INSURASALES

Louisiana Shifts Pharmacy Benefit Management Away from CVS Caremark for 2026

Louisiana's Office of Group Benefits is transitioning pharmacy benefit management services from CVS Caremark to Liviniti and SilverScript for 2026 amid legal scrutiny and demand for PBM transparency.

Court Awards Attorney Fees to FCA Defendants Due to Relator's Fraudulent Conduct

A Massachusetts court awarded attorneys' fees to FCA defendants after finding relator engaged in fraudulent conduct by ordering unnecessary PCR tests to support whistleblower claims under the False Claims Act.

Patient Square to Acquire Premier Inc. for $2.6B Enhancing Healthcare Tech Services

Patient Square Capital acquires Premier Inc. for $2.6 billion to enhance healthcare technology and supply chain services, reflecting a shift towards value-based care.

Medicare Annual Notice of Change Highlights 2025 Coverage and Cost Updates

Key Medicare 2025 updates include potential Medigap cost increases and the importance of reviewing the Annual Notice of Change before the December 7 enrollment deadline. Learn about Medicare Advantage plans and state ACA compliance.

Study Finds Hospice and Palliative Care Reduce Costs and Improve Outcomes

Empassion Health study reveals hospice and palliative care reduce healthcare costs by 35% in final year of life while improving care quality for seriously ill patients.

Southwest Florida's SHINE Program Supports Medicare Beneficiaries During 2025 Open Enrollment

AAASWFL's SHINE Program offers free Medicare counseling for Southwest Florida beneficiaries during the 2025 Open Enrollment Period, facilitating informed insurance decisions and fraud awareness.

Aetna Expands Hospital Collaboration Program to Reduce Medicare Readmissions

CVS Health's Aetna expands its Clinical Collaboration program to ten hospitals by 2025, targeting reductions in Medicare Advantage hospital readmissions and length of stay through embedded nursing care during discharge transitions.

Aetna Expands Clinical Collaboration Program to Reduce Medicare Readmissions

Aetna scales its Clinical Collaboration program to ten hospitals, aiming to reduce 30-day Medicare readmissions and enhance care transitions for Medicare Advantage members by embedding nurses within hospital teams.

CVS Health Expands Nurse-Led Program to Cut Medicare Readmissions

CVS Health's Aetna expands nurse-led program to reduce hospital readmissions among Medicare Advantage members, aligning with CMS readmission penalties effective 2027. Program enhances care coordination and post-discharge support in key U.S. hospitals.

Local Weather and Community Events Update with No Insurance Industry Impact

Stay informed with the latest local weather forecast and community event schedule. This update has no direct impact on U.S. insurance industry market or regulatory developments.