By EMMANUEL ANIMASHAUN The Centers for Medicare & Medicaid Services (CMS) Star Ratings system represents a cornerstone of quality assessment in Medicare Advantage (MA), designed to empower consumers with transparent information while rewarding plans that deliver superior care. Yet recent developments, particularly the seismic downgrading of Humana’s ratings reveal an unintended consequence: a system created…
Healthtech companies have to navigate a maze of complex regulations, prove their financial model, and win over multiple stakeholders. Finding the right balance between patient protection and innovation is crucial. The post Barriers and Pathways to Healthtech Adoption in Clinical Practice appeared first on MedCity News.
President Trump’s executive order provides a framework for tying the prices of U.S. pharmaceutical products to the lower prices paid in other countries, what’s called most-favored-nation pricing. If drug companies do not lower their prices accordingly, the order proposes other strategies, such as importing drugs from other countries. The post Trump Strategy to Rein In…
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.
By LINDA RIDDELL & THOMAS WILSON Recent discussions over Medicaid budget cuts invite us to look more deeply into the house-of-cards that, when it collapses, will hit the states and low-income households hardest. But we will all be harmed. Some states get 80% of their Medicaid funding from the federal government, as a recent Wall…
Eli Lilly reported that in addition to achieving greater reductions in weight, Zepbound-treated patients achieved greater reductions in waist circumference compared to those treated with Novo Nordisk’s Wegovy. Full details from the head-to-head Phase 3 test were presented at the European Congress on Obesity meeting. The post Details From Head-to-Head Phase 3 Test Give Fuller…
[Sponsored] Radiologists today face a surge in imaging volume and pressure to produce fast, accurate reports. Workflow optimization is about delivering the right results at the right time with less friction. The post The 6 Most Affordable Workflow Optimization Tools for Radiology appeared first on MedCity News.
The trouble is that our technical colleagues know how to build beautiful products, but most have not worked within the four walls of healthcare, very seldom within the operating room. As a result, they do not know what will work or what is sufficient to drive engagement. What’s needed is collaboration. The post Why Clinician…
[Sponsored] Nicole Bulochnik, Abarca Senior Vice President of Drug Value Strategy, explained how AI, analytics, and cross-sector collaboration can transform specialty drug costs. The post How AI, Analytics, and Collaboration Can Solve Specialty Drug Spending Challenges appeared first on MedCity News.
UPMC Enterprises and Redesign Health launched a new startup named Glimmer Health. The company partners with primary care providers to improve pain management using a personalized, holisitic approach. The post UPMC Enterprises, Redesign Health Launch New Startup for Chronic Pain Patients appeared first on MedCity News.