businessinsider.com
Independent doctors are almost a thing of the past.UnitedHealth Group struck a deal in March to buy the nine-state doctor group of the struggling hospital system Steward Health Care. The same month, the powerful healthcare conglomerate, which owns the nation’s largest health insurer, got the green light to take over a decades-old independent Oregon medical practice, adding another 100 healthcare providers to its roster. It picked up a 400-doctor group in New York about a year before.These are ju…
17 days ago
businessinsider.com
Surescripts, the healthcare technology company that facilitates most electronic prescribing in the US, is exploring a sale, Business Insider has learned.The privately-held company hired healthcare investment bank TripleTree and is looking for potential buyers, including private equity firms, according to two people with knowledge of the deal.Surescripts, formed by a merger in 2008, has long dominated e-prescribing, providing the connectivity that allows doctors to send prescriptions from their e…
26 days ago
businessinsider.com
Some One Medical patients may soon lose affordable access to their doctors because of an ongoing clash between a preeminent New York hospital system and the country’s biggest health insurer.For months, Mount Sinai Health System and UnitedHealthcare have been fighting over payments. Mount Sinai wants more money for its services, and UnitedHealthcare refuses to increase its rates.Mount Sinai ended its contract with the insurer, so UnitedHealthcare members can no longer get care at its hospitals wi…
about 2 months ago
businessinsider.com
Shoreline Counseling, a small mental-health practice in Astoria, Oregon, is barely hanging on.It’s been three weeks since a cyberattack on an under-the-radar but critical technology company caused the payments that flow between healthcare providers and insurers to grind to a halt nationwide.Shoreline’s owner Sarah von Colditz said just 12% of her practice’s insurance claims have been paid since February 19. The missing payments total between $80,000 and $100,000.The practice, which provides ment…
about 2 months ago
businessinsider.com
Umar Afridi sensed a paradigm shift last summer when Blue Shield of California turned the prescription-drug playbook on its head.The health insurer unveiled plans in August to partner with disruptors Mark Cuban Cost Plus Drugs and Amazon to offer lower, transparent prices and relegate pharmacy-benefit giant CVS Caremark to a lesser role.To Afridi, the co-founder and former CEO of pharmacy fulfillment startup Truepill, the move signaled a growing desire from health plans to ditch the big middleme…
about 2 months ago
businessinsider.com
Sarah Jones Simmer is out as CEO of the weight-loss startup Found, a company spokesperson confirmed to Business Insider on Friday.Simmer decided to step down to “elevate leaders with seasoned healthcare expertise,” the Found spokesperson said. The change, which the spokesperson said has been in the works for months, comes as Found expands its focus to working with employers to offer its weight-loss program as an employee benefit.“As the business has transformed under Sarah’s leadership from a di…
about 2 months ago
businessinsider.com
In the past several years, Amazon, CVS Health, and Walgreens each spent billions to own primary-care companies. Amazon scooped up One Medical. CVS bought Oak Street Health. And Walgreens acquired a majority stake in VillageMD.So far, the strategy has yielded lots of red ink.Retail giants and pharmacies have pushed deeper into delivering medical care directly to patients to capture a bigger piece of the $4.5 trillion healthcare industry.Owning primary-care clinics gives them control over the fron…
about 2 months ago
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The former US surgeon general just got a taste of what’s frustrated countless Americans: a massive medical bill.Dr. Jerome Adams, who was the nation’s top doctor from 2017 to 2021, said he was slammed with an almost $5,000 bill after being treated for dehydration at the Mayo Clinic’s emergency department, where he got labs and a few IV bags. He first shared his experience on X (formerly Twitter) in a post that went viral.In an interview Monday with Business Insider, Adams said he had gone to the…
2 months ago
businessinsider.com
Just a few years ago, a crop of venture-backed health insurance startups embarked on planting a flag in the crowded but lucrative health plan business for seniors.While the battlefield is now marked with failed attempts, a couple of young insurers still managed to grow their membership in that business, known as Medicare Advantage. Devoted Health and Alignment Healthcare grew membership by more than half in February 2024 compared with a year ago, despite the numerous challenges confronting the…
2 months ago
businessinsider.com
There’s a little-known reason more companies aren’t paying for their workers’ weight-loss shots.Sure, the drugs cost a lot. For many employers, paying for the $1,000-a-month shots for the vast numbers of workers with obesity or overweight could put them out of business.But there’s something else standing in the way: Novo Nordisk, the maker of wildly popular weight-loss shots like Wegovy, is penalizing employers for trying to limit use of the drugs, even a little bit.It’s a dilemma that’s forced…
2 months ago
businessinsider.com
Almost as long as the weight-loss shot Wegovy’s been on the market, dozens of websites, telehealth clinics, and med-spas have been hawking cheaper knock-off versions. Now, these custom-made “compounded” shots are starting to go mainstream.The $7 billion healthcare startup Ro, which has been prescribing brand-name weight-loss shots since January 2023, now offers compounded semaglutide to patients enrolled in its weight-management program.Ro told Business Insider that it started prescribing the co…
3 months ago
