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CVS buys Aetna; Inside a top-5 Medicare Advantage plan; Why ops and finance leaders should have their heads in the cloud

The integrated payer and pharma company represents direct competition to providers as the new organization aims to offer lower-cost, more convenience access to care.
Delivering hope. Capital One Healthcare helps remove financing obstacles so you can focus on your specialty - helping others. Learn more today >>

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Your Weekly Dose of Healthcare Finance.  Ι   December 5, 2017  Ι  Volume 12  Ι  Forward this Issue to a Friend
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News
CVS Health to acquire Aetna for $69 billion
The integrated payer and pharma company represents direct competition to providers as the new organization aims to offer lower-cost, more convenience access to care.
Loss of state Medicaid contract deals another blow to UnitedHealth
Layoffs for workers in Delaware follow hundreds in Phoenix earlier this month after loss of TriCare contract.
CMS finalizes rule canceling mandatory bundled payment models
CMS Administrator Seema Verma said the agency will announce new voluntary payment bundles soon.
Here's how 5-star Medicare Advantage plans stay on top
Integration with providers, narrow network ACO models, speaking members' languages and improving patient experience all key to earning, and keeping, an overall 5-star rating.
Hospitals brace for end of individual mandate, tax exempt borrowing, in Senate tax bill
Non-profit health systems will be paying more to borrow money, expert says.
Why operations, finance leaders should be spearheading healthcare migrations to the cloud
Going beyond the CapEx vs. OpEx debate, experts say the time has come for finance teams to decide what to move to the cloud and what to keep on-site.
Cigna-HealthSpring and Lyft partnership touts big savings
Transportation to doctor's appointments and the pharmacy focuses on making sure MA members get needed care, medication for chronic conditions.
People in high-deductible plans are not acting like consumers after all
Despite growth of these plans, price shopping, cost discussions with doctors are rarely happening, researchers find.
Cleveland Clinic posts 30% operating income drop in 3rd quarter
The system's quarter closed with a $60 million reduction in net income to $227.6 million from $287.6 this time last year, financial documents show.
62 Indiana hospitals named in $300 million fraud suit over EHR kickbacks(updated)
Local report says lawsuit alleges the hospitals made false claims in order to snag federal grant money for electronic health record systems.
Delivering hope. Capital One Healthcare helps remove financing obstacles so you can focus on your specialty - helping others. Learn more today >>
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