Capital Rx Expands Into Care Navigation with Acquisition of Amino Health
Through a new acquisition, Amino Health will become Capital Rx’s patient-facing care navigation solution called Judi Care.
Why CVS, Express Scripts Are Suing Over the Arkansas PBM Law
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 Role of Consultants in Tackling Healthcare Expenses
To ensure effective cost mitigation, employers can’t wait for the market to adjust — they have to punch first.
Making Insurance Cover IVF Could Actually Reduce Access
President Trump’s plan to fix IVF might look bold in a headline. In reality, it doesn’t create a single new embryology lab. It doesn’t hire one more specialist. It won’t change the fact that right now, only people with plenty of money can afford IVF, and throwing subsidies at a market that’s already bottlenecked only shifts who pays.
Serve You Rx Adds 2 Stelara Biosimilars to Formulary to Help Patients Save Costs
In partnership with Cost Plus Drugs and Waltz Health, Serve You Rx has added Stelara biosimilars Otulfi and Yesintek to its formulary.
Amazon Pharmacy Brings PillPack to Medicare and Adds Caregiver Feature — Will It Make a Difference?
Amazon Pharmacy recently launched a new caregiver feature and expanded PillPack to Medicare Part D. The company says the updates will support medication adherence.
INVEST Pitch Perfect Spotlight: How Pear Suite Makes Sure Community Health Workers Get Paid
Pear Suite recently won the payer/provider technology track of MedCity News’ INVEST Pitch Perfect contest. The startup provides a software platform for community health workers that helps them share data, submit claims and maintain compliance.
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5 Companies That Offer Mobile IV Therapy With Experienced Nurses in NYC and Beyond
Get your IV treatment from wherever you are. These top companies provide mobile IV therapy administered by experienced nurses in NYC and beyond.
Debunked Episode 16: Will Trump Administration’s Drug Pricing Policies Lead to the End of PBMs?
UH Group replaces its CEO, the payer's alleged nursing home practices, the future of pharmacy benefit managers, and the healthcare implications of the budget bill are part of the latest episode of the Debunked Podcast with MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch.
Healthcare’s Provider Data Challenges
Provider data issues start at enrollment and continue throughout the provider lifecycle, impacting everything from credentialing to the provider directory. ProviderTrust's new guide explores this topic.
Pyx Health Acquires FarmboxRx With $47.5M Funding Boost
Acquiring FarmboxRx will help Pyx Health tackle food insecurity, a challenge many of its members struggle with.
The Age of Action: Seizing CMS’s Call to Reimagine Medicare
The combination of coverage awareness and care navigation powered by agentic AI has the potential to transform how older adults engage with the healthcare system.
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Everything You Need to Know About Who Accredits Health Plans for Mental Health Parity Compliance
Who accredits health plans for mental health parity compliance? Learn about the only organization that offers this program to ensure your members get equitable care.
Analysis: The No Good, Very Bad Year for UnitedHealth
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.
A Call for Healthcare Cuts — But Not the Kind You’re Thinking Of
What if the kind of cuts we should be talking about are the ones that actually make care better? Like cutting confusion. Because for many people, the biggest barrier to healthcare access isn’t cost or availability – it’s complexity.
CMS’s Final Rule Impacting Star Ratings Puts Outcomes In Focus — Are Health Plans Ready to Take Action?
This is a great opportunity to align your strategies with CMS’s evolving framework by refining care models to focus on impact, investing in digital capabilities that support data use, and continuing to build infrastructure that addresses disparities in care.
Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs
May has seen a slew of executive hires, exits and layoffs across the healthcare industry. For example, the American Medical Association and TigerConnect named new CEOs, and Google and UnitedHealth Group have seen key executives leave their roles. There were also layoffs at organizations including Devoted Health and New York-Presbyterian.
Priority Health Teams Up with Virta Health for Diabetes, Weight Loss Support
Priority Health has partnered with Virta Health to offer a suite of diabetes and weight management solutions to its employer clients.