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Medcity News

Healthcare technology news, life science current events

  • 1,338articles · 365d
  • 1+ hour agolatest article
  • Sep 14, 2025earliest in window
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MedCity News
medcitynews.com > 2025 > 12 > comorbidities-are-driving-up-healthcare-costs-heres-how-more-specialized-care-management-can-bring-them-under-control

Up Healthcare Costs — Here’s How More Specialized Care Management Can Bring Them Under Control

9+ mon, 4+ day ago   (783+ words) another 9% increase in healthcare costs in 2026. For health plans, there is mounting pressure to reel in costs...curve, we need a smarter, more integrated approach to care management — one capable of addressing rising upstream...play. How comorbidities accelerate cost spirals…...

MedCity News
medcitynews.com > sponsored > the-future-of-healthcare-why-language-culture-are-key-to-better-medicare

The Future of Healthcare: Why Language & Culture are Key to Better Medicare

10+ mon, 2+ week ago   (71+ words) Clever Care CEO discussed the importance of culturally-competent care. Clever Care Health Plan CEO Karen Walker Johnson talked about how...to Medicare beneficiaries, culturally competent care, and how her company’s approach to benefits design...

MedCity News
medcitynews.com > 2025 > 10 > report-finds-healthcare-navigation-is-at-a-crossroads

Report Finds Healthcare Navigation Is at a Crossroads

10+ mon, 1+ week ago   (200+ words) self-insured employers and is sponsored by Quantum Health. The third annual edition of the 2025 Benefits...Benefits Sentiment Index, sponsored by Quantum Health and produced by MedCity News, shows that healthcare...

MedCity News
medcitynews.com > 2025 > 11 > why-health-plans-are-reclaiming-utilization-management-and-what-it-takes-to-do-it-right

Why Health Plans Are Reclaiming Utilization Management, and What It Takes to Do It Right

9+ mon, 3+ week ago   (667+ words) scale, speed, and supposed efficiency. But today, health plans are hitting the breaking point. What’s emerging...efficiency. Delegating UM to vendors once made sense. Health plans needed to scale. Vendors offered niche expertise...contracts locked in legacy systems, leaving many…...

MedCity News
medcitynews.com > 2026 > 07 > pearl-health-funding

Pearl Health Lands $110M to Support Value-Based Care for Medicare Patients

2+ mon, 5+ day ago   (237+ words) million debt facility led by Trinity Capital. Pearl Health, a healthcare technology company helping providers...The New York-based company supports clinicians and care organizations in engaging in value-based care by offering AI-powered predictive insights, financial...AI platform, as well as…...

MedCity News
medcitynews.com > 2025 > 10 > dr-oz-says-medicaid-cms-healthcare

Dr. Oz Says the Medicaid Program is Complicit in ‘Legalized Money Laundering’

10+ mon, 3+ week ago   (565+ words) just individual offenders in an effort to ensure health dollars are used for legitimate care. Medicaid is now the fastest-growing expense for...attention to this during a talk this week at Sanford Health’s Annual Summit on the Future of…...

MedCity News
medcitynews.com > tag > harbor-health

Harbor Health Coverage

11+ mon, 3+ week ago   (118+ words) Harbor Health's funding was co-led by General Catalyst, 8VC and Alta Partners. The round...participation from Dell Family Office Management, Health 2047 Capital Partners, Lemhi Ventures,... Harbor Health's funding was co-led by General Catalyst,...participation from Dell Family Office Management,…...

medcitynews.com
medcitynews.com > 2025 > 12 > cms-healthcare-technology-medicare

CMS’ ACCESS Model: A New Push to Rewire Medicare Around Outcomes?

8+ mon, 3+ week ago   (1481+ words) traditional Medicare fee-for-service toward value-based care by tying payments to patient outcomes and encouraging tech-enabled, preventive care. Experts say it could benefit digitally mature,...participation. CMS has been trying to scale value-based care for decades with mixed results — but the…...

MedCity News
medcitynews.com > 2026 > 02 > included-health-alternative-plan

Included Health Launches Alternative Plan Design for Employers

7+ mon, 1+ week ago   (425+ words) Included Health is launching an alternative health plan centered on primary care, AI support, price transparency and easier navigation. Included Health, a navigation and virtual care company, is launching into the insurance space with...Francisco-based company provides virtual and in-person…...

MedCity News
medcitynews.com > 2025 > 12 > changes-are-coming-to-2026-medicare-benefits

Changes Are Coming to 2026 Medicare Benefits

8+ mon, 3+ week ago   (477+ words) will also now recognize and incentivize behavioral health and psychiatric services in a primary care setting, an action long sought by primary care clinicians, who want to see behavioral and psychiatric health considered a core component of the comprehensive primary…...

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