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Shelby Livingston

Shelby Livingston

Senior Healthcare Reporter at Business Insider

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Email address
s*****@*******.comGet email address
Influence score
68
Location
United States
Languages
  • English
Covering topics
  • Health & Medicine

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Recent Articles

businessinsider.com

Big corporations taking over healthcare industry, doctors are worried - Business Insider

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…
8 months ago
businessinsider.com

Exclusive: Surescripts Hires TripleTree to Find a Buyer - Business ...

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…
9 months ago
businessinsider.com

Amazon's One Medical Patients May Be Affected by UnitedHealthcare, ...

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…
9 months ago
businessinsider.com

Small Mental-Health Offices Struggle After Change Healthcare Cybera...

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…
9 months ago
businessinsider.com

Former Truepill CEO Scored $6 Million for His New Startup to Ditch ...

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…
10 months ago
businessinsider.com

The CEO of Weight Loss Company Found Is Stepping Down - Business In...

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…
10 months ago
businessinsider.com

CVS, Walgreens, Amazon Find Primary Care Strategy Difficult to Scal...

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…
10 months ago
businessinsider.com

Former surgeon general says $5K ER bill is a symptom of broken syst...

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…
10 months ago
businessinsider.com

Startups Alignment, Devoted Grew Despite Medicare Advantage Obstacl...

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…
10 months ago
businessinsider.com

Wegovy maker dinged employers for restricting hot weight-loss drugs...

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…
10 months ago
businessinsider.com

Ro Is Prescribing Compounded Semaglutide, Despite Doctors' Warnings...

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…
11 months ago
businessinsider.com

Cigna Is Selling Medicare Advantage Business As Insurers Face Slow ...

Health insurance giant Cigna is exiting the lucrative senior business that’s been a boon to insurers’ bottom lines for years. It’s a sign that the glory days of Medicare Advantage might be coming to an end.Last week, Cigna said it struck an agreement to sell its Medicare Advantage plans to Illinois-based insurer Health Care Service Corp. for $3.7 billion, a deal that’s been rumored to be in the works for weeks. Medicare Advantage is the private version of the federal program providing health cov…
11 months ago
businessinsider.com

Walgreens Is Following Mark Cuban's Blueprint on Prescription Drugs...

Pharmacies are changing how they get paid, and Walgreens wants a piece of the action.Walgreens CEO Tim Wentworth said Thursday that the pharmacy chain aims to move toward a simpler way of getting paid, following in the footsteps of rival CVS Health.Under this new type of payment model, pharmacies are paid by pharmacy-benefit managers and insurers based on the actual cost of the drug, plus a markup and a set fee to manage patients.It’s a departure from the traditional, complicated way drugs are p…
12 months ago
businessinsider.com

Why you'll still struggle to get Wegovy this year - Business Insider

If you were hoping that powerhouse weight-loss drugs like Wegovy would be easier to get in 2024, you may be disappointed.The pressure on health insurers, employers, states, and Medicare to pay for anti-obesity drugs is building. Patients and doctors are urging them to provide coverage, and the health benefits of the treatments are becoming clearer.But many employers and insurers aren’t yielding, keeping the expensive drugs out of reach for those who can’t afford their $1,000-a-month price tags.…
12 months ago
businessinsider.com

Devoted Health Raised $175 Million Despite Healthcare Funding Slowd...

The insurance startup Devoted Health managed to raise another $175 million last week despite the venture-capital downturn.While the raise is much smaller than Devoted’s $1.2 billion round two years ago, the company’s post-money valuation ticked up slightly to roughly $12.9 billion from $12.7 billion, a person close to the company said. Devoted has raised more than $2 billion in funding to date.The small raise at a relatively flat valuation is “a solid outcome in any market — and an outstanding o…
12 months ago
businessinsider.com

Obesity-Care Startup Knownwell Raises $20 Million Led by A16z - Bus...

Almost as soon as powerful anti-obesity drugs such as Wegovy hit the market, the conversation around them shifted from their potential to change lives to the likelihood that they’d bust budgets.That hyper-focus on the cost of the medicines is disappointing, partly because it’s given rise to companies pitching inappropriate ways to cut drug spending, Brooke Boyarsky Pratt, the CEO of the obesity-care startup Knownwell, said. Chief among those companies’ methods is limiting patients’ time on the d…
12 months ago
businessinsider.com

Companies say you can quit Wegovy — but there's no evidence it work...

A giant question is looming over the rise of Ozempic, Wegovy, and the other drugs that caught fire for helping people lose dramatic amounts of weight: Once you go on them, do you really have to take them forever?The FDA, the drugmakers, and obesity-medicine doctors argue that these drugs should be taken long term, maybe for life.But a growing number of healthcare companies are rejecting that consensus. They’re turning their efforts toward helping people quit GLP-1 drugs like Ozempic, Wegovy, and…
about 1 year ago
businessinsider.com

Cigna-Humana merger would face antitrust scrutiny - Business Insider

Cigna and Humana, two of the biggest, richest health insurers, are considering merging in a monster deal that would have seismic implications for US healthcare, Reuters, Bloomberg and The Wall Street Journal reported this week.But antitrust experts say such a merger would have a hard time standing up to the scrutiny of a Department of Justice that’s arguably stronger than the one that blocked previous proposed insurance megamergers six years ago.A deal between Cigna and Humana would create a hea…
about 1 year ago
businessinsider.com

Eli Lilly's weight-loss drug Zepbound is cheaper than Wegovy - Busi...

Eli Lilly, the most valuable pharma company in the world, has decided to go cheap. (Well, sort of.)On Wednesday, when the $588 billion company debuted its powerful new weight loss drug, Zepbound, it did something unusual in the pharmaceutical world: It undercut the competition, pricing the shot almost 20% lower than Novo Nordisk’s Wegovy.Wegovy is the only other weekly injectable drug approved for weight loss. (Novo Nordisk’s Ozempic, which contains the same drug as Wegovy, is approved only for…
about 1 year ago
businessinsider.com

Inside Calibrate's $20 Million Deal With Madryn to Avoid Bankruptcy...

Facing the threat of bankruptcy, weight-loss startup Calibrate was forced to make a tough deal with private equity firm Madryn Asset Management, according to company documents reviewed by Insider.Under the terms of the deal, Madryn took a 70% stake in Calibrate in exchange for just $20 million, the documents show. Madryn had already lent the troubled weight-loss startup more than $60 million, giving it leverage to dictate the terms of the transaction.Insider first reported on October 20 that Cal…
about 1 year ago
businessinsider.com

Startup Spora Health Closed Shop in 2022 and Laid Off Its Workers -...

The way Dan Miller told it, his startup Spora Health was crushing it, providing high-quality care to “thousands” of people online. But now he’s backtracking, after Insider’s reporting found Spora to be struggling after laying off its workers.Miller founded the Bay Area startup in 2019 to take on a serious problem: In the US, people of color tend to have worse healthcare experiences and outcomes than white people. He said he wanted to erase these disparities by training healthcare providers in bi…
about 1 year ago