CMS delays Part D GLP-1 model amid skepticism from insurers
The Trump administration is delaying a voluntary model that aimed to expand access to GLP-1s in Part D after pushback from insurers.
Read full article →Medicare Monitor
Tracking Medicare news, policy, and coverage changes.
Oak HC/FT backs Courier Health's $50M series B to build out AI for the biopharma patient experience
Courier Health raised $50 million in series B funding to scale its AI-powered platform purpose-built for biopharma that manages the end-to-end patient journey.
Read full article →Amperos Health secures $16M in series A funding, unveils AI-native denial management solution
Amperos Health CEO and co-founder Michal Miernowski told Fierce Healthcare the newly announced funding will support scaling the organization and its platform.
Read full article →'Don't be a wimp,' Mark Cuban tells lawmakers hesitant to break up PBMs
The entrepreneur outlines his belief that pressure from vertically integrated insurers and pharmacy benefit managers is preventing an efficient healthcare market. He also called on the Trump administration to "do your job" and ramp up enforcement, noting that drug manufacturers today are much more scared of a formulary exclusion than the president himself.
Read full article →UnitedHealth Group spotlights AI investments as part of operational turnaround
Artificial intelligence is one of the tentpoles of UnitedHealth's turnaround effort, and the company's top brass offered a look at where it's making key investments.
Read full article →Trump’s surgeon general pick faces mounting GOP opposition
Add abortion and psychedelics to the list of reasons many Republicans oppose Casey Means.
Read full article →RFK Jr.’s followers will help the GOP in midterms, Kennedy adviser tells POLITICO’s Health Summit
Calley Means said the health secretary and Trump are working in “lockstep.”
Read full article →Mark Cuban is moving on from Kamala Harris
The billionaire investor who supported the former vice president in 2024 isn't planning to in 2028.
Read full article →Top drug lobbyist calls Trump’s efforts to codify his drug pricing deals 'the wrong policy prescription'
PhRMA CEO Stephen Ubl applauded the Trump administration for pressuring other countries to pay more, is against efforts to make its “most-favored-nation” agreements permanent
Read full article →Health care leaders sweat federal Medicaid, Obamacare changes at POLITICO Summit
“At some point or another, folks are going to lose coverage.”
Read full article →Oz unveils nationwide plan to tackle Medicaid fraud at POLITICO Summit
The Centers for Medicare & Medicaid Services will have to audit states “more aggressively” if they don't take the request seriously, Administrator Mehmet Oz said.
Read full article →Markey at POLITICO Summit: Ready for ‘battle’ with Trump on health care
The Massachusetts Democrat also called on Health Secretary Robert F. Kennedy Jr. to resign.
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