Anomaly Insights, Inova Health partner on AI-powered RCM
Through the partnership, Anomaly will provide Inova with additional data and analytics to evaluate payer behavior and payment outcomes.
Read full article →Drug Coverage
Latest Drug Coverage news from across the web.
Interra Health now supports CMS’ GLP-1 Bridge Program
Interra Health’s platform alerts providers when patients may be eligible to enroll in the program, executives say.
Read full article →As elective surgical volumes drag in 2026, health system execs say solid demand is still in sight
In fireside chats this week, leaders of the country's largest for-profit systems acknowledged a slowdown in demand that will generally continue through 2026. They also affirmed continued investments to meet future anticipated demand, particularly in ambulatory settings.
Read full article →OBBBA's state-directed payment caps will trim some states' Medicaid spend by a quarter: study
Upcoming statutory limits on providers’ state-directed payments (SDPs) are expected to trim tens of billions of dollars from states’ Medicaid spending, and for 17 hard-hit states could range from 10% to 25% of their total annual Medicaid spending.
Read full article →Increases in healthcare spending the largest driver behind premium growth: Yale study
As insurance premiums continue to rise, a new study finds that escalating healthcare spending is the leading factor behind the trend.
Read full article →Judi Health, Employers Health team up to launch new PBM model, StarkRx
Employers Health and Judi Health are teaming up to launch StarkRx, a new cost-plus benefit offering designed to drive transparency for employers.
Read full article →How video games are changing medical education
In this episode, we explore how video game design is being used to train doctors, build clinical skills and improve medical education.
Read full article →H1 acquires Defacto Health to expand provider network intelligence
H1 has acquired Defacto Health, a healthcare data company focused on provider network intelligence, in a move to expand its offerings for health plans and strengthen its healthcare data assets.
Read full article →HHS announces $383.4M in behavioral health, crisis response services grants
Of the awards, $252 million will support the 988 Suicide and Crisis Lifeline, suicide prevention and mobile crisis services.
Read full article →Louisiana’s abortion pill case could wipe out access in blue states
Red states claiming "sovereign injury" seek to impose nationwide restrictions.
Read full article →Hospitals need better SUD care. Team-based approaches are bringing results
Amid new implementation guidelines from the American Society of Addiction Medicine on improving substance use disorder care, some successful hospital addiction medicine programs have leaned on multidisciplinary consult teams.
Read full article →CMS puts more pressure on DME suppliers as part of anti-fraud push
The Trump administration is cracking down further on durable medical equipment suppliers as part of its broader push to root out fraud.
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