Tennessee lawmakers recently passed a bill banning PBMs from owning pharmacies in the state, though like a similar Arkansas law, it is expected to face legal challenges if enacted.

The post Will Tennessee’s PBM Bill Face the Same Fate as Arkansas’ Law? appeared first on MedCity News.

In this episode, we’re joined by Meghan Doyle, CEO of Partum Health. We discuss the company’s new partnership that offers 24/7 access to doula support at University of Chicago Medicine Family Birth Center – Hyde Park.

The post MedCity FemFwd: Inside Partum Health’s Partnership with UChicago Medicine appeared first on MedCity News.

Health tech companies made several major funding announcements in April. Here is a list of some of the biggest funding rounds.

The post 4 Notable Health Tech Funding Announcements in April 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.

Timely by DrFirst launched a tool to streamline prior authorizations and improve access to specialty medications.

The post Timely by DrFirst Aims to Lower Barriers to Specialty Meds appeared first on MedCity News.

The American Medical Association is urging Congress to add safeguards for AI mental health chatbots amid safety concerns, while noting their potential to expand access.

The post AMA Calls on Congress to Improve Safeguards for AI Mental Health Chatbots appeared first on MedCity News.

Amperos Health’s Series A round was led by Bessemer Venture Partners, with participation from Uncork Capital and Neo.

The post Startup Helping Providers Manage Denied Claims Raises $16M appeared first on MedCity News.

SCAN Health Plan CEO Sachin Jain urged brokers to abandon for-profit plans that treat them poorly, but one broker argued they often can’t because dominant players like UnitedHealth Group control so much of the healthcare system.

The post SCAN CEO Urges Brokers to Drop Plans That Treat Them Poorly — One Says She Has No Choice appeared first on MedCity News.

At the Medicarians Conference, Ricardo Carcas, assistant special agent in charge of the Office of Investigations, discussed cases of fraud in the ACA and how the DOJ is combatting it.

The post How the DOJ Is Tackling Fraud in the ACA Marketplace appeared first on MedCity News.

Oscar Health launched Lucie, a marketplace aimed at making healthcare more shoppable.

The post Oscar Health Seeks to Build ‘Airbnb for Healthcare’ with New Marketplace, CEO Says appeared first on MedCity News.

UnitedHealthcare is exempting rural providers from most prior authorization requirements.

The post UnitedHealthcare Expands Rural Healthcare Initiatives, Reduces Prior Auth Requirements appeared first on MedCity News.

CMS is proposing to make its joint replacement bundled payment model mandatory nationwide. Experts say it is a logical step, but warn that mandatory participation could be challenging for hospitals to implement.

The post Expanding the CJR Model Is a Logical Step in VBC, but Implementation Challenges Remain appeared first on MedCity News.

A new report from Trilliant Health finds behavioral health demand has surged since 2018, but workforce shortages and access barriers continue to limit care.

The post Behavioral Health Demand Has Increased by 62% Since 2018. What the Industry Needs to Know appeared first on MedCity News.

Wisp partnered with Visby Medical to expand access to Visby’s at-home sexually transmitted infection test and provide follow-up treatment through Wisp’s telehealth platform.

The post Wisp, Visby Partner to Expand Access to At-Home STI Test appeared first on MedCity News.

Rep. Greg Murphy introduced a bill that would require out-of-pocket prescription drug spending to count toward patients’ deductibles and out-of-pocket maximums regardless of where the drugs are purchased.

The post New Bill Seeks to Lower Out-of-Pocket Drug Costs appeared first on MedCity News.

Vida Health is partnering with ŌURA to use data from the Oura Ring to provide more continuous, personalized cardiometabolic care and improve patient outcomes.

The post Vida Health Teams Up with ŌURA to Provide More Personalized Metabolic Care appeared first on MedCity News.

New research from the Elevance Health Public Policy Institute finds that higher enrollment in Medicare Advantage may be linked to lower overall Medicare spending.

The post Report: Growth in MA Is Associated With Lower Total Medicare Spending appeared first on MedCity News.

President Donald Trump’s 2027 budget proposes deep healthcare cuts, raising concerns about harm to patients and research.

The post ‘A Significant Assault on Our Health’: Healthcare Policy Leaders Condemn Trump’s Budget Proposal appeared first on MedCity News.

Chapter’s Series E round was led by Generation Investment Management, with participation from Fifth Down Capital, 8VC, Stripes, XYZ Venture Capital, Addition, Narya Capital, Susa Ventures and Maverick Ventures.

The post With $100M Raise, Chapter Targets Medicare Mismatches for Seniors appeared first on MedCity News.

Cigna Healthcare ranks highest in digital experience among commercial plans, while UPMC Health Plan ranks highest among Medicare Advantage plans, according to a new JD Power report.

The post Which Health Plans Rank Highest In Digital Experience? appeared first on MedCity News.

Health insurers have reduced prior authorizations by 11% and are continuing reforms to streamline and speed up approvals, according to an announcement from AHIP and Blue Cross Blue Shield Association.

The post Insurers have Cut Prior Auth by 11% Following Commitments appeared first on MedCity News.

Yuzu’s $35 million round was led by General Catalyst and Chemistry, with participation from Anthropic’s Anthology Fund, Bain Future Back Ventures, Timeless Ventures, Lachy Groom and Neo.

The post TPA Yuzu Health Aims to Revamp Health Benefits with $35M Boost appeared first on MedCity News.

A PwC report finds that women’s health is evolving into a much larger, high-growth market as investment expands beyond reproductive care, though it remains underfunded and under-researched.

The post The Women’s Health Market Is Poised to Reach $600B by 2030. That’s if ‘We Do Nothing’ appeared first on MedCity News.

Health tech companies made several major funding announcements in March. Here is a list of some of the biggest funding rounds.

The post 4 Notable Health Tech Funding Announcements in March appeared first on MedCity News.

Amazon has added Berry Street to its Health Benefits Connector to help customers discover and access insurance-covered nutrition therapy services through its platform.

The post Amazon Teams Up with Berry Street to Expand Access to Nutrition Therapy appeared first on MedCity News.

In this episode, we’re joined by Dr. Barbara Levy, chief medical officer of Visana Health. We discuss the American College of Obstetricians & Gynecologists’ new clinical guidance on endometriosis.

The post MedCity FemFwd: ACOG’s New Guidelines Around Endometriosis appeared first on MedCity News.

WHOOP’S Series G round was led by Collaborative Fund and includes participation from 2PointZero Group, Qatar Investment Authority, Cristiano Ronaldo and LeBron James.

The post WHOOP Secures $575M, Reaches $10B Valuation appeared first on MedCity News.

Jimini’s $17 million round was from M13, Town Hall Ventures, LionBird, Zetta Venture Partners and OneMind.

The post Jimini Health Raises $17M to Scale Clinician-Supervised AI for Behavioral Health appeared first on MedCity News.

An Urban Institute report finds that the One Big Beautiful Bill Act could cause 5–10 million people to lose Medicaid coverage by 2028, with outcomes heavily dependent on how states implement work requirements and eligibility rules.

The post State Mitigation Strategies Could Blunt Medicaid Coverage Losses appeared first on MedCity News.

Through a new partnership, consumers nationwide can access Jona’s gut microbiome test on Everlywell’s platform.

The post Everlywell, Jona Team Up to Expand Access to Gut Microbiome Test appeared first on MedCity News.