Will Tennessee’s PBM Bill Face the Same Fate as Arkansas’ Law?
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.
MedCity FemFwd: Inside Partum Health’s Partnership with UChicago Medicine
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.
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Inside an Automated Healthcare Practice: Redesigning Care Around People, Not Paperwork
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
4 Notable Health Tech Funding Announcements in April
Health tech companies made several major funding announcements in April. Here is a list of some of the biggest funding rounds.
Bipartisan Bill Seeks to Strengthen Oversight of Medicare Advantage
Lawmakers introduced the Medicare Advantage Improvement Act of 2026 to tighten prior authorization rules, boost transparency and curb practices that delay care.
Timely by DrFirst Aims to Lower Barriers to Specialty Meds
Timely by DrFirst launched a tool to streamline prior authorizations and improve access to specialty medications.
AMA Calls on Congress to Improve Safeguards for AI Mental Health Chatbots
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.
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Survey on the Healthcare Financial Landscape Offers a Roadmap for Stakeholders
Zelis highlights how employers, payers, and consumers are integrating digital tools to manage healthcare costs.
Startup Helping Providers Manage Denied Claims Raises $16M
Amperos Health's Series A round was led by Bessemer Venture Partners, with participation from Uncork Capital and Neo.
SCAN CEO Urges Brokers to Drop Plans That Treat Them Poorly — One Says She Has No Choice
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.
How the DOJ Is Tackling Fraud in the ACA Marketplace
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.
Oscar Health Seeks to Build ‘Airbnb for Healthcare’ with New Marketplace, CEO Says
Oscar Health launched Lucie, a marketplace aimed at making healthcare more shoppable.
Beyond Analytics: How Sellers Dorsey is Hard-Coding Value into Medicaid Policy [Video]
How to turn analytics into actual policy outcomes.
UnitedHealthcare Expands Rural Healthcare Initiatives, Reduces Prior Auth Requirements
UnitedHealthcare is exempting rural providers from most prior authorization requirements.
Expanding the CJR Model Is a Logical Step in VBC, but Implementation Challenges Remain
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.
Behavioral Health Demand Has Increased by 62% Since 2018. What the Industry Needs to Know
A new report from Trilliant Health finds behavioral health demand has surged since 2018, but workforce shortages and access barriers continue to limit care.
Wisp, Visby Partner to Expand Access to At-Home STI Test
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.
New Bill Seeks to Lower Out-of-Pocket Drug Costs
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.