Early next year, the Centers for Medicare and Medicaid Services (CMS) will remove the application of retroactive DIR fees and move DIR fees to the point of sale instead. The major issues with the DIR fees, which are paid by pharmacies to pharmacy benefit managers, are the fact that they drive up the costs of prescriptions for patients and delay reimbursement of care to the pharmacies.
Now, a brand new issue will arise in early 2024 - namely, pharmacies will be facing a DIR “cliff” where
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Summus Raises $19.5M to Revolutionize Virtual Specialty Care Access
What You Should Know:
- Summus, a New York City-based virtual health company focused on specialty care, has raised $19.5M in its latest funding round to support the company’s continued growth and work to tackle the access problem in healthcare.
- With a total of $70 million raised to date, Summus aims to expand its innovative approach to care, and this new investment will support the company in its efforts to revolutionize how patients and healthcare professionals share and access
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Sempre Health Secures $20M to Expand Behavior-Based Healthcare Pricing
What You Should Know:
- Sempre Health, a San Francisco, CA-based solution for behavior-based healthcare pricing raises $20M in additional funding from three new investors, including Cencora Ventures and Echo Health Ventures. Existing investors including the Blue Venture Fund, UPMC Enterprises and Industry Ventures also participated.
- Sempre will use the latest round of funding to accelerate growth of its two-sided network of pharma manufacturers and health plans, launch products for
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Belong.Life Launches AI Clinical Trial Matching Assistant for Cancer
What You Should Know:
- Belong.Life today announced the launch of Tara, a new conversational AI SaaS solution to assist health providers and CROs with cancer clinical trial matching and recruitment.
- Available as a SaaS solution for providers, hospitals, health systems, CROs and other organizations, the technology can be embedded into websites, mobile apps or text messaging platforms to enable easy communication with opt-in patients.
AI SaaS Solution for Cancer Clinical Trial
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Bold Secures $17M to Expand Healthy Aging Platform with Medicare Plans
What You Should Know:
Bold, a Los Angeles-based healthy aging platform raises $17M in Series A funding led by Rethink Impact, with participation from Samsung Next and existing investors Andreessen Horowitz (a16z) Bio + Health, Khosla Ventures, GingerBread Capital, and Primetime Partners. The latest funding, bringing its total amount raised to $27M. The company plans to utilize the capital to support Bold's continued expansion with national and regional Medicare plans and provider
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Report: The State of the Healthcare Employee Experience 2023
What You Should Know:
- Nurses with managers who support their development are 10.6X more likely to stay in their job, according to a new study by Perceptyx, the employee listening and manager effectiveness platform.Nurses who have opportunities for learning in their roles (e.g. upskilling) are 7.3X more likely (and those who have greater career opportunities are 6.2X more likely) to stay with their organizations in the near term.
- The report, State of the Healthcare
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Ibex Launches Breast Cancer Biomarker Diagnostic Platform
What You Should Know:
Ibex Medical Analytics launches Galen Breast HER2™, a novel breast cancer AI-powered biomarker scoring solution developed in collaboration with AstraZeneca and Daiichi Sankyo, to support improved patient outcomes.Galen Breast HER2 is an AI-powered biomarker scoring solution to aid pathologists with reproductible HER2 assessment for breast cancer. The platform allows clinicians to rapidly and accurately identify patients with HER2-low who would benefit from
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M&A: NextGen Healthcare EHR Acquired by PE Firm for $1.8B
What You Should Know:
- Thoma Bravo, a private equity software investment firm has acquired NextGen Healthcare, Inc, for over $1.8B in cash.
- Under the terms of the agreement, NextGen Healthcare shareholders will receive $23.95 per share in cash. The acquisition is expected to close in the fourth calendar quarter of 2023
- Upon completion of the acquisition, NextGen Healthcare’s common stock will no longer be listed on any public stock exchange and will become a privately held
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UPMC to Replace Oracle Cerner with Epic Enterprise EHR by 2026
What You Should Know:
UPMC announced it is replacing Oracle Cerner with Epic’s enterprise EHR platform to create a unified platform across its health system, representing more than six million patient records. UPMC previously deployed Epic in its outpatient space, Pittsburgh Post Gazette reports.UPMC cites lowering operational costs, optimizing security, and improving patient engagement as reasons for the EHR replacement.Migration of all UPMC patient records to Epic’s EHR platform is expected
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Ibex Medical Analytics Raises $55M to Drive AI for Cancer Diagnosis Adoption Globally
What You Should Know:
– Ibex Medical Analytics (Ibex), a provider of AI-powered cancer diagnostics raises $55M in Series C financing round led by 83North.
- The round also included participation from Sienna Venture Capital and existing investors in the company, Octopus Ventures, aMoon, Planven Entrepreneur Ventures and Dell Technologies Capital. The financing brings total funding to over $100M since Ibex’s inception in 2016.
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