The Centers for Medicare & Medicaid Services today released the list of 43 prescription drugs for which Medicare Part B beneficiaries’ coinsurances may be lower starting July 1 through September 30.

While 50% of adults with a behavioral condition do not receive treatment, a robust ecosystem inclusive of early identification, along with personalized care pathways with patient to provider matching, can result in improved outcomes, according to new research published by Evernorth.

Health IT modernization effort is underway, while honoring the data sovereignty of the separate communities, says A.C. Locklear, the board’s federal relations director.  

The Medicare Advantage Risk Adjustment Validation final rule has ramped up compliance pressure against overcoding, says Dr. Calum Yacoubian, director of healthcare strategy at IQVIA.  

Artificial intelligence has a new use case in healthcare. What is it, exactly? We’ll shine a light on that and other new in this week’s Top Stories, including a look at Medicaid disenrollments and Apple’s new Watch update. For more news and features from Jeff Lagasse, visit Healthcare Finance News. In this episode:

The Centers for Medicare and Medicaid Innovation is testing a new primary care model in eight states. The Making Care Primary (MCP) Model includes enhanced payments in three tracks. 

A federal judge in St. Louis has issued a preliminary injunction that effectively bars former Cigna executive Amy Bricker from working for CVS Health. Meanwhile, a lawsuit over her non-compete clause is set to move forward.