Healthcare technology firm Zelis has introduced an in-network pricing/contract modeling service for health plans. “The addition of this solution further solidifies the company’s position to help health plans understand and proactively navigate claim pricing, processing and financial impacts resulting from contract changes,” Zelis said in a news release...
Change Healthcare will begin processing more than $14 billion in claims following last month’s cyberattack. UnitedHealth Group (UHG), Change’s parent company, said on its website Friday (March 22) that it expected its biggest clearinghouses to be back online during the weekend, “and we expect more...
Grocery store operator The Kroger Company plans to sell its specialty pharmacy business to CarelonRx, a subsidiary of Elevance Health. Kroger has entered into a definitive agreement for the sale, the company said in a Monday (March 18) press release. Subject to customary closing conditions and regulatory approvals, the sale...
Health insurance marketplace GoHealth says its investment in its data science platform is paying off. The company launched its Encompass platform last year, and is now seeing it drive 75% of its enrollment, management said during a quarterly earnings call Thursday (March 14). This is happening, CEO Vijay Kotte said, as...
The healthcare sector is undergoing significant transformation driven by rapid technological advancements and innovative solutions. This surge in healthcare innovation is fueled by several factors. First, the increasing prevalence of chronic diseases and the aging population have put immense pressure on healthcare systems worldwide, prompting the...
Pharmacy software provider DocStation has launched a collaboration with pharmacy network CPESN USA designed to help pharmacies enter the medical billing space. “Pharmacists’ roles expanded during the pandemic, leading to an increase in clinical services offered to patients,” the companies said in a Wednesday (March 13) news release. “These...
Drugmaker Eli Lilly has teamed with Amazon to deliver medications to patients’ homes. The partnership, announced Wednesday (March 13), will see Amazon Pharmacy serve as a third-party dispensing partner for LillyDirect, the company’s new healthcare platform for patients being treated for diabetes, migraines or obesity. “For many patients who start using...
White House officials reportedly met with UnitedHealth Group CEO Andrew Witty and other health insurers to urge them to accelerate their payments to healthcare providers. During the remote meeting, Biden administration officials and healthcare providers, who also attended the meeting, said that unpaid medical bills have been piling up...
The White House wants UnitedHealth Group to speed payments to healthcare providers following a recent cyberattack. In an open letter published Sunday (March 10), the U.S. Department of Health and Human Services and the Department of Labor urged UnitedHealth to take steps to help providers in the wake...