Latest Drug Coverage news from across the web.
Cancer care navigators are an invaluable resource, but there are nowhere near enough navigators to meet the scale of the need. This is where AI can make a meaningful difference, write the Digital Medicine Society's Jennifer Goldsack and former CMS…
Read full article →Researchers analyzed data from insurers in Medicare Advantage, Medicaid managed care and ACA Marketplace market segments—representing approximately 71 million enrollees.
Read full article →“We are asking the court to affirm a basic principle: No one can charge the public to access standards that are incorporated into state and federal law," said PatientRightsAdvocate.org Founder Cynthia Fisher.
Read full article →The man accused of murdering UnitedHealthcare CEO Brian Thompson has pleaded guilty in the federal trial against him, per media reports.
Read full article →Stay up to date on the latest in health tech, digital health and health AI news with this weekly brief.
Read full article →For health plans, the AI teams support functions such as member onboarding, chronic care management and Star Ratings improvement. Provider-focused offerings target patient onboarding, care gap closure and inpatient and ambulatory workflows.
Read full article →The major nonprofit system has logged its fourth consecutive quarter of operating gains after years in the red—a key milestone for its leaders ahead of OBBBA's expected headwinds.
Read full article →The Pharmaceutical Care Management Association announced Thursday that its members had reached an agreement with the feds to offer information on cash prices available through TrumpRx.
Read full article →A number of factors contribute to access, including the availability of OB clinicians, insurance coverage and access to birthing facilities.
Read full article →Aetna is seeing its value-based care efforts pay off in both preventive care metrics and cost savings, according to a new analysis from the company.
Read full article →The Trump administration alleges that some hospitals are incorrectly billing for gender-affirming care.
Read full article →A sweeping list of law enforcement referrals for "potentially anomalous billing patterns" related to gender-affirming care for minors stem from a new commissioned analysis, which accuses healthcare providers and other groups of ideological capture and profiteering.
Read full article →