity News.

Some of the highest-ranked Medicare Advantage plans are SCAN Health Plan, Humana, Excellus BlueCross BlueShield, UPMC for Life and Blue Cross Blue Shield of Texas, according to a new J.D. Power report.

The post What Are the Highest-rated MA Plans Based on Customer Satisfaction? appeared first on MedCity News.

Author Health helps seniors with serious mental illness and substance use disorders by working with Medicare Advantage plans. The company launched Wednesday with $115 million in financing, and announced that Humana is its first payer partner.

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[Sponsored] The series, part of a content partnership between HLTH and MedCity News, will share insights from executives from both public and private payer organizations based on developments and trends they’ve seen in the healthcare industry and what keeps them up at night.

The post Introducing Payer’s Place, a Video Interview Series Highlighting Healthcare Payer Executive Perspectives appeared first on MedCity News.

The complaint alleges multiple violations of the Valentine Act, Ohio’s antitrust law, which prohibits price fixing, controlled sales and other agreements that restrain trade and hurt competition. David Yost, the attorney general decried the practices of PBMs saying that they hurt everyday Ohioans dependent on life-saving drugs like insulin.

The post Ohio Sues Express Scripts, Cigna, Prime Therapeutics and Humana Calling PBMs “Modern Gangsters” appeared first on MedCity News.

Aledade — an independent primary care network focused on value-based care — struck a 10-year partnership with insurer Humana. Under the collaboration, Humana’s Medicare Advantage members will receive primary care from Aledade physicians using value-based arrangements.

The post Aledade, Humana Strike 10-Year VBC Collaboration appeared first on MedCity News.

Over the next 18 to 24 months, Humana will exit the Employer Group Commercial Medical Products business, which includes fully insured plans, self-funded plans and Federal Employee Health Benefit plans. The decision represents Humana’s move to double-down on its Medicare Advantage business, one expert said.

The post Is Exiting the Employer Insurance Market a Smart Move for Humana? appeared first on MedCity News.

Wisdo, a social health platform that addresses loneliness and social isolation, teamed up with Humana to serve some of its Medicare Advantage members. A new study on Humana’s members found that 58% of participants reported lower rates of loneliness after three months of using Wisdo’s app.

The post Report: Wisdo Reduces Loneliness Among Humana MA Members appeared first on MedCity News.

The value-based partnership is for Humana Medicare Advantage HMO and PPO plan members with chronic kidney disease, who are living in Tennessee, Alabama, Mississippi and Louisiana. These members can access Monogram’s specialized care resources, such as in-home primary and specialty care visits, medication management, dialysis and social services.

The post Humana, Monogram’s value-based arrangement aims to improve kidney care appeared first on MedCity News.

[Sponsored] President of Humana’s primary care, Reneé Buckingham, addresses the needs of many seniors facing multiple diagnoses and barriers to high-quality care.

The post Humana finds formula for senior-focused care appeared first on MedCity News.

The key reasons for patient satisfaction with telehealth was having adequate facetime, the report said. Those who were ranked high spent enough time providing quality care, explained health concepts clearly and completely resolved medical issues on the first visit.

The post Who is the best DTC provider and payer for telehealth? appeared first on MedCity News.

[Sponsored] As part of its Envision U.S. Healthcare Summit, Microsoft conducted interviews with executives at Aetna CVS Health and Humana to highlight some of the ways these companies are adapting to consumerization of healthcare.

The post How payers are using predictive analytics and virtual care to improve care delivery appeared first on MedCity News.

The insurers referred to deals Gilead struck with Janssen, Bristol Myers Squibb to prevent the generic version of its retroviral medications from being used as part of combination treatments. They also allege the company struck a deal with Teva to delay the release of its generic drug.

The post Humana, Centene file antitrust suit against Gilead for HIV drug agreements appeared first on MedCity News.

CMS is lowering the average premium for MA plans to $19 per month in 2022 from about $21 this year. The news comes as several insurers announce new MA plan offerings for 2022, including Humana, which said it will launch 72 plans.

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SDoH is just one of the topics at the MedCity INVEST Digital Health conference, a virtual event scheduled for September 20-23, in collaboration with Medical Alley.

The post INVEST Digital Health preview: What’s the recipe for a successful social determinants program? appeared first on MedCity News.