Better Health’s $14 million in funding included investments from Healthworx, the University of Miami Health System and Mosaic General Partnership.

The post Better Health Raises $14M To Reach More Patients with Chronic Conditions appeared first on MedCity News.

Payers face numerous challenges when it comes to AI, but that doesn’t mean they shouldn’t use the technology, according to Neil Gomes, senior vice president and chief digital officer of AmeriHealth Caritas.

The post AmeriHealth Caritas Exec: Worst Thing Insurers Can Do Is Be Paralyzed by AI Challenges appeared first on MedCity News.

There is a shortage of GLP-1s in the U.S. But experts have differing opinions on whose responsibility it is to be rationing the drugs.

The post Who Should Be Responsible for Rationing GLP-1s? appeared first on MedCity News.

A report conducted by ATI Advisory and commissioned by Better Medicare Alliance found that Medicare Advantage beneficiaries have lower healthcare spending than fee-for-service Medicare enrollees. This is true across racial and ethnic groups, according to the report.

The post Report: MA Beneficiaries Spend $2,500 Less on Healthcare Than Traditional Medicare Beneficiaries appeared first on MedCity News.

As with so many other conditions, in vascular health, patients often need to be seen within a few days or weeks, but current referral systems drag on for many weeks and months.

The post How Good Referral Pathways Impact Vascular and Overall Health appeared first on MedCity News.

Samaritan provides financial and social support to those without a home. The company was recently crowned winner of the payer/provider track of MedCity News’ INVEST Pitch Perfect contest.

The post INVEST Pitch Perfect Spotlight: How One Company Is Empowering Individuals through Social and Financial Support appeared first on MedCity News.

The Consumer Financial Protection Bureau, which has been targeting debt collection practices, survives a Supreme Court challenge. 

The post SCOTUS Deals a Blow to Medical Debt Collectors appeared first on MedCity News.

The Peterson Health Technology Institute recently released a report that evaluated eight musculoskeletal solutions: DarioHealth, Hinge Health, Kaia Health, Limber Health, Omada Health, RecoveryOne, Sword Health and Vori Health.

The post Report: Virtual MSK Solutions Meaningfully Improve Outcomes appeared first on MedCity News.

Executives at the ViVE Payer Insights event earlier this year discussed prior authorization, AI, value-based care and the role of tech to help achieve their goals.

The post How Payers Use Tech to Support Healthcare Transformation appeared first on MedCity News.

We’re in for a bumpy ride near term, but value-based specialty care (VBSC) is coming and – if done right –  has the potential to transform how we care for millions of patients.

The post Making the Transition to Value-Based Specialty Care appeared first on MedCity News.

With its financing round of $130 million, Sword Health is now valued at $3 billion. The company also unveiled Phoenix, an AI care specialist that guides users through sessions.

The post Sword Health Secures $130M, Introduces AI Care Specialist appeared first on MedCity News.

Here is a list of some of the biggest funding rounds in the payer/employer space that were announced in May.

The post 5 Funding Announcements Made By Payer/Employer Companies In May appeared first on MedCity News.

Here is a selection of recent executive hires, promotions, retirements and layoffs occurring across the healthcare industry.

The post Healthcare Moves: A Monthly Summary of Hires and Layoffs appeared first on MedCity News.

A group of 24 novel startups were selected to pitch at MedCity News’ INVEST conference in Chicago. Here’s four that VC judges chose as the winners in their respective tracks.

The post Here’s Why VC Judges Chose These 4 Startups as INVEST Pitch Perfect Winners appeared first on MedCity News.

A new J.D. Power ranking of commercial health plans found a major difference in customer satisfaction between the top and bottom-ranked health plans.

The post J.D. Power: Customer Experience Gap Grows Among Commercial Health Plans appeared first on MedCity News.

If Medicare acts, the potential of AI-enabled technologies to improve healthcare outcomes for patients, regardless of their geographic location or socioeconomic status, will be closer to being fully realized.

The post Making Access to AI-enabled Medical Devices Equitable for All appeared first on MedCity News.

Boulder Care’s Series C funding round was led by Advance Venture Partners and included participation from Stripes, First Round Capital, Qiming Venture Partners and Laerdal Million Lives Fund. In total, Boulder Care has raised about $85 million.

The post Boulder Care Secures $35M To Advance Virtual Addiction Care appeared first on MedCity News.

As the healthcare industry slowly moves toward value-based care, healthcare companies are thinking about taking on risk. During a panel at MedCity News’ INVEST conference, healthcare leaders shared some key ideas about how the industry is embracing risk in its contracts.

The post Is the Healthcare Industry Embracing Risk in Its Contracts? appeared first on MedCity News.

Centivo, a health plan that sells to self-funded employers, acquired virtual-first primary care startup Eden Health. With this acquisition, Centivo now serves more than 160 employers in all 50 states.

The post Centivo Acquires a Primary Care Startup, Despite Others Fleeing the Space appeared first on MedCity News.

Fay emerged from stealth with $25 million in funding. The company connects patients to a network of registered dietitians.

The post Nutrition Counseling Startup Emerges from Stealth with $25M appeared first on MedCity News.

Dan Reedy, senior director of pricing and underwriting for Abarca, spoke recently with MedCity News about what payers should consider as they explore new models and press for greater transparency.

The post Unlocking Transparency in PBM Pricing appeared first on MedCity News.

Employers are in a unique position to drive change in obesity care, but face several challenges. Experts shared numerous strategies employers can implement.

The post ‘The Time Is Now’: How Employers Can Offer Comprehensive Obesity Care appeared first on MedCity News.

Uber Health unveiled Uber Caregiver on Wednesday. The solution allows caregivers to coordinate rides and deliveries on the behalf of the ones they’re caring for.

The post Uber Health Announces Solution for Caregivers appeared first on MedCity News.

Watershed Health closed a $13.6 million funding round this week. The New Orleans-based company seeks to improve care coordination by connecting providers of all types across the healthcare system.

The post Watershed Health Raises $14M For Its Care Coordination Platform appeared first on MedCity News.

Virginia Medicaid beneficiaries now have access to Aeroflow Health’s breast pumps and lactation consultants.

The post Virginia Medicaid Taps Aeroflow Health for Lactation Services appeared first on MedCity News.

The U.S. Department of Justice recently launched a task force on healthcare monopolies. Experts have varying opinions on how it will impact the healthcare industry.

The post DOJ Launches Task Force on Healthcare Monopolies: Will It Make A Difference? appeared first on MedCity News.

Wave is now in network with Aetna in California, giving 3 million members access to the company’s mental health services.

The post Mental Health Platform Wave Gains First Payer Contract appeared first on MedCity News.

Many consumers leave their provider because of navigation problems, while many leave their insurer because of experience issues, a new Accenture report found.

The post Why Consumers Leave Their Payer/Provider appeared first on MedCity News.

More than a third of employers are integrating accountable care into their health benefits, according to a new report from the Milken Institute. However, there are several barriers.

The post Report: More Employers Are Looking To Deploy Value-Based Care appeared first on MedCity News.

Under a new final rule, eligible DACA recipients will be able to enroll in a Qualified Health Plan through the ACA Marketplace or through a Basic Health Program.

The post Biden Administration Extends ACA Coverage Eligibility to DACA Recipients appeared first on MedCity News.