Fierce Healthcare

Aetna is continuing to build out its digital member experience with the launch of a new onboarding program designed to ease the process.

The new offering, Nest Origin, aims to address the root causes of poor maternal outcomes. Women will get in-home and virtual prenatal visits with certified nurse midwives, including routine prenatal care, screenings and fetal monitoring.

Thursday evening, President Donald Trump debuted TrumpRx, a government-run website that directs patients toward cash-pay channels where they can purchase certain prescription drugs.

The Agentic AI Member Services Suite personalizes communications with members and extends the bandwidth of health plan call centers.

A month after drugmaker Novo Nordisk launched its Wegovy pill, online health and wellness company Hims & Hers plans to undercut it with a compounded semaglutide pill offered at a lower price.

The number of Medicare beneficiaries treated in accountable care organizations continues to rise, according to new data from the Trump administration.

Cigna's top brass said that the company has anticipated a "clearing event" in the pharmacy benefit management industry, and that its new model aligns with regulators' push toward greater transparency.

Hospitals’ supply chain teams should expect to see pharmacy price inflation temper from the third quarter of 2026 to the second quarter of 2027, but other indirect spending and purchased services to jump higher, according to a recent forecast report.

Optum is rolling out new AI-powered tools that are aimed to reduce delays associated with prior authorization.

For patients relying on dialysis, chemotherapy, or substance-abuse treatment, reliable non-emergency medical transportation (NEMT) can be a crucial link in the care continuum—not a convenience.

Epic is rapidly building out artificial intelligence tools integrated into its EHR as health IT companies strive to keep up with the dizzying speed of AI innovation.

Wider Circle’s CEO shares how trust, alignment and peer support improves outcomes for dual-eligible members

This week on "Podnosis," we explore how Elevance Health is putting AI into practice while building ethical guardrails.

Telehealth company Hims & Hers has added Grail’s blood cancer test Galleri to its offerings.

Chamber scored a $60 million series A funding round to build out its tech-enabled delivery platform that supports cardiologists in the transition to value-based care.

National Institutes of Health Director Jayanta Bhattacharya, M.D., Ph.D., spent much of a Senate committee hearing dancing around direct answers—except when it came to vaccines, a topic on which he finally delivered a clear view on the technology’s lack of ties to autism.

The decision, spurred by federal funding threats, runs afoul of a merger agreement to sustain specialty care services including gender-affirming care the pediatric system made in 2024, California Attorney General Rob Bonta said.

Patients view prior authorization as the biggest burden in navigating the healthcare system, according to a new KFF poll.

CMS has fundamentally changed the rules of risk adjustment. RAAPID CEO Chetan Parikh explains why defensible accuracy is now the only path forward.

The company, which offers both in-person care at nearly 100 clinics and virtual care services, said Monday it reached a restructuring agreement with its existing lenders that establishes a "clear path to recapitalization and new ownership."