Plus, Pomelo Care acquires the Doula Network

This Week

Sep 28, 2024
 

Featured

Epic's countermove: Calls for Carequality, Particle Health to go public with patient privacy dispute

Electronic health records giant Epic wants a behind-the-scenes dispute with Particle Health over patient data made public, saying the startup has mischaracterized the events in its antitrust lawsuit.
 

Top Stories

Startup Particle Health files antitrust lawsuit against Epic alleging it uses monopoly power to block competition

Venture-backed health tech company Particle Health filed an antitrust lawsuit against Epic in the Southern District of New York alleging that the electronic health records giant is trying to muscle out competition in the payer platform market.

Why UnitedHealthcare is putting a focus on simplicity in its AI strategy

It's not a secret that navigating the healthcare system is complicated, and the UnitedHealthcare team has rolled out a tool backed by artificial intelligence that aims to make it easier for members to shop around.

Pomelo Care acquires the Doula Network to offer hybrid maternity care model

The acquisition expands the company’s reach to more than 15 million covered lives, including more than 1 in 6 Medicaid beneficiaries nationally.

CMS sets Medicaid renewal compliance deadlines

The feds have set new deadlines for compliance with Medicaid renewal requirements given widespread enrollment concerns during the unwinding.

HHS watchdog flags potential remote monitoring fraud. Stakeholders say concerns about misuse are overblown

The Department of Health and Human Services' Office of the Inspector General released a report on Tuesday that found that 43% of patients did not receive all three RPM services in the Medicare claims data they reviewed. Stakeholders say OIG doesn't understand the codes.

Catheter fraud rule finalized after MSSP and ACO survival concerns

Hoping to help accountable care organizations turn the page on a messy urinary catheter scandal, CMS released a final rule to hold ACOs financially harmless.

Democrats introduce Affordable Care Act subsidy permanency legislation

Extending the ACA premium tax credits permanently is broadly popular among a broad coalition of supporters due to the subsidy's ability to provide access to healthcare and keep costs low.

Centivo banks $75M equity and debt financing backed by Morgan Health, health system VC arms

Centivo, a health plan for self-funded employers, secured $75 million in equity and debt financing to scale its product and technology and ink new partnerships with health systems.

Biden admin awards $75M to address rural care pain points

The HRSA awards will help keep rural hospitals open, bolster substance use disorder care programs and support perinatal care.

MA insurer Zing Health banks $140M to build out its special needs plan

Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans.
 
Fierce podcasts

Don’t miss an episode

Accelerating solutions to cancer through impact investing

In this week's "Podnosis," Fierce Healthcare’s Anastassia Gliadkovskaya talks to BrightEdge’s Alice Pomponio about investing in cancer-fighting startups and measuring impact.
 

Resources

Whitepaper

Optimizing Surgical Operations Essential to Long Term Hospital Profitability

"Discover key strategies to enhance surgical operations, improve efficiency, and boost profitability in our latest white paper designed for healthcare leaders."
Whitepaper

D’Andra D. Bingham, MD, Brings Fun Back into Clinic Days with NextGen Ambient Assist

“I think NextGen Ambient Assist will keep people practicing medicine for a lot longer. It makes it all so much simpler,” said Dr. D’Andra D. Bingham.
 
 

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