The sustained financial pressures that Medicare Advantage (MA) health plans are facing – due to increased utilization, rate cuts, Star Ratings, and changes to risk adjustment – will persist ...

Medicare Advantage insurers secured a major victory this month when the Centers for Medicare and Medicaid Services (CMS) acquiesced and decided to recalculate the Star Ratings it uses to judge the ...

AbbVie has inflammatory bowel disease covered with blockbuster drugs now on the market and additional drug candidates in clinical development. The pharmaceutical giant is diversifying its IBD ...

Is Risant Health the rising star of scalable, profitable value-based care models for health systems? It’s a little early to break out the champagne and toast to the company’s success, but it ...

This week, health data platform Arcadia made an acquisition that CEO Michael Meucci thinks will give the Boston-based company the data it needs to offer a more comprehensive suite of value-based ...

There’s a proposal in Congress that poses a direct threat to innovation across a broad spectrum of industries including medicine, national defense, computer science, infrastructure, green ...

The healthcare market has been inundated with new AI solutions, and to be sure, some of these solutions apply AI meaningfully and effectively; however, there are just as many solutions that ...

The MedCity Moves Podcast is back with another episode. During the June episode, Senior Reporter Katie Adams explores some of the executive appointments, promotions and exits occurring in the ...

Immunology and inflammation biotech Alumis has demonstrated its lead drug candidate can hit a certain validated target to treat plaque psoriasis. Now the company has $250 million for pivotal tests ...

Much research has been conducted about the hidden connection between gastrointestinal (GI) disorders and mental health. For women, the connection can be even more profound. This article uncovers ...

A new report from JPMorgan Chase offers insight into how healthcare premiums affect some of the smallest businesses in the U.S. The analysis, published Wednesday, relied on de-identified data of ...

The world of pharmacies is undergoing a major shift – not surpisingly, given the changes afoot in the overall healthcare industry. Independent pharmacies are hard to find with many of them ...