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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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant
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 Diabetes Studios Founder Chun Yong on Reimagining Chronic Care with a Concierge Medical Model
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
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
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
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
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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Telehealth: An Essential Bridge to Healthcare Equity for Rural Communities
Rural America faces a unique set of healthcare challenges. While 20% of Americans live in rural communities, only 10% of physicians practice in those areas, leading to shortages that drastically limit access to care. With the United States expecting to face a shortage of up to 86,000 physicians over the next decade and over half of the rural physician workforce already over the age of 55, these gaps are at risk of worsening over the coming years without the proper solutions to address
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Trump Signs Executive Order to Lower US Drug Prices with MFN Policy
What You Should Know:
- President Donald J. Trump has signed a new Executive Order aimed at bringing the prices Americans and U.S. taxpayers pay for prescription drugs in line with those paid by comparable developed nations.
- The executive order introduces a "Most-Favored-Nation" (MFN) pricing model and directs multiple government agencies to take action against what the Administration terms unfair international pricing practices that inflate costs for American
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AI Study Challenges Fears of Racial Bias in Prostate Cancer Care
What You Should Know:
- Artera, a company developing multimodal artificial intelligence (MMAI)-based prognostic and predictive cancer tests, today announced the publication of a significant validation study in the JCO Clinical Cancer Informatics.
- The study rigorously assessed Artera's MMAI model and confirmed its ability to perform similarly across different racial subgroups using data from diverse prostate cancer clinical trials.
Addressing the Challenge of AI Racial Bias
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