H.R. 1 and Medicaid: What Healthcare Providers Need to Know About Upcoming Changes
“When you cut one part of the health system, it tends to have a ripple effect on the rest of it,” an expert notes at Webinar
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Public vs. Private Sector R&D Investments
In 2011, National Institutes of Health (NIH)-funded discoveries contributed $69 billion to the nation’s gross domestic product (GDP) and supported seven million jobs. In 2020 alone, the US biomedical and pharmaceutical private sector generated more than $1.4 trillion in economic output. From Reece et al. (Health Affairs 2025) In addition to economic output, private-sector R&D…
What is Concurrent Review?
While prior authorization has made many headlines over the past year, concurrent review has not. Yet missteps in both processes leave hospitals in danger of not getting paid, which can result in higher costs being passed down to patients. The post What is Concurrent Review? appeared first on MedCity News.
Cleveland Clinic Taps Dyania Health to Speed Up Clinical Trials with AI
Cleveland Clinic is expanding its use of Dyania Health’s AI platform across the health system to speed up clinical trial recruitment. The system quickly scans patient records to identify eligible participants, aiming to give more patients access to trials and speed up development timelines for new therapies. The post Cleveland Clinic Taps Dyania Health to…
Arintra Raises $21M to Help Providers Win the Reimbursement Fight
Medical coding startup Arintra raised $21 million in Series A funding to help hospitals and physician groups secure accurate, timely reimbursement. The company’s AI-powered platform automates coding, spots documentation gaps and generates claims tailored to specific payers. The post Arintra Raises $21M to Help Providers Win the Reimbursement Fight appeared first on MedCity News.
AI-Powered Insights for Personalized Customer Experiences: The Art of Data-Driven Engagement
While advanced analytics and AI can unlock unprecedented insights, it’s the thoughtful application of these insights that transforms routine interactions between pharmaceutical representatives and healthcare providers into lasting relationships. The post AI-Powered Insights for Personalized Customer Experiences: The Art of Data-Driven Engagement appeared first on MedCity News.
Managed Care History Part III: The Rise of Machine-Driven Managed Care
This is part 3 of Jeff Goldsmith’s history of managed care. If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21st century- a strategic shift of health cost risk from providers to patients and the emergence of machine…
Pfizer Gets Another Dose of Disappointment as Sickle Cell Disease Drug Fails Pivotal Test
Pfizer’s inclacumab did not beat a placebo in a Phase 3 test in sickle cell disease. The trial failure comes nearly a year after Pfizer voluntarily withdrew Oxbryta from the market after tests showed higher rates of complications and deaths for that sickle cell disease drug. The post Pfizer Gets Another Dose of Disappointment as…
A CEO’s Guide to AI Exploration: Transforming Organizations and Mindsets
Try a variety of LLM-based tools yourself. Understand the risks, limitations, and who is working on putting quality frameworks and guardrails in place. Engage your employees and partners in discussions about what might now be possible. The post A CEO’s Guide to AI Exploration: Transforming Organizations and Mindsets appeared first on MedCity News.
ŌURA Snags $900M to Expand Smart Ring Globally
ŌURA’s $900 million in funding was led by Fidelity Management & Research Company and included participation from ICONIQ, Whale Rock and Atreides. The post ŌURA Snags $900M to Expand Smart Ring Globally appeared first on MedCity News.