Manatt Health’s William Gordon, M.D., on the Significance of the CJR-X Model
The mandatory model will hold hospitals financially accountable for joint replacement episodes from the day of surgery through 90 days post-discharge.
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Walmart, Teladoc Team Up to Expand Access to Virtual Care
Through a new partnership, Teladoc Health’s virtual services are now available on Walmart’s Better Care Services platform. The post Walmart, Teladoc Team Up to Expand Access to Virtual Care appeared first on MedCity News.
CMS Finalizes Rule to Simplify Payer-Provider Disputes Under No Surprises Act
CMS finalized a new rule aimed at streamlining the No Surprises Act’s overwhelmed arbitration system. Provider groups largely welcomed the reforms — though some industry leaders said additional changes are still needed to address alleged misuse and improve transparency. The post CMS Finalizes Rule to Simplify Payer-Provider Disputes Under No Surprises Act appeared first on…
Healthcare Raises the Bar on Medical Device Security, But Vulnerabilities Remain
The healthcare sector is prioritizing cybersecurity in device procurement, but challenges persist with legacy devices, network vulnerabilities and AI threats. To safeguard patient care, organizations must implement layered security controls, foster trust with vendors, and develop frameworks specifically targeting AI vulnerabilities, alongside ongoing device security enhancements.
AbbVie’s ADC Strategy Notches Another Win With FDA Approval in Ultra-Rare Blood Cancer
AbbVie drug Decnupaz received FDA approval for treating blastic plasmacytoid dendritic cell neoplasm, or BPDCN. This antibody drug conjugate came from AbbVie’s 2023 ImmunoGen acquisition. The post AbbVie’s ADC Strategy Notches Another Win With FDA Approval in Ultra-Rare Blood Cancer appeared first on MedCity News.
Medicare Advantage Out-of-Pocket Limits: Variation and Trends
This brief analyzes out-of-pocket limits in Medicare Advantage plans in 2026, variation by plan type, the distribution of enrollees facing different out-of-pocket limits, and trends over time.
Is California Staffed For the Crisis? Not Yet.
By JAKE SEGAL and KAREN LARSEN Call 988 in California and someone picks up. In parts of the state, a mobile crisis team might arrive at your door instead of police. Through Proposition 1, the state is putting billions into treatment beds, supportive housing, and youth services. On paper, California is in the middle of…
MedCity FemFwd: The Complicated History Behind Hormone Replacement Therapy
[Sponsored] In this episode, we’re joined by Janna Manjelievskaia, director of health economics and outcomes research at Veradigm. We discuss Veradigm’s recent Women’s Health Insights Report, which highlights the complicated history around Hormone Replacement Therapy (HRT), a medication used to treat menopause. The post MedCity FemFwd: The Complicated History Behind Hormone Replacement Therapy appeared first…
Healthcare AI Is Only As Good As the Systems That Govern It
AI doesn’t just demand better processes. It requires a complete redesign of traditional healthcare operations for a new level of precision, traceability, and governance. A new operating model that the vast majority of healthcare organizations simply aren’t built around today. The post Healthcare AI Is Only As Good As the Systems That Govern It appeared…
From Close Calls to Safer Systems: Rethinking Near Miss Reporting in Healthcare
To truly drive safety at scale, healthcare organizations will have to look beyond just adverse events and better leverage insights from one of the most valuable, but often underutilized, sources of safety data: near misses. The post From Close Calls to Safer Systems: Rethinking Near Miss Reporting in Healthcare appeared first on MedCity News.