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Weekly Digest

This Week

Nov 18, 2023

Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M series E round

Under Amazon, One Medical builds out health system, employer partnerships for primary care services

UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

Express Scripts embraces cost-plus pricing with new ClearNetwork model

White House launches new initiative aimed at investing in women's health research - Paige Minemyer

Featured

Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M series E round

By Heather Landi

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

Under Amazon, One Medical builds out health system, employer partnerships for primary care services

By Heather Landi

Amazon's One Medical inked a major partnership with Health Transformation Alliance, expanding access to its primary care services to 67 employers and nearly 5 million employees.

UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

By Paige Minemyer

UnitedHealthcare is facing a potential class-action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.

Express Scripts embraces cost-plus pricing with new ClearNetwork model

By Paige Minemyer

The country's largest pharmacy benefit manager is taking a page out of Mark Cuban's book.

White House launches new initiative aimed at investing in women's health research

By Paige Minemyer

The White House Initiative on Women's Health Research will be led by first lady Jill Biden, the administration said Monday.

2 major health tech deals close: Virgin Pulse, HealthComp's $3B merger and NextGen's $1.8B PE buyout

By Heather Landi

Virgin Pulse, digital-first health, well-being and navigation company, completed its $3 billion merger with third-party health benefits administrator HealthComp.

New digital health startup launches out of Redesign Health to offer comprehensive dementia care model

By Heather Landi

Harmonic Health launched to bridge gaps in care for dementia patients by bringing together advanced technology and an expert care team to partner with PCPs, neurologists, healthcare systems and accountable care organizations.

Report: High wait times, poor reimbursement drive autism diagnosis delays

By Anastassia Gliadkovskaya

Nearly two-thirds of specialty centers that conduct autism evaluations have wait times longer than four months, according to a new report.

Prior authorization and other regulatory burdens have increased since last year, practices tell MGMA

By Dave Muoio

The latest annual poll of practices' regulatory burden outlined prior authorization, audits and appeals, Medicare QPP and other leading pain points that physicians say are weighing down theor staff and ability to deliver care.

Centene taps former Humana exec as new chief operating officer

By Paige Minemyer

Government insurance giant Centene has appointed a new chief operating officer.

Fierce podcasts

Don’t miss an episode

'Podnosis': A deep dive into Q3 earnings, and key takeaways from the Fierce Health Payer Summit

In this week’s episode of "Podnosis," you'll hear from two journalists from the Fierce Healthcare team: Paige Minemyer, senior editor of Fierce Health Payer, and Dave Muoio, a staff writer for Fierce Healthcare. Together, they guide you through their key insights from the inaugural Fierce Health Payer Summit in Austin and dive into the latest earnings updates from the largest health plans and health systems.