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Babyscripts raises $12M, plans to expand to all 50 states
The maternal care startup is backed by major health systems including MemorialCare Health System, whose innovation arm led the most recent funding round. Babyscripts offers a mobile app providing...
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Highmark partners with Ria Health to offer alcohol use disorder-specific...
Through the partnership, Highmark members will gain access to a personalized digital program that aims to reduce harmful drinking. The program includes virtual visits, medication-assisted treatment and...
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Bill aiming to streamline MA prior authorization gains House majority support
The bill, if enacted into law, will establish an electronic prior authorization process and require Medicare Advantage plans to report on their use of prior authorization and the rate of approvals or...
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Survey: These are the risk-based payment models health systems are pursuing
According to a recent survey, 59% of hospital finance leaders are looking to advance into Medicare Advantage models next year. They still face obstacles in switching to risk-based models, including...
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Biogen slashes price of Alzheimer’s drug by half as CMS coverage decision looms
The price of Biogen Alzheimer’s disease drug Aduhelm will be cut in half at the start of 2022, a move that comes as a Medicare recommendation on coverage is expected early next year. Meanwhile, Biogen...
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CMS proposes limited coverage of Biogen Alzheimer’s drug, only in clinical...
The Center for Medicare and Medicaid Services proposes covering Biogen Alzheimer’s disease drug Aduhelm only for people enrolled in a clinical trial. In explaining this proposal, the agency cited the...
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How payers are playing a part in new value-based outcomes strategies
Value-based healthcare puts the focus on patient outcomes, but payers have a part to play as well. A panel at MedCity News’ INVEST conference discussed how reimbursement strategies can improve patient...
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StartUPDATES: New developments from healthcare startups
Check out new developments from Seven Bridges, Healthmine, Bright Health, and My One Medical Source.
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Payers can lead the way in modernizing commercial dental benefit administration
Dental payers can no longer rely on the processes, methodologies and technologies of the past. They must adopt new technologies, like automation, that deliver the level of performance required to...
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Turquoise Health raises $20M to boost price transparency
Pulling back the curtain on healthcare pricing is easier said than done, acknowledged Chris Severn, the company’s co-founder and CEO. That’s exactly why the investment is so important.
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Health tech vendors can be the middleman that improves payer-provider...
Even though payers and providers still struggle to effectively collaborate, health tech vendors can often act as a linking agent to improve outcomes for both sides.
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Tomorrow Health raises $60M to get more payers on its home care coordination...
Tomorrow Health — a platform that makes it easier for patients, providers and payers to coordinate home-based care — closed a $60 million Series B funding round on Tuesday, bringing its total funding...
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HealthEdge survey: Costs are top-of-mind for health plan leaders
When asked what their biggest difficulties are today, 46% of payer leaders said managing costs and 41% said driving operational efficiencies. The reason for this could be increasing claims volumes from...
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Price Transparency Compliance Is a Very Different Story for Hospitals Vs. Payers
Payers and providers face different challenges when it comes to compliance. The volume of price transparency data that hospitals must disclose online amounts to about 3 terabytes — compared to the...
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Interoperability and Price Transparency in the 21st Century Cures Act: A...
A webinar sponsored by Intelligent Medical Objects April 11 will explore how payers are meeting the needs of the 2016 21st Century Cures Act when it comes to providing unfettered access to structured...
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HHS Cites 27 Medicare-Covered Drugs Whose Prices Rose Faster Than Inflation
Companies who raised drug prices higher than the rate of inflation must rebate the difference to Medicare, according to a provision of the Inflation Reduction Act. The highest-profile product on the...
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There Is ‘Skepticism and Support’ for National Provider Directory, CMS...
CMS put out a request for information in October about a CMS-led national provider directory that would allow patients to find and compare providers based on preferences like language and location....
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Pear Therapeutics Files for Bankruptcy and Plans for Asset Auction in May
Pear Therapeutics’ Chapter 11 bankruptcy filing follows three corporate restructurings and the inability to secure additional financing to support commercialization of its FDA-cleared prescription...
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