UnityPoint Health is bringing in Omega Healthcare as a strategic partner as the nonprofit health system works to improve its financial and operational performance without losing sight of patient care.
Hospitals and Health Systems News
Hospitals and health systems are where most health care dollars are spent, and the relationship between providers and health plans determines which facilities are in network and what patients pay. A health system is an organization that owns or operates multiple hospitals, physician practices, clinics and outpatient centers under common management, such as nonprofit systems like UnityPoint Health and academic medical centers like Cincinnati Children's.
What We Cover
This section covers hospital and health system strategy, expansions and closures, contract negotiations and network disputes with insurers, quality and patient safety ratings, staffing and workforce issues, physician group news, clinical programs, and community health investments. We also report on revenue cycle operations, the billing and collections work behind every patient account, and on the outsourcing and automation that systems are adopting to control administrative costs.
Provider news intersects with nearly every other part of the health plan business. When a health system and a carrier cannot agree on rates, members may lose in-network access; those disputes involve the companies covered in Health Insurance Companies and Blue Cross Blue Shield. Mergers, acquisitions and leadership appointments among providers are covered in Healthcare Business. Technology adopted by hospitals, including artificial intelligence (AI) in clinical and administrative workflows, appears in Health Technology and AI. Patient safety litigation and regulatory action appear in Healthcare Policy and Law, and skilled nursing and home health providers are covered in Senior Care.
The latest hospital and health system news appears below, newest first.
Why You May Still Need to Pay a Hospital Deposit despite Having Health Insurance
A hospital admission can feel stressful even when you already have health insurance. Many families assume that a policy automatically removes every upfront payment, but hospital billing and claim approval often follow a step-by-step process. A deposit is usually taken to begin treatment, secure admission, or manage expenses until approval arrives. Understanding this helps you plan better and choose the best health insurance plans for your needs. [Read more…]
A Safer CAR-T Breakthrough? BioOra and Cincinnati Children’s Target Childhood Leukemia
BioOra Limited and Cincinnati Children’s Hospital Medical Center have announced a strategic partnership that could reshape how paediatric leukemia is treated. The collaboration centers on Atla-cel, a third-generation CAR-T (Chimeric Antigen Receptor T-cell) therapy aimed at children and adolescents with relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL). [Read more…]
10 Medical Malpractice Law Firms Reshaping Patient Justice in 2025
Medical malpractice cases aren’t simple, and most patients don’t know where to begin when something goes terribly wrong. The right law firm makes all the difference in securing justice, accountability, and answers. Some firms take on headline-making cases. Others deliver quiet, consistent wins that change lives one family at a time. This list shines a spotlight on the groups doing standout work in 2025. [Read more…]
New Podcast Takes Aim at the Dark Corners of Healthcare — Kay Van Wey Isn’t Holding Back
Kay Van Wey Launches AdvoKAYte Podcast to Expose Failures in American Healthcare
The American healthcare system has met one of its sharpest critics once again, and she now has a microphone. Attorney Kay Van Wey, known nationwide for her long track record of fighting medical negligence, has launched a new podcast called AdvoKAYte: Holding Healthcare Accountable. The show brings her forty years of experience straight to patients, families and caregivers, many of whom feel overwhelmed, ignored or dismissed by a system that too often puts profits ahead of safety.
Study Reveals Most Kids Hospitalized for Allergic Reactions Could Be Home in Two Hours
Most children treated in emergency departments for severe allergic reactions could be heading home far sooner than they are. That’s the message from a new study led by experts at Cincinnati Children’s Hospital, published June 10 in Lancet: Child and Adolescent Health. [Read more…]
Fidelis Care Launches Major Grant Push to Fix Gaps in Postpartum Mental Health Care
Fidelis Care, a New York-based health plan serving over 2.4 million members, has officially opened the application window for its 2025 maternal health grant program. This year’s funding effort is focused on improving postpartum care and maternal mental health, especially in communities where access remains limited. [Read more…]
Texas Patients Left in the Dark? This Bill Aims to Change That
A showdown is brewing in Texas over what patients have the right to know before undergoing medical procedures. Kay Van Wey, a top medical malpractice attorney and fierce advocate for patient rights, took the fight straight to state lawmakers. She testified before the Texas House Judiciary and Civil Jurisprudence Committee, urging support for House Bill 923 (HB 923), which could change the way medical risks are disclosed to patients. [Read more…]
The $164 Billion Revolution: How AI is Reshaping Patient Care Worldwide
AI-Driven Healthcare: A Billion-Dollar Revolution Saving Lives
The healthcare industry is racing ahead with artificial intelligence (AI) at the wheel, and the results are nothing short of groundbreaking. Recent innovations are revolutionizing patient care, from more accurate diagnoses to cutting-edge treatments. A survey reveals that 90% of healthcare executives report positive returns from generative AI investments, underscoring its role as a key driver of growth. With the AI healthcare market expected to hit $164 billion by 2030, companies like Avant Technologies, Roche, NVIDIA, and Amazon are leading the charge. [Read more…]
CareMax Faces Major Shake-Up: Bankruptcy, Asset Sales, and a $693M Debt Load
CareMax, Inc. (NASDAQ: CMAX), a Miami-based healthcare provider operating 56 medical centers across Florida, Texas, Tennessee, and New York, has filed for Chapter 11 bankruptcy. Known for serving older patients with value-based care, the company is now working through a restructuring plan to address $693 million in debt, far exceeding its $390 million in assets. [Read more…]
New Tool From Superior HealthPlan Helps Texans Overcome Barriers to Healthcare – Here’s How It Works
