Plus, Sword Health rolls out new AI tech

This Week

Jun 8, 2024

Blue KC exiting Medicare Advantage market by 2025 due to 'regulatory demands'


How CVS is betting big on healthcare services 'locally delivered' on a national scale


Sword Health rolls out new AI tech, banks financing round that boosts valuation to $3B


Judge sides with SCAN Health Plan in dispute with CMS over Medicare Advantage star ratings


National Nurses United pushes back against deployment of 'unproven' AI in healthcare - Paige Minemyer

 

Featured

Blue KC exiting Medicare Advantage market by 2025 due to 'regulatory demands'

Blue Cross and Blue Shield of Kansas City is opting out of the Medicare Advantage market. The health plan said its relatively low membership and burdensome regulatory factors meant the company no longer view the market as financially viable.
 

Top Stories

How CVS is betting big on healthcare services 'locally delivered' on a national scale

WASHINGTON, D.C.—CVS Health continues to make investments in healthcare delivery services with a focus on affordability, convenience and better access to primary care.

Sword Health rolls out new AI tech, banks financing round that boosts valuation to $3B

Sword Health, a virtual provider of musculoskeletal care, banked a financing round of $130 million in a mix of primary and secondary sale, boosting its valuation to a reported $3 billion.

Judge sides with SCAN Health Plan in dispute with CMS over Medicare Advantage star ratings

SCAN Health Plan secured a court victory Monday when a federal judge agreed that the Centers for Medicare & Medicaid Services inappropriately calculated its star ratings for the 2024 plan year.

National Nurses United pushes back against deployment of 'unproven' AI in healthcare

A union organization for nurses nationwide says the deployment of AI in healthcare will push nurses out of patient rooms and compromise patient safety. A new AI Bill of Rights lays out nurse and patient protections, which are not currently being met.

Appeals court upholds ruling barring former Express Scripts chief from joining CVS

A federal appeals court has upheld an injunction preventing the former head of Express Scripts from taking an executive role at CVS Health.

UPMC acquires Pennsylvania-based Washington Health System

The University of Pittsburgh Medical Center finalized its acquisition of Washington Health System, a two-hospital nonprofit community health system based in Pennsylvania.

How 3 digital health companies built sustainable partnerships with employers and health plans

Health plans and employers are flooded with pitches from digital health solutions. Executives at FarmboxRx, Summer Health and Bold share how they got their foot in the door and what it takes to build a successful enterprise-startup partnership.

Judge denies FTC's preliminary bid to block Novant, CHS' $320M hospital deal

U.S. District Judge Kenneth Bell wrote that the two-hospital transaction has "at least as much likelihood of competitive benefits as it does competitive harm." Though they may close the deal, the systems will still need to go through an administrative review process should the FTC decline to drop its case.

Plenful picks up $17M to automate administrative tasks for pharmacists

Plenful, which developed an AI workflow automation platform to streamline pharmacy and healthcare operations, banked $17 million in series A funding to build out its infrastructure and fuel more product development.
 
Fierce podcasts

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Coverage pathways for psychedelic therapies

This week on "Podnosis," we explore therapeutic psychedelics. Noah Tong from Fierce Healthcare sat down with Kim Chew, Senior Counsel at Husch Blackwell, to discuss the accessibility challenges in this promising but complex space.
 

Resources

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The Health Equity Index: How Health Plans Can Get Ahead

Medicare Advantage plans: learn how to leverage data, personalize social risk factor screenings, and collaborate for better health outcomes in our white paper, The Health Equity Index: How Plans Can Get Ahead of the Curve.

Multimedia

Discover Drexel University’s Online Health Administration Programs

To succeed in an industry that’s constantly evolving, you need education that grows with your career. Drexel’s online programs provide transformational leadership & problem-solving skills from industry experts.  Discover Drexel’s online programs in Health Administration, Public Health and more.

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Framework of Observation Care in Admission Decisions

Learn about the utilization patterns of Observation Care as well as the stability of Obs vs. Inpatient admission rates.
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Component Solutions for Implantable Medical Devices

Discover how Murata's small electrical components are revolutionizing implantable medical devices for enhanced reliability and performance.
 
 

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