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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant

Healthcare Providers Face Over $770B Revenue Loss Under House Bill, Potentially Exceeding $1 Trillion with ACA Credit Expiration, Report Warns

by Fred Pennic 05/30/2025 Leave a Comment

Healthcare Providers Face Over $770B Revenue Loss Under House Bill, Potentially Exceeding $1 Trillion with ACA Credit Expiration, Report Warns

What You Should Know:  - A new analysis from the Urban Institute, supported by the Robert Wood Johnson Foundation, projects that U.S. healthcare providers could lose more than $770B in revenue over the next decade if a budget reconciliation bill recently passed by the House of Representatives becomes law.  - The financial blow would stem from an estimated 11 million people losing health coverage through Medicaid and the Affordable Care Act (ACA) marketplaces. The report further
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NationsBenefits and Walmart Deepen Collaboration to Transform Health Plan Member Access to Benefits and Wellness Tools

by Fred Pennic 05/29/2025 Leave a Comment

NationsBenefits and Walmart Deepen Collaboration to Transform Health Plan Member Access to Benefits and Wellness Tools

What You Should Know:  - NationsBenefits®, a healthcare fintech, supplemental benefits, and outcomes platform, and Walmart, the world’s largest retailer announced they are continuing to work together to revolutionize how health plan members access essential benefits through innovative, tech-powered tools.  - The ongoing collaboration prominently features NationsBenefits’ proprietary Basket Analyzer Service (BAS) and the Walmart Everyday Health Signals™ program, which leverages
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Walmart Unveils Digital Health Innovations to Enhance Medicare Advantage Benefit Use and Promote Healthier Eating

by Fred Pennic 05/28/2025 Leave a Comment

Walmart Unveils Digital Health Innovations to Enhance Medicare Advantage Benefit Use and Promote Healthier Eating

What You Should Know:  - Walmart today announced new digital innovations designed to transform the healthcare shopping experience, specifically aiding customers in maximizing their Medicare Advantage supplemental benefits.  - In a first for retail, select customers can now easily identify plan-specific, benefits-eligible products while shopping on Walmart.com and the Walmart app. Alongside this, Walmart is rolling out "Everyday Health Signals," a new AI-powered digital platform
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Critical Role of Transitions of Care in Medicare Advantage Success

by Ashish V. Shah, Founder and CEO of Dina 05/28/2025 Leave a Comment

Critical Role of Transitions of Care in Medicare Advantage Success

The Medicare Advantage (MA) market is at a tipping point, with more than half of all seniors enrolled in an MA plan for their healthcare. Utilization of services is skyrocketing and the Centers for Medicare and Medicaid Services (CMS) has increased pressure to deliver supplemental benefits in a high-quality, low-cost and reportable manner.  As enrollment continues to grow, how health plans are paid — and how much —will be central to the debate over the efficiency and sustainability of
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Gates Foundation Awards Axmed $5M Grant to Boost Maternal and Child Health Procurement in Africa

by Jasmine Pennic 05/27/2025 Leave a Comment

Gates Foundation Awards Axmed $5M Grant to Boost Maternal and Child Health Procurement in Africa

What You Should Know:  - The Bill & Melinda Gates Foundation has awarded a $5M grant to Axmed, a healthcare technology company focused on transforming how lifesaving medicines are procured across Growth Markets.  - The grant, announced on May 21, 2025, during a high-level roundtable alongside the 78th World Health Assembly, will be deployed as a matching fund to enhance the procurement of maternal, newborn, and child health (MNCH) commodities in Sub-Saharan Africa through
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Reach7 CEO Talks Reimagining Diabetes Care with Membership-Based Studio Clinics

by HIT Consultant Interviews 05/22/2025 Leave a Comment

Reach7 CEO Talks Transforming Diabetes Care with Membership-Based Studio Clinics

Today’s landscape of diabetes care is fraught with challenges: it's a condition that's often misunderstood by both patients and the healthcare system, highly prevalent, financially burdensome and frequently mismanaged. To explore a new paradigm in addressing these issues, we're speaking with Chun Yong, the founder and CEO of Reach7 Diabetes Studios. Chun, a biomedical engineer from Georgia Tech with experience as a UX strategist at Coca-Cola, is applying his unique expertise to "reimagine how
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LifeMD Launches $299 Introductory Wegovy® Bundle for Self-Pay Patients in Collaboration with Novo Nordisk

by Jasmine Pennic 05/22/2025 Leave a Comment

LifeMD Launches $299 Introductory Wegovy® Bundle for Self-Pay Patients in Collaboration with Novo Nordisk

What You Should Know:  - LifeMD, Inc., a provider of virtual primary care services announced a limited-time $299 introductory bundle for new self-pay patients prescribed Wegovy® (semaglutide).  - The comprehensive package includes both the GLP-1 medication and access to LifeMD’s virtual weight management program. The initiative is part of LifeMD's collaboration with Novo Nordisk, announced last month, and leverages a recently completed integration with NovoCare® Pharmacy to offer
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Headspace Unveils AI-Powered Stratified Care Model for the Workforce

by Jasmine Pennic 05/21/2025 Leave a Comment

Headspace Unveils AI-Powered Stratified Care Model for the Workforce

What You Should Know:  - Headspace, a global leader in accessible and comprehensive mental health platforms announced the launch of its stratified care model for organizations.  - The new approach is powered by Ebb, Headspace's empathetic AI companion, and is designed to intelligently guide employees to the most appropriate level of mental health care within the Headspace ecosystem, moving beyond traditional Employee Assistance Program (EAP) models that often default to
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HHS Sets Pricing Targets for Trump’s EO on Most-Favored-Nation Drug Pricing

by Fred Pennic 05/20/2025 Leave a Comment

White House, IBM Partner to Fight COVID-19 Using Supercomputers

What You Should Know:  - The U.S. Department of Health and Human Services (HHS) announced it is taking immediate action to implement President Donald J. Trump’s Executive Order, “Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients.”  - Under the leadership of President Trump, HHS Secretary Robert F. Kennedy Jr., and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz, the Department has outlined specific targets for
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Trump Budget Would Strip Medicaid from 1.2M Restaurant Workers

by Fred Pennic 05/19/2025 Leave a Comment

Trump Budget Would Strip Medicaid from 1.2M Restaurant Workers

What You Should Know:  - As discussions around significant federal budget changes continue, a new report from One Fair Wage details the potentially severe consequences of proposed Medicaid cuts for low-wage restaurant and tipped workers.  - The report, "Serving While Sick: The Effect of Trump Medicaid and Benefits Cuts on Restaurant Workers & Public Health," released in May 2025, argues that these cuts could strip healthcare from over a million vulnerable workers, forcing
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