Through a new acquisition, Amino Health will become Capital Rx’s patient-facing care navigation solution called Judi Care.

The post Capital Rx Expands Into Care Navigation with Acquisition of Amino Health appeared first on MedCity News.

Arkansas became the first state to pass a law banning pharmacy benefit managers from owning pharmacies, aiming to curb their market power and reduce drug costs. But major PBMs like CVS and Express Scripts are suing, claiming the law is unconstitutional.

The post Why CVS, Express Scripts Are Suing Over the Arkansas PBM Law appeared first on MedCity News.

Wisp is now offering at-home testing for Chlamydia, Gonorrhea, Trichomaniasis and Mycoplasma Genitalium.

The post Wisp Unveils Diagnostics Arm appeared first on MedCity News.

The “One Big Beautiful Bill” would codify Individual Coverage Health Reimbursement Arrangements (ICHRAs) — the personalized insurance model that has transformed how employers offer health benefits — into law as CHOICE Arrangements, or Custom Health Option and Individual Care Expense arrangements.  

The post A Defining Moment for Employer Health Benefits: How the “One Big Beautiful Bill” Could Transform Healthcare for Employers appeared first on MedCity News.

UnitedHealth Group has had a difficult year marked by a dramatic stock drop, leadership shake-up and mounting regulatory scrutiny. Experts point to its aggressive Medicare Advantage strategy and a rapidly evolving healthcare landscape as key drivers of its challenges.

The post Analysis: The No Good, Very Bad Year for UnitedHealth appeared first on MedCity News.

A new survey found that 73% of employers plan to maintain their well-being programs in 2025, while 20% will be expanding their programs.

The post Business Group on Health: Employers To Maintain Well-Being Benefits Despite Cost Challenges appeared first on MedCity News.

Startup finalists competed in four tracks: biopharma; devices and diagnostics; health tech aimed at consumers and self-insured employers; and health tech aimed at payers and providers. Investor judges in each track selected the winners.

The post Who Won MedCity INVEST Pitch Perfect? appeared first on MedCity News.

GLP-1s have proven to be highly effective for weight loss but pose significant cost challenges for employers, according to a recent panel of experts at MedCity INVEST.

The post Are GLP-1s Worth the Hype? appeared first on MedCity News.

Robert F. Kennedy Jr. testified before the House Committee on Appropriations and the Senate Health, Education, Labor and Pensions Committee on Wednesday. He faced questions on vaccines, HHS cuts and other issues.

The post Congress Scrutinizes RFK Jr. on Budget Cuts, Vaccines and More appeared first on MedCity News.

UnitedHealth Group announced that Andrew Witty will step down as CEO due to “personal reasons.” He is being replaced by Stephen J. Hemsley, who served as the company’s CEO from 2006 to 2017.

The post How Social Media Is Reacting to UnitedHealth Group’s CEO Exit and Stock Meltdown appeared first on MedCity News.

Omada Health filed for an IPO on Friday. It’s the second major digital health company to do so this year, following musculoskeletal company Hinge Health in March. 

The post Omada Health Files to Go Public: Will It Be Successful? appeared first on MedCity News.

According to a recent panel of employer leaders, it is important for health vendors to be honest with employers and share their incentives.

The post How Can Health Vendors Build Trust with Employers? appeared first on MedCity News.

During a recent panel, several employers shared the strategies they’ve implemented to support employees, including direct contracting and virtual support groups.

The post How 4 Employers Are Supporting Workers Through Challenging Times appeared first on MedCity News.

Employers should review their contracts, conduct claims analyses and more to meet their fiduciary responsibility, according to one expert.

The post 7 Things Employers Should Be Doing to Fulfill Their Fiduciary Duty appeared first on MedCity News.

Between 4.6 million and 5.2 million adults would lose Medicaid coverage in 2026 due to proposed work requirements, according to a new report.

The post What Is the Economic Impact of Medicaid Work Requirements? appeared first on MedCity News.

The Business Group on Health is paying attention to Medicaid cuts, tariffs, threats to ERISA and more.

The post The Policy Trends the Business Group on Health Is Watching appeared first on MedCity News.

The Department of Justice has filed a complaint against Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, alleging that the insurers paid illegal kickbacks to brokers to boost enrollment in their Medicare Advantage plans.

The post DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks appeared first on MedCity News.

As healthcare costs continue to rise, three data-driven strategies can help companies reduce the expense of employee health benefits – without sacrificing quality.

The post 3 Ways Companies Can Make Healthcare More Affordable appeared first on MedCity News.

An analysis by Axene Health Partners revealed that Imagine360 delivered 19% in annual savings—equating to $7.7 million—compared to traditional health plans for Rollins, a pest control company.

The post How Imagine360 Saved this Employer 19% Compared to Traditional Health Plans appeared first on MedCity News.

[Sponsored] This year, the survey includes new focus areas — ROI reporting, the value of clinical expertise, and evolving expectations around cost and care optimization.

The post Consultants to Self-Insured Employers: Share Your Experience and Perspective in This New Survey appeared first on MedCity News.

Hims & Hers is now offering discounted access to Wegovy, a GLP-1 manufactured by Novo Nordisk, on its platform.

The post Novo Nordisk Forms GLP-1 Partnership with Hims & Hers appeared first on MedCity News.

For employers to offer effective, accessible and affordable value-based care for their employees, they must address these four components.

The post How Employers Can Leverage Value-Based Care to Drive Retention and Improved Health Outcomes for Employees appeared first on MedCity News.

The time to innovate is now. By embracing transformative solutions, insurers and employers can not only address systemic challenges but also create a future where healthcare is equitable and sustainable.

The post How Health Insurers Are Embracing Technology to Serve Real People appeared first on MedCity News.

World Class Health’s $10 million raise was led by Transformation Capital. It comes six months after the company secured $8 million in seed funding.

The post World Class Health Secures $10M for Global Centers of Excellence Network appeared first on MedCity News.

UnitedHealth Group’s shares fell by over 22% on Thursday after its first quarter earnings. This is largely due to challenges in its Medicare Advantage business.

The post Why UnitedHealth Group’s Shares Have Taken a Tumble appeared first on MedCity News.

Trellis Health emerged from stealth and announced $1.8 million in pre-seed funding. The platform helps women easily access and understand their medical records so they can make better health decisions during pregnancy and throughout their lives.

The post New Pregnancy App Launches to Support Mothers Through Birth and Beyond appeared first on MedCity News.

The Trump administration aims to change the Medicare Drug Price Negotiation Program in a way that would delay when certain drugs can be selected for negotiation.

The post Trump’s Executive Order on Prescription Drug Costs Delivers a Win for Pharma Companies appeared first on MedCity News.

SCAN Group is partnering with Sutter Health to develop new Medicare Advantage products and eventually launch a joint venture Medicare Advantage plan.

The post What SCAN and Sutter Health Hope to Achieve with Their MA Partnership appeared first on MedCity News.

About a third of small businesses discontinue their health insurance coverage from one year to the next, new research from JPMorganChase Institute shows.

The post JPMorgan: How Small and Mid-Sized Businesses Make Healthcare Decisions appeared first on MedCity News.

CMS recently announced that payments to Medicare Advantage plans will increase by 5.06%, drawing support from payer advocates.

The post Payer Advocates Applaud 5% MA Payment Increase appeared first on MedCity News.