Rachael Grimaldi, cofounder and CEO of CardMedic, explains the company’s new app, which helps clinicians overcome barriers to communication and enhance healthcare equity.  

CEOs of both Oscar Health and Bright Health said this week during earnings calls that their companies are drawing back on their Medicare Advantage business.   Bright Health Group’s President and CEO Mike Mikan said Wednesday that the company is leaving the Affordable Care Act market and the MA market in all but California.

Pharmacy benefit manager Express Scripts, which had been taken to a Massachusetts court for allegedly overcharging for some injured workers’ prescriptions, has now settled the case for $3.2 million, according to a court document filed this week.

Replacing high-cost generics with cheaper medications that have the same clinical benefit could have cut down spending and saved patients about 88%, according to Johns Hopkins research published in JAMA Network Open. The use of generics is generally understood as a cost-saving practice, and insurers generally aim for high generic substitution rates as a cost-containment […]