Hospitals squeezed, insurers boosted as utilization lags

Hospitals squeezed, insurers boosted as utilization lags

Low medical spending Insurers incorrectly modeled the cost of COVID-19 care and treatments associated with lingering effects of infections, which led to inappropriate premium increases, Melnick said. A lack of competition exacerbated this problem, he said. “My premiums are probably up 20% since 2019, and I know that my plan costs are not up 20%,” Melnick said. “What’s going on […]

Shelter Sickness: Migrants See Health Problems Linger and Worsen While Waiting at the Border

Shelter Sickness: Migrants See Health Problems Linger and Worsen While Waiting at the Border

CIUDAD JUÁREZ, Mexico — Two days after arriving at a temporary migrant shelter at the border with the U.S. in June, Rosa Viridiana Ceron Alpizar’s 9-year-old daughter and 1-year-old son fell ill. Most of the kids in the converted gym had stomach issues after being served a meal of sausage and beans, she recalled. Alpizar’s daughter quickly got better, but […]

Health Care — Landmark drug pricing legislation signed into law

Health Care — Landmark drug pricing legislation signed into law

This is not a repeat of the famous Michael Crichton novel, or movie that bears its name. A “de-extinction” CRISPR startup is hoping to get justice for the Tasmanian tiger by bringing it back from the dead. Life, uh, finds a way.  Today in health care, President Biden signed into law the Inflation Reduction Act, a measure aimed at lowering prescription drug prices, […]

Flagship Pioneering’s Senda Bio secures $123M for new ‘programmable medicines’ – MedCity News

Flagship Pioneering’s Senda Bio secures $123M for new ‘programmable medicines’ – MedCity News

  Senda Biosciences set out to overcome challenges in drug delivery. Its research has led the startup to nanoparticles, which executives say offer a path to “programmable medicines” that can be directed to specific cells and tissues. The startup now has $123 million to support its research as it looks toward bringing its medicines into clinical testing within the next […]

Senior Companionship Startup Naborforce Secures $9M In Series A

Senior Companionship Startup Naborforce Secures $9M In Series A

Amid a slowdown in funding for startups, the senior tech company Naborforce has secured $9 million in a Series A. The company “connects older adults to a network of trusted ‘Nabors’ for on-demand support and social engagement.” Its financing round was led by Translink Capital. Existing investors Claritas Capital, The Artemis Fund and TechStars also participated in the round. Naborforce […]

CareHarmony raises $10M for virtual care coordination platform – MedCity News

CareHarmony raises $10M for virtual care coordination platform – MedCity News

CareHarmony, a virtual care coordination startup, is on a mission to help hospitals provide more value-based care. That mission got a $15 million boost on through a Series A funding round. Maverick Ventures led this round with participation from Nashville Capital Network. The company will use its new influx of capital to fuel the development of its platform and accelerate hiring. Since […]

Providence’s net loss nears $2B as industry trends dent results

Providence’s net loss nears $2B as industry trends dent results

Providence, a not-for-profit health system based in Washington, on Tuesday reported a first-half net loss of $1.84 billion, as the industry’s higher expenses and staff shortages plague another heath system. The loss excludes the $3.41 billion impact of Providence’s disaffiliation from Hoag, a California-based healthcare network, earlier this year. Hoag filed a lawsuit in 2020, seeking to end its nearly decade-long […]

Hundreds Of Stakeholders Voice Concerns As Home Health Proposed Rule Commenting Period Ends

Hundreds Of Stakeholders Voice Concerns As Home Health Proposed Rule Commenting Period Ends

The public comment window for the home health proposed payment rule closed on Tuesday. Overall, industry stakeholders had submitted 691 comments to the U.S. Centers for Medicare & Medicaid Services (CMS) as of Tuesday morning. From the start, home health stakeholders took issue with CMS’ methodology for determining whether the Patient-Driven Groupings Model (PDGM) led to budget-neutral spending in 2020. […]

Biden signs expansive health, climate bill into law

Biden signs expansive health, climate bill into law

President Biden signed into law a sweeping bill to lower health care costs and address climate change on Tuesday, sealing a legislative victory more than a year in the making.  The $740 billion bill was significantly slimmed down from the original $3.5 trillion package some envisioned last fall, but nevertheless represents an undeniable win for Biden and Democrats in Congress. […]