CMS is notifying nearly a million Medicare beneficiaries of a data breach in which a hacker copied patients' files. The breach originated with Wisconsin Physicians Service Insurance Corp., an administrative services contractor for CMS that used the MOVEit file transfer software from Progress Software. MOVEit had a security vulnerability in 2023 that left its clients' data susceptible to hackers.
The four largest pharmacy benefit managers in the U.S. control 70% of the national market, and most regional PBM markets are highly concentrated, according to new data from the American Medical Association (AMA). AMA President Bruce Scott, M.D., said in a press release that the findings "warrant attention as Congress and the administration continue their work to protect patients and ensure prescription drugs remain affordable and accessible."
Backers of the Health Care Price Transparency Act 2.0 hope the push by a group of influential economists will convince lawmakers to advance the Senate bill introduced in December by Sen. Mike Braun, R-Indiana. In the letter Monday to senators, a group of 32 economists, academics and business leaders said price transparency would save up to $1 trillion in wasted medical spending each year and buoy middle-class workers "whose paychecks are being devoured by runaway healthcare costs."
The financial case for AI in healthcare: A step-by-step guide for hospital executives
As hospital executives, we're constantly seeking ways to improve patient care while managing costs. Artificial Intelligence promises to revolutionize healthcare delivery, but a critical question remains: Does AI truly deliver on its financial promises? By leveraging the time-driven activity-based costing model, a powerful tool for accurate cost measurement in healthcare settings, leaders can demystify the process of evaluating AI's financial impact.
In a just-published op-ed in Health Affairs, three healthcare policy experts, all of them members of the National Academies of Sciences, Engineering and Medicine Standing Committee on Primary Care, argue that the stumbles of the for-profit entrepreneurial corporations that have entered the primary care area, speak to the inability of the capitalist market to advance the optimization of primary care delivery and organization in U.S. healthcare. The authors assert in “The Failing Experiment Of Primary Care As a For-Profit Enterprise,” that the for-profit companies that have flooded into the primary care arena cannot be relied on to improve primary care delivery nationwide.
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