Fierce Healthcare

As the debate on the Hill over the fate of the Affordable Care Act's premium tax credits rages on, a new report highlights the potential fraud risk tied to the subsidies.

Drastic overhauls of U.S. vaccine regulations proposed by top FDA official Vinay Prasad, M.D., have drawn harsh pushback from 12 former commissioners of the agency.

Online health and wellness company Hims & Hers is evolving its direct-to-consumer telehealth and prescription drug platform, with plans to add blood-sample collection diagnostics.

Health plans are feeling the pressure in a complex policy environment, with most executives polled in a new survey saying it's impacting costs and margins.

Uncover the four major ways providers are leveraging AI and how this trend is changing payment integrity for health plans.

Adoption of AI in healthcare continues to rise. Two in three physicians now use some form of health AI, up 78% from 2023, with healthcare organizations investing billions in AI initiatives across clinical, operational and administrative workflows.

Fierce Healthcare’s Heather Landi and Paige Minemyer unpack this year’s Women of Influence report, exploring what a record number of nominations says about women’s leadership in healthcare and why this recognition still matters.

OnMed, a company that developed an innovative way to provide medical checkups almost anywhere, inked a new partnership to expand its CareStations to 30 charter schools as part of an initial pilot.

MGMA Senior Vice President of Government Affairs Anders Gilberg breaks down how medical groups' operations and reimbursement may be affected by the coming year's Medicare Physician Fee Schedule.

Value-based care enablement company Aledade secured a $500 million senior secured credit facility, led by Ares Credit funds, to support the company as it continues to scale its business.

Premier closes its $2.6 billion go-private, R1 divests Tonic Health to Luma Health and more merger and acquisition deals from the month of November.

The House voted unanimously to pass the bill, which will allow Medicare patients to receive hospital-level care in their homes through health technology.

Technology-enabled health plan Curative has banked a $150 million series B funding round, bringing its valuation to $1.275 billion.

CVS Health agreed to pay $37.76 million to settle allegations that it dispensed too many insulin pens to patients and improperly billed federal healthcare programs for those prescriptions.

Following a courtroom block and a 10-year legislative moratorium, the Biden administration's industry-opposed push to increase nursing home staffing has now been officially put to bed.

Powered by a digital platform combined with human community guides, many of whom work in person, Reema helps members schedule appointments, refill prescriptions and obtain referrals to social services.

The CDC's vaccine advisory committee will meet later this week with a newly promoted chairman in outspoken mRNA critic Kirk Milhoan, M.D., Ph.D., as former chair Martin Kulldorff, Ph.D., moves to a new role in the HHS.

The government told a judge Thursday it plans to pull notices and application approvals related to the contentious pilot, and that any future attempt on a rebate program would start from scratch with additional public feedback. The American Hospital Association, which sued to block the program, said it "appreciates HHS’ decision to go back to the drawing board."

The FDA is continuing its push to adopt emerging artificial intelligence tools, this time unveiling an agentic AI program that employees can choose to use in their work.

The CMS Innovation Center announced a new 10-year payment initiative that will pay providers for achieving meaningful clinical reductions in the chronic disease burden of their patients through the use of technology.