The Texas Medical Association has once again prevailed in a legal challenge to President Biden’s No Surprises Act, with a Texas judge ruling to vacate several regulations involving payment dispute resolutions between some out-of-network providers, group health plans and payers. It’s the fourth successful legal challenge TMA has made against the NSA, which bans surprise […]

A new partnership between Humana and kidney care management company Interwell Health will result in a new value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease (CKD), as well as members across the country living with end-stage kidney disease (ESKD).

Staff members need flexibility, new challenges and time to be creative to aspire to go further in their careers, says Dr. Shafi Ahmed, CMO of Medical Realities.  

The Centers for Medicare and Medicaid Services has released the names of 10 drugs that will be subject to federal price negotiation in the Medicare program.  The selected drug list for the first round of negotiation is:

Americans are largely on board with the concept of value-based care, but there’s one thing they don’t seem to like that much: the term itself, which they either don’t resonate with or don’t understand. That’s according to new research from United States of Care, which found that 64% of the 1,000 people surveyed preferred value-based […]

With the expiration of the public health emergency ending waivers and flexibilities, providers are looking for answers, says Dr. Robert Murry, chief medical officer of NextGen Healthcare.  

Operating margins at U.S. hospitals contracted for the first time since March, but still held positive during the month of July. According to a new Syntellis report, this drop was the first since margins rose into the black in March following more than a year of negative results.

Cigna will have a slightly reduced presence on the Affordable Care Act exchanges next year, paring its offerings down to 14 states after announcing it will not offer plans in Kansas or Missouri in 2024. This comes despite a small expansion in North Carolina, in which the insurer will offer plans in 15 additional counties, […]

AI has become the focus of investing for Santé, a healthtech and medtech venture capital firm that manages over $800 million of capital for healthcare and technology startups. Santé works with companies that sell AI directly to hospitals and also directly with healthcare systems as investor partners.

The Regional Digital Health Action Plan looks at IT, capacity, knowledge exchange and what works for e-health, says David Novillo Ortiz of WHO-Europe.