That is the question asked in a new paper by Enright, et al. (2025). The authors use the Tufts Medical Center Specialty Drug Evidence and Coverage (SPEC) database current as of August 2023. This database contains publicly available specialty pharmacy coverage decisions as issued by 18 large US commercial health plans, which—collectively—cover 200m people (i.e.,…
Massive cuts to medical research and Medicaid. Waves of layoffs across the Department of Health and Human Services. Ongoing uncertainty around federal subsidies to buy health insurance on Affordable Care Act marketplaces. 2025 has been a rough year for federal health programs. But meanwhile, in the states, there were some wins for health care access….
Sheldon Ekirch is used to being disappointed by her health insurance company. That’s why Ekirch, 31, of Henrico, Virginia, was stunned when she learned Anthem would finally have to pay for life-changing medical treatment. For two years, she had battled the company to cover blood plasma infusions called intravenous immunoglobulin, or IVIG. The treatment has…
The Indiana Biomedical Society (IBS) was recently recognized as TechNation’s Association of the Month for its commitment to supporting biomedical professionals across the state. Leading the organization is Naka Piohia, Crothall HTS Director at Marion General Hospital, who serves as IBS President. Founded in 1990, IBS provides a platform for professional development, networking, and industry…
Doctronic acquired Summer Health to expand into pediatric care and strengthen its AI-powered primary care platform. The post Doctronic Acquires Summer Health to Expand into Pediatric Primary Care appeared first on MedCity News.
FDA’s January 2026 draft guidance on Bayesian methodology in drug and biologics trials signals a clear willingness to see Bayesian methods used for regulatory decisionmaking around clinical trials. The guidance lays out how sponsors (i.e., pharmaceutical manufacturers) should pre-specify priors, success criteria, and simulations so that Bayesian designs remain interpretable, control error rates when needed,…
Lynx’s Series A round was led by Flare Capital Partners and included participation from CVS Health Ventures, McKesson Ventures, .406 Ventures, Obvious Ventures and Frist Cressey Ventures. The post Lynx Secures $27M To Simplify Healthcare Payments appeared first on MedCity News.
To provide context for emerging debates about federal actions to address prescription drug costs, this issue brief highlights five key facts about Medicaid prescription drug coverage, payment, and administration.
Cybersecurity is no longer a function managed in the IT department’s back office. It’s a front-line brand issue, with real implications for patient satisfaction and loyalty. That means providers need to rethink how they talk about security. It’s no longer enough to be secure; you must communicate security clearly. The post Why Cybersecurity Is Now…