Superior HealthPlan has rolled out a new tool aimed at tackling the barriers that keep Texans from accessing vital services like healthcare, food, and housing. This fresh approach comes with a screening tool that connects individuals to local community resources, helping them get the help they need beyond the doctor’s office. [Read more…]
New Partnership Revolutionizes Mental Health Care: Open Mind Health Teams Up With NeuroFlow
A new alliance between Open Mind Health and NeuroFlow is set to shake up the mental health care scene. In an industry that’s long been ready for a tech boost, this partnership aims to change how mental health support is delivered, giving patients a more personalized, proactive approach to care. [Read more…]
Groundbreaking Men’s Health Device Vertica Secures Insurance Reimbursement and Expands into Australia
In a major breakthrough for men’s health, Ohh-Med Medical has announced a significant milestone for its flagship product, Vertica, which helps improve erectile function. The cutting-edge device recently achieved full reimbursement approval from a major national insurance company in Germany, marking a crucial step toward broader accessibility for men seeking effective treatment for erectile dysfunction (ED). Additionally, the company has received approval from Australia’s Therapeutic Goods Administration (TGA), allowing Vertica to enter the Australian market. [Read more…]
Cone Health Joins Forces with Risant Health to Enhance Value-Based Care
Cone Health, a leading healthcare network in North Carolina, is set to join Risant Health, a nonprofit organization established by Kaiser Foundation Hospitals. This strategic move aims to significantly enhance the delivery of value-based care, expanding access and improving health outcomes for millions of people. [Read more…]
Two New Lawsuits Highlight Surgical Errors During Heart Transplants at St. Luke’s in Houston
Houston’s Baylor St. Luke’s Medical Center faces two new lawsuits alleging severe surgical errors during heart transplants, marking the latest in a series of legal challenges and investigations against the institution. The suits, filed last week in Harris County District Court, bring the total number of malpractice complaints involving the hospital’s heart transplants to five since a ProPublica and Houston Chronicle investigation last year exposed critical issues in the program. [Read more…]
Discover the New Sage Transparency™ 2.0: Revolutionizing Healthcare Price Insights
The Employers’ Forum of Indiana has unveiled a significant upgrade to its innovative hospital price and quality dashboard, Sage Transparency™. Launched at the National Healthcare Price Transparency Conference, Sage Transparency™ 2.0 introduces an array of new features, backed by the latest data from the RAND Employer Hospital Price Transparency study, designed to empower employers, policymakers, and the public with unprecedented insights into healthcare costs. [Read more…]
Elite Health Online Introduces the Elite Thermogenic Formula: Your Catalyst to an Empowered Wellness Journey
In an era where holistic wellness and sustainable health solutions take the center stage, Elite Health Online meticulously curates products that effortlessly blend efficacy with convenience. Today, we delve into the dynamics of our latest offering, the Elite Thermogenic Formula, a potent blend designed to fortify your weight loss and wellness journey, crafted to cater to your unique health aspirations. [Read more…]
Point32Health and Ariadne Labs Collaborate to Expand TeamBirth in Massachusetts
Health Plan News – In a significant move to improve maternal health care and address systemic inequities in the healthcare system, Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, is teaming up with Ariadne Labs to expand TeamBirth, a clinically proven care process innovation. The expansion comes on the heels of a successful pilot program conducted at UMass Memorial Medical Center. Ariadne Labs, a joint center for health systems innovation at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health, is a key partner in this initiative. [Read more…]
Evernorth Care Group expands care to more seniors in Arizona
Evernorth Care Group, a nationally recognized provider of medical services, is now in-network for Devoted Health’s 13,000 Medicare (MA) members. Devoted Health MA Members can access Evernorth Care Group primary, specialty, and virtual care at 20 health centers throughout the Valley. They also have access to its onsite pharmacies and labs, vision and hearing centres, urgent care centers, and outpatient surgery centers. [Read more…]
Philadelphia health organizations create a Regional Coalition to Eliminate Racism-Based Medicine
The Regional Coalition to Eliminate Race Based Medicine (Regional Coalition), launched today. The Regional Coalition will work with its members to remove “adjustments for race” from 15 clinical decision-support tools commonly used that could negatively impact patient outcomes. [Read more…]
Valera Health Becomes Humana Network Provider
Valera Health, a telemental healthcare provider known for its high-quality and accessible care, recently announced its comprehensive mental health services are now in-network for some Humana Medicare Advantage members. [Read more…]
Hospital PMI at 51.5%; June 2023 Hospital ISM Report On Business
Economic activity in the hospital subsector grew in June after one month of contraction preceded by 35 consecutive months of growth, say the nation’s hospital supply executives in the latest Hospital ISM® Report On Business®. [Read more…]
Survey: Delta Dental patients rate their experiences with dentists a 9.5 out of 10
Delta Dental announced key findings from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Dental Plan Survey, which provides feedback from Delta Dental patients about their oral health care experiences. [Read more…]
Apollo Medical Holdings, Inc. Receives NCQA’s HEDIS Health Plan Measure Certification
Apollo Medical Holdings, Inc. (“ApolloMed,” and together with its subsidiaries and affiliated entities, the “Company”) (NASDAQ: AMEH), a leading physician-centric, technology-powered healthcare company focused on enabling providers in the successful delivery of value-based care, today announced that it received certification from the National Committee for Quality Assurance (“NCQA”) Healthcare Effectiveness Data and Information Set (“HEDIS®”) Health Plan Measure Certification Program™. It is the second year in which the Company has received this certification, and in measurement year 2023, ApolloMed expanded its certification from 5 to 20 measures, covering the most widely used HEDIS measures in the managed care industry.
