TrumpRx: What’s the Value for Customers?
In February, the Trump administration launched TrumpRx, a government website that provides prescription drug discounts…
TrumpRx: What’s the Value for Customers?
In February, the Trump administration launched TrumpRx, a government website that provides prescription drug discounts to consumers. This brief examines issues that may impact consumers, especially those with private insurance, who access drug discounts through TrumpRx.
DOJ, Ohio File Antitrust Suit Against OhioHealth Over Payer Contracts
The Department of Justice and the state of Ohio filed an antitrust lawsuit against OhioHealth this week, alleging the health system used “all-or-nothing” contracts that force insurers to include all of its hospitals and physicians. The case highlights federal and state scrutiny of hospital consolidation and restrictive contracting practices — with potential implications for payers,…
Which types of health insurers make the most money?
It turns out the answer is Medicare Advantage plans according to a KFF analysis released today. However the reason why Medicare Advantage is more profitable may not be obvious: At the end of 2024, gross margins per enrollee ranged from $608 in the Medicaid managed care market to $1,655 in the Medicare Advantage market. Gross…
Care.com and Headspace Launch Mental Health Partnership for Caregivers
Headspace and Care.com partnered to provide caregivers with brief mindfulness content and free subscriptions to support their mental health. The post Care.com and Headspace Launch Mental Health Partnership for Caregivers appeared first on MedCity News.
Quiz – How Well Do You Understand Your Health Insurance?
Health insurance is often complicated, but understanding the basics helps you make better decisions about your coverage and care. This 10-question quiz touches on some terms you may encounter.
Gilead Sciences Is Acquiring Arcellx and Partnered Multiple Myeloma Drug in $7.8B Deal
Gilead Sciences and Arcellx have been collaborating on the multiple myeloma cell therapy anito-cel since 2022. This therapy was designed to provide better safety, which would be an advantage over Carvykti, the blockbuster multiple myeloma product marketed by Johnson & Johnson and Legend Biotech. The post Gilead Sciences Is Acquiring Arcellx and Partnered Multiple Myeloma…
Medicare Advantage Enrollment Grew by About 1 Million People, Mainly Due to Special Needs Plans
Just over 35 million people are enrolled in Medicare Advantage in February 2026, an increase of 1.1 million since a year ago. The increase was largely driven by increased enrollment in special needs plans.
Designing Scalable Measurement-Based Care Systems for Expanding Health Care Organizations
[Sponsored] Measurement-based care (MBC) has shifted from a best practice to a baseline expectation in behavioral health and integrated settings. The post Designing Scalable Measurement-Based Care Systems for Expanding Health Care Organizations appeared first on MedCity News.
Más personas toman medicamentos para tratar la ansiedad, aunque el gobierno critica su uso
Después de un año agotador de quimioterapia, cirugía y radiación para tratar un cáncer de mama, Sadia Zapp se sentía ansiosa. No era la inquietud manejable que había sido parte de su vida durante años, sino algo más profundo y difícil de ignorar. Dijo que “cada pequeña molestia, como un dolor de rodilla, le hacía…
Prior Authorization Is Broken. CMS’s New Rule Shows Why Regulated AI Is the Way Out
Technology alone won’t solve prior authorization. But refusing to adopt it guarantees the status quo: a system where insurers operate at machine speed, providers operate at human speed, and patients pay the price in delayed care. The post Prior Authorization Is Broken. CMS’s New Rule Shows Why Regulated AI Is the Way Out appeared first…
