Midstream Health is taking a bit of a different approach to healthcare AI by focusing on reducing hospitals’ costs rather than boosting their revenue. The startup uses AI to identify savings opportunities across fragmented spending data, which helps health systems like Mount Sinai and CommonSpirit quickly improve their purchasing decisions.

The post Why Some Hospitals Are Betting on Midstream Health to Help Eliminate Waste appeared first on MedCity News.

Kevin Sayer would love to bring his company’s Dexcom G7 continuous glucose monitor to more people and more quickly. But despite being CEO of a successful device company, he feels frustrated from time to time about how and what the U.S. health system will pay for.

The post If Dexcom’s CEO Had a Magic Wand … appeared first on MedCity News.

Insurers that didn’t meet medical loss ratio requirements have paid out a total of $2 billion in rebates to nearly 10 million people, split between people who received their insurance through individual market plans and group plans. 

The post Insurers paid out $2B in rebates for last year’s claims appeared first on MedCity News.

During the height of the Covid-19 pandemic, all of the seven largest commercial insurers saw their profits rise, with some seeing their profits double. Will they have to pay some of it back? 

The post Big profits put insurers on awkward footing  appeared first on MedCity News.

The proposed rule, which will be officially published on Wednesday, is part of the Trump administration’s blueprint for reducing out-of-pocket drug prices. However, others have said it could raise premiums and have doubted how much power the administration truly has.

The post HHS proposes ending safe-harbor for biopharma-pharmacy benefit manager rebates appeared first on MedCity News.