Philadelphia-based health system Jefferson Health is suing Aetna, claiming the payer is unfairly reducing payments for some hospital stays under Medicare Advantage. Aetna said that it has done nothing wrong. …
Category:
Health
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In June of 2025, health plans made a series of commitments to improve prior authorization. On Tuesday, insurer advocacy organization AHIP and Blue Cross Blue Shield Association gave their first …
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Insmed’s new drug, Brinsupri, is still projected to reach blockbuster status, but an inflammatory skin disorder is no longer in the picture following a mid-stage clinical trial failure in this …
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The $50 billion in CMS awards for rural health transformation (RHT) are starting to roll out across the nation. These grants are intended to fund “comprehensive strategies to improve care …
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In 2016, patient non-adherence was estimated to cost U.S. pharmaceutical companies a staggering $250 billion in potential annual sales. Why does this issue still persist nearly a decade later? For …
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Value-based care and Medicare Advantage are often heralded as two of healthcare’s most promising strategies for controlling costs, but industry leaders can’t quite tell if they’re actually working. During a …
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Gilead Sciences is building out its pipeline through a multi-billion dollar deal to acquire Tubulis, a startup with two targeted therapies in clinical testing. While those therapies are in development …
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“Tell us what you need.” While these five words are often intended to sound collaborative, for many healthcare operators they feel like one more task added to an already overloaded …
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AI in healthcare is the 21st century’s gold rush moment, where anyone with a functioning shovel (i.e. any kind of chatbot, GenAI tool, some pattern-recognizing algorithm or automated software at …
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After several uneven years for venture funding, the digital health sector saw a boost in investment during the first quarter of this year. Digital health startups raised $4 billion across …