Fierce Healthcare

Panelists at last week's Fierce Health Payer Summit spoke about the importance of improving the payer-provider relationship and the member experience through AI and data sharing.

Healthcare policy has been moving quickly this year, and this week on “Podnosis,” the Fierce Healthcare editorial team unpacks the latest shifts in Medicaid funding, ACA subsidies, hospital finances, federal health tech policy and more.

The cybersecurity and privacy regulation update proposed in January would place "extreme and unnecessary regulatory burden" on providers, the groups wrote in a letter to the department.

As part of CMS' Health Tech Ecosystem Initiative, the agency has entered into an agreement with the identity verification company CLEAR to reduce friction and fraud during patient check-in.

Two leading Republican senators have introduced yet another plan to address the expiry of the Affordable Care Act's enhanced subsidies.

The first empirical analysis of the Change Healthcare/Optum Payment Disruption program found most participating hospitals received too much relief, while a third were underpaid and hundreds of other did not participate despite substantial missed Medicare funds.

The major nonprofit health system told investors operating improvements notched during its most recent quarter weren't happening "at the pace that we like or need," particularly with provider revenue cuts and uninsurance expected to hit in the coming years.

Agentic artificial intelligence represents the "next big opportunity" to bend the cost curve and improve the patient experience, Artera CEO and co-founder Guillaume de Zwirek said.

Aya Healthcare is walking away from a proposed acquisition of travel nursing company Cross Country Healthcare and has terminated the merger agreement, citing the burdens of gaining regulatory clearance for the deal.

The model will select 40 devices that can prove they will benefit the treatment of chronic conditions but have not yet been authorized for market use by the agency.

Individuals enrolled in marketplace plans are bracing for potential massive premium hikes for next year, and a new KFF survey digs into how they're thinking about their options.

NASHVILLE, Tenn.—At the annual event, more than 300 attendees gathered for two days to discuss topics like utilization management, member engagement and culturally responsive care.

The CDC's vaccine advisory committee voted 8-2 in favor of an individual-based decision-making framework for a hepatitis B vaccine given at birth.

A bipartisan group of senators reintroduced a new healthcare cybersecurity bill that would update the way the HHS handles cybersecurity events in healthcare, offer more guidance to industry and distribute grants for tech infrastructure.

As Congress continues to debate next steps on the Affordable Care Act's enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures in place.

The major nonprofit health system and the value-based care enablement company said their program for independent providers will help reduce administrative burdens, coordinate care and improve outcomes. They expect it to become among the nation's largest clinically integrated networks.

Mark Cuban's Cost Plus Drugs and Humana are exploring a potential partnership to help lower the cost of prescription drugs for employers.

It's been just over a year since smart ring maker Oura announced a partnership with Medicare Advantage insurer Essence Healthcare, and, now, the partners are looking to continue building on that foundation.

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The CDC's vaccine advisory committee couldn't come to a consensus on the specific voting questions surrounding a potential change to the long-established newborn hepatitis B vaccine policy.