EmblemHealth is required to cover gender reassignment surgery and pay $250,000 in civil rights penalties to the state after the attorney general reached a settlement with the not-for-profit insurer.
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Healthcare news this week …
There's now a strong understanding that social factors can have a greater impact on health and well-being than clinical care. Health systems should use that knowledge to improve the health of their own employees as well as their patients.
Healthcare spending only grew by 1.6% in Massachusetts from 2016 to 2017, nearly half the rate in 2015 and 2016 and well below the state's 3.6% cost growth benchmark, according to the Massachusetts Health Policy Commission.
Health insurers say investing in digital tools and other technologies can help them improve the customer experience by giving plan members a personalized, frictionless healthcare experience.
The American Medical Association on Thursday launched a new tool to aid physicians in talking with patients about reducing the risk of firearm injury and death.
Springfield Hospital said in a statement that the hospital is "facing challenges created by a declining population, rising costs, below-cost reimbursements from payers, and an increase in the number of patients who are unable to pay for care."
Congress passed its farm bill, which could significantly restructure rural hospitals' debt. The hospitals hope it will be a first step to a pay overhaul that could prevent closures.
California and New York regulators approved health insurer Cigna Corp.'s acquisition of pharmacy benefit manager Express Scripts, bringing the $67 billion deal a step nearer to closing.
For decades, demographers and economists have predicted the gray tsunami of aging baby boomers would inevitably push healthcare spending over 20% of GDP. But a new paper highlights some recent trends suggesting the future may not be as bleak and hard to manage as predicted.
HealthCare.gov sign-ups lag by more than a half-million with less than a week left in open enrollment. Last-minute shoppers and a surge of auto-enrollments should boost the finally tally, but enrollment is likely to fall short last year.
Blue Shield of California has quietly scaled back the national Blue Card program that has allowed its members to receive a range of services out of state in an effort to reduce costs.
Facing mounting criticism over its Medicaid work requirement, Arkansas will allow enrollees to report their compliance with the mandate over the phone rather than solely through an internet portal.
The FDA clears a digital treatment for opioid use disorder, Chinese hackers targeted not only the Marriott but also health insurers, and Michael Cohen faces sentencing.
Lurie Children's Hospital, NorthShore University HealthSystem, Rush University Medical Center and UChicago Medicine are looking to promote employees in non-clinical positions.
The U.S. Department of Justice has intervened in a whistle-blower lawsuit against Sutter Health that accuses the health system of submitting unsupported diagnosis codes to inflate its Medicare Advantage payments.
A federal appeals court on Wednesday ruled that Blue Cross and Blue Shield insurers must defend themselves on much less favorable legal grounds against a major class-action case accusing them of anticompetitive practices.
Cleveland Clinic plans to increase its minimum wage for the "overwhelming majority" of its workforce to $15 per hour by 2020, CEO Dr. Tom Mihaljevic announced on Wednesday.
ONC head Dr. Don Rucker did not tell lawmakers when the information-blocking rule will be released, but he suggested that it would expand interoperability.
Trinity Health CEO Dr. Richard Gilfillan plans to step down from the helm of the Livonia, Mich.-based system in June 2019. He will be succeeded by Michael Slubowski, who currently serves as Trinity's president and chief operating officer.
Congress is likely to open a potentially major funding stream by reviving earmarks next year, which could spark a windfall for individual not-for-profit hospitals and university medical centers.