Schmeeka Simpson of Omaha works as a patient navigator for the American Civil Liberties Union and an administrative assistant at Nebraskans for Peace, plus picks up shifts at a Dunkin’ shop. Still, even with three jobs, she worries about losing her health coverage when Nebraska, on May 1, becomes the first state to require certain…
Recent federal policy changes, including Medicaid funding cuts and restrictions on coverage for immigrants, threaten to deepen existing health disparities
This is a transcript of my HIMSS interview with Bevey Miner, EVP Healthcare Strategy & Policy at Consensus Cloud Solutions. Usually I’d show the video but in this case my fancy new microphone didn’t work so you’d only hear a one sided conversation. Luckily Youtube’s transcript somewhat came to the rescue–Matthew Holt Matthew: Another THCB…
Medtronic suffered a cyberattack on its corporate IT systems. The incident highlights growing cybersecurity risks in the medtech sector, with cybergangs increasingly using phishing and other human-engineering tactics to gain access to data. The post 6 Things to Know About Medtronic’s Cyberattack appeared first on MedCity News.
Lawmakers introduced the Medicare Advantage Improvement Act of 2026 to tighten prior authorization rules, boost transparency and curb practices that delay care. The post Bipartisan Bill Seeks to Strengthen Oversight of Medicare Advantage appeared first on MedCity News.
Coultreon Biopharma’s lead drug candidate, acquired from Galapagos, is a small molecule designed to selectively inhibit a novel immunology target called SIK3. The Series A financing will support Phase 2 clinical trials in psoriasis and ulcerative colitis. The post Immunology-Focused Coultreon Adds $125M for Pills That Pack the Punch of Injectable Biologics appeared first on…
As biologics modalities diversify and processes grow complex, the success of tech transfer depends on integrated execution rather than each procedural completion. The post Executing Biologics Technology Transfer through Integrated Operating Models appeared first on MedCity News.
From tools to help payers and providers manage claims and setting up a consulting subsidiary, the healthcare giant has ambitious aims to deploy its technology gains outside Optum’s walls.
Many health plans are discovering that even after digitizing medical policies and implementing FHIR APIs, prior authorization turnaround times remain slow and provider frustration remains high. The reason is straightforward: digitization alone does not make medical‑necessity determinations executable by automated systems at scale. The post Digitizing Medical Policy Alone Will Not Automate Prior Authorization at…
This is forcing brokers to rethink how they serve clients and how their businesses continue to grow without sacrificing service. The post As Health Costs Hit Record Highs, Brokers Face a Structural Test appeared first on MedCity News.