Healthcare Services Company Evolent Health Could be Sold; United Healthcare Could Acquire Surgery Group
Evolent Health, a company that offers software and clinical solutions to providers and health plans, could be acquired by either a private equity firm or Elevance Health. In other news, Surgery Partners, a major surgery center, urgent care, and provider group, could be sold to United Healthcare.
Additional article: https://www.modernhealthcare.com/mergers-acquisitions/tpg-unitedhealth-group-surgery-partners
(Some articles may require a subscription.)
#manda #acquisitions #consolidations #healthcare #unitedhealthcare
https://www.fiercehealthcare.com/payers/evolent-health-considers-sale-pe-stock-price-leaps
Harris Promises To Defend Affordable Care Act and Medicare
In her Democratic presidential acceptance speech, Vice President Kamala Harris promised to defend the Affordable Care Act and Medicare.
(Article may require a subscription.)
#election2024 #harris #medicare #aca #obamacare #exchanges
https://insidehealthpolicy.com/daily-news/harris-promises-defend-aca-medicare-nomination-speech
Clover Health Not Impacted By Medicare Advantage Headwinds
Clover Health says it has avoided the headwinds impacting many other Medicare Advantage (MA) plans. Clover Health has over 80,000 members, almost all of them in Preferred Provider Organizations (PPOs). Its focus on PPOs, technology, and relationships with physicians have helped it buck the trend. A few other insurtechs have a similar story.
#cloverhealth #medicareadvantage
KFF Updates Medicaid Fact Sheets
The Kaiser Family Foundation has great Meidcaid fact sheets on its website. Each state has enrollment, eligibility, and other critical spending and coverage information.
#medicaid #kff
https://www.kff.org/interactive/medicaid-state-fact-sheets/
Numerous Medicare Drug Price Articles; One Bill Would Broaden Medicare Drug Negotiation Law
The media continues to cover the Medicare drug price negotiation law after the recent annoucement regarding prices being set for the first ten drugs. First, there is a good outline of the the Strengthening Medicare and Reducing Taxpayer (SMART) Prices Act, which would expand the IRA’s provisions on drug negotiations. The bill would expand the number of drugs eligible to be negotiated, accelerate drug eligibility for negotiations, and lower price ceilings to deepen discounts.
Second, the Kaiser Family Foundation (KFF) has a great primer on the Medicare drug price negotiation law and the process so far.
Third, in a Health Affairs Forefront blog, various proposals are outlined to strengthen how the government could further lower drug prices.
(Somer articles may require a subscription.)
Additional articles: https://www.healthaffairs.org/content/forefront/cms-should-do-more-fulfill-ira-s-promise-lower-drug-costs-patients and https://www.kff.org/medicare/issue-brief/faqs-about-the-inflation-reduction-acts-medicare-drug-price-negotiation-program/
#ira #drugpricing #branddrugmakers
https://www.hmpgloballearningnetwork.com/site/frmc/blog/behind-bill-august-21-2024
— Marc S. Ryan
