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Happy New Year!

The Healthcare Labyrinth Newsfeed is off January 1. We wish you a very Happy and Prosperous New Year! You can read previous Newsfeed entries at the Newsfeed page. Visit out Blog page for the latest Blogs. Also visit Spotify for The Healthcare Labyrinth Podcasts. Search “healthcare labyrinth.” We now have three posted. Stay tuned for our predictions blog coming out tomorrow. Read our year-in-review blog already posted first. As well, our podcast this coming Friday will summarize 2023 healthcare events and go into predictions.

— Marc S. Ryan and The Healthcare Labyrinth Website

Devoted Health Has Successful Funding Raise

Kudos to Devoted Health for its successful Series E funding raise. Devoted has been one of the few very successful insurtechs. It has excelled in the Medicare Advantage (MA) market as a startup. Run by career veterans with discipline, it is giving big plans a run for their money in some markets. Devoted’s record is very different to some of the other insurtechs, who cratered this year or are performing poorly.

(Article may require a subscription.)

#insurtechs #devotedhealth #medicareadvantage

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Retailers Targeting Senior Populations In Primary Care Investments

Good article showing why retailers are targeting seniors for their primary care initiatives. Retailers are interested in the potential financial arrangements (risk funds) that Medicare Advantage plans are focusing on. In addition, the seniors will tap other important features of their offerings, including pharmacies.

(Article may require a subscription.)

#retailhealthcare #medicareadvantage

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Healthcare Lawsuits To Watch in 2024

Good article on the healthcare lawsuits to watch in 2024, including many challenging the Inflation Reduction Act’s (IRA) Medicare drug price negotiations as well as preventive service mandates in the Affordable Care Act (ACA).

#aca #ira #exchanges #obamacare #drugpricing

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Predictions That Hospital M and A Will Pick Up in 2024

The article says that hospital mergers and acquisitions will pick up in 2024. A number of factors are cited, including financial pressures and outside forces. Deals were robust before the COVID pandemic and then collapsed.  They picked up in 2023 and will grow more in 2024. They won’t hit pre-pandemic levels though. New merger guidelines and the Biden administration’s anti-trust views could be a wild card and impact the ongoing recovery of M and A.

(Article may require a subscription.)

#hospitals #mergers #acquisitions

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The Healthcare Labyrinth Is Off For Christmas

Merry Christmas and Happy Holidays to all!

— Marc S. Ryan and The Healthcare Labyrinth website.

Predictions for Healthcare M and A

A good article on what to expect in M and A. Discusses consolidation and technology as well as has suggestions for healthcare leaders.

#manda #acquisitons #mergers #healthplans #hospitals #providers #2024

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Prospects In 2024 For Payers and Providers

A good article on what is in store for payers and providers in 2024. Included is retail healthcare, health plan investments, hospital struggles, and M and A prospects.

#manda #retailhealthcare #healthplans #hospitals #providers #2024

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Feds Expect 19M On Exchanges

Based on current enrollments on the Exchanges, the feds say enrollment will break a record with 19 million in 2024.  Up from 16.4 million in 2023.  This is driven by the extension of the enhanced premium subsidies and other investments in outreach and marketing. Additional articles here: https://insidehealthpolicy.com/daily-news/admin-least-19m-enrolled-aca-plans-nationwide-nov-1 and https://thehill.com/policy/healthcare/4369743-white-house-touts-record-breaking-obamacare-enrollment/ CMS release here: https://www.cms.gov/newsroom/press-releases/healthcaregov-enrollment-exceeds-15-million-surpassing-previous-years-milestones

(Some articles may require a subscription.)

#aca #obamacare #exchanges #coverage

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New Antitrust Merger Guidelines

The Federal Trade Commission (FTC) and the Department of Justice (DOJ) finalized new guidelines for mergers and acquisitions. They are not legally binding.  Each deal would receive an assessment based on the uniqueness of the parties and merger. The guidelines give health plans, hospitals, and others in healthcare a look into the decision-making process to determine consistency with antitrust rules. The guidelines and greater scrutiny fulfill a Biden administration pledge and come from an executive order. 

FTC release here: https://www.ftc.gov/news-events/news/press-releases/2023/12/federal-trade-commission-justice-department-release-2023-merger-guidelines . Additional article here: https://www.healthcaredive.com/news/ftc-doj-final-merger-guidelines-healthcare/702897/

At the same time, two hospital entities called off their merger after challenges from the FTC and state of California regulators: https://www.fiercehealthcare.com/providers/john-muir-health-tenet-healthcare-nix-143m-hospital-deal-after-regulatory-pushback

Overall, the scrutiny is good, especially on provider proposals, as most mergers lead to higher costs.

#ftc #doj #mergers #acquisitions #antitrust #hospitals #healthplans

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