Fierce Healthcare

NASHVILLE, Tenn.—The insurance industry must rethink some of its less popular practices, regardless of margin hits, and reposition itself as an advocate for long-term population health, Robert Wood Johnson Foundation Senior Policy Officer Katherine Hempstead said at the Fierce Health Payer Summit.

Congress is running out of time to address the expiring Affordable Care Act subsidies before many individuals are exposed to massive cost increases on Jan. 1, and new plans are emerging on the Hill to tackle the challenge.

Over the summer, Aetna made a commitment to ease friction for both patients and providers. Now, the company is offering a look at progress made toward that goal.

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.