March 18, 2024

Progress And Support During Change Healthcare Cyber Attack

Some services have been restored by Change Healthcare and more are readying.  Change says that claim preparation software for providers will soon come back online. Electronic payments have come back online. United says it has made more than $2 billion in advanced payments from its program.

United as an insurer, Highmark, and the Blue Cross and Blue Shield Association have developed advanced payment programs for providers, but many other insurers are moving slowly on the idea. Other insurers are contracting with Change competitors to help providers file claims. They also are extending claim deadlines. Provider groups say aid is not enough. The Centers for Medicare and Medicaid Services is also asking states to submit state plan amendments so they can advance Medicaid payments.

Additional articles here: https://www.modernhealthcare.com/cybersecurity/change-update-unitedhealth-systems-progress and https://www.modernhealthcare.com/insurance/change-outage-prior-authorization-pay and https://www.modernhealthcare.com/government/change-update-cms-medicaid-reimbursements and https://www.healthcaredive.com/news/change-healthcare-cyberattack-medicaid-flexibilities-american-hospital-association-survey/710561/

(Some articles may require a subscription.)

#changehealthcare #cyberattacks

Link to Article

Both Providers And Payers Attack MedPAC Report

Providers say MedPAC, the congressional policy arm, is recommending way too little for providers moving forward. Physicians want a true overhaul of Medicare dox payments.  AHIP, the payer lobby, is saying that MedPAC’s discussion on huge overpayments is wrong and highly speculative. 

#medicareadvantage #medicare #providers

Link to Article

Walgreens Continues To Right Its Fiscal House

Walgreens will close two distribution centers in Florida and Connecticut and lay off hundreds of workers.

(Article may require a subscription.)


Link to Article

Progress On Another Healthcare Package In Limbo

Insiders say negotiations for another skinny healthcare package have failed thus far due to some holdouts in leadership.  A new bill might include pharmacy benefit manager reforms, but chances are getting lower.

(Article may require a subscription.)

#pbms #drugpricing

Link to Article

AstraZeneca Will Lower Inhaler Prices

AstraZeneca will join Boehringer Ingelheim in capping out-of-pocket costs for its inhaler products at $35 per month.  There are two brand holdouts – GSK and Teva.

Additional article: https://insidehealthpolicy.com/inside-drug-pricing-daily-news/astrazeneca-follows-boehringer-ingelheim-capping-inhaler-costs

(Some articles may require a subscription.)

#drugpricing #brandrugmakers

Link to Article

Two Good Blogs From Health Affairs Forefront On Price Transparency

Two good blogs on the issue of price transparency on the Health Affairs Forefront blog website. One focuses on hospital price transparency and reforms that can be made to make it easier for hospitals to comply (along with heftier penalties). The other discusses price transparency in general and recommends actions.

Additional article: https://www.healthaffairs.org/content/forefront/improving-hospital-compliance-price-transparency-rules

(Articles may require a subscription.)


Link to Article

Practical Suggestions To Avoid Cyber Attacks

A good article on four practical suggestions to help healthcare organizations avoid cyber attacks.


Link to Article

— Marc S. Ryan

Leave a Reply

Your email address will not be published. Required fields are marked *

Available Now