NCQA (www.ncqa.org) is an independent, non-profit organization that accredits and certifies a wide range of healthcare organizations and manages the evolution of HEDIS, the healthcare quality measurement tool used by more than 90 percent of health plans in the United States, covering 200 million people.
This certification allows ApolloMed to provide services that align with the industry’s most rigorous clinical quality measurement processes, resulting in more accurate and timely identification of eligible members and services. ApolloMed designed and implemented its HEDIS engine as a RESTful API to work in an interoperable way with other data engines and technologies, increasing the measure outputs’ transparency, interpretability, and usability.
In 2023, ApolloMed was certified by the NCQA HEDIS Health Plan Measure Certification Program™ for 20 different measures. This year’s certified measures include key diabetes measures, such as Hemoglobin A1c Control for Patients with Diabetes (HBD), Blood Pressure Control for Patients with Diabetes (BPD), Eye Exam for Patients with Diabetes (EED), Kidney Health Evaluation for Patients with Diabetes (KED), and 16 other measures.
HEDIS® is a registered trademark of NCQA. NCQA HEDIS Health Plan Measure Certification Program™ is a trademark of NCQA.
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For more reporting on this topic, see our Health Insurance Coverage news hub.
Introducing PatientGPT: The Future of Patient Navigation by PatientGenie Using OpenAI
PatientGenie is a consumer-health technology company that has announced the addition of PatientGPT to its healthcare search engine. PatientGPT is a revolutionary AI navigation system. PatientGPT, based on OpenAI’s ChatGPT technology, aims to revolutionize patient navigation by offering seamless and personalized experiences for healthcare organizations and patients. [Read more…]
Shockwave Therapy to Erectile Dysfunction In Celina, TX: Comprehensive Guide
Erectile dysfunction (ED), a common problem, affects millions of men across all ages. There are many options for people who want to get relief from this condition. Shockwave therapy is an option in Celina, Texas. Elite Wellness and Anti-Aging is the best provider of shockwave therapy in Celina, TX. This article will give you an overview of shockwave therapy, and the potential benefits. [Read more…]
Gravie Names Dr. Greg Burrell as Company’s First Chief Medical Officer
Gravie, a leader in health benefit innovation, announced today that Dr. Greg Burrell has been appointed chief medical officer. Gravie’s first chief medical officer, Dr. Greg Burrell, will be the clinical thought leader. His focus is on improving quality and cost efficiency of healthcare. [Read more…]
Curated Mental Health Partners with Brooklyn Minds Psychiatry
Curated mental Health, P.L.L.C., an innovative psychiatry practice in New York City, announced today they have entered into an agreement to partner Brooklyn Minds Psychiatry, P.C., and Mind Centers, Inc., its associated management services organization. [Read more…]
Study Finds Consumers Want Their Physician to Lead
RazorMetrics’ recent survey of consumers about drug costs revealed some unexpected results. Healthcare consumers still want their doctor to lead, despite the rise in savings apps driven by consumers. According to the survey, 80% of respondents said they would prefer that their doctor choose a lower-cost drug for them and make it happen automatically. [Read more…]
Braxia Scientific Provides Update on Clinical Trials for Ketamine and Psilocybin Drug Development
Braxia Scientific Corp. (CSE: BRAXF (OTC: BRAXF (FWB: 4996), a medical research firm with clinics that provide innovative ketamine treatments to people with depression and other disorders, provided today an update on its leading research role in the psychedelics sector. Braxia Scientific’s research team continues to develop innovative treatments for depression. This includes potential ketamine derivatives. Braxia Scientific also continues to conduct multiple psychedelic-based clinical trials. This adds to the Company’s growing proprietary data that will be used to inform future drug development. [Read more…]
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