Smarter Engagement for Stronger Growth: How Payers Can Successfully Do More with Less
The defining capability of modern health plans is intelligent engagement with unified infrastructure.
AI Is Becoming the Front Door to Healthcare — But Millions of Patients Can’t Get Through It
AI genuinely could reduce barriers, by making health information more conversational, more personalized, and easier to act on. But that only happens if the people building these tools decide, from day one, that accessibility isn’t optional.
AI Made Healthcare Smarter – The Next Step is Making It Simpler
A newly diagnosed person experiences healthcare as a complicated maze of physicians, specialists, pharmacies, insurers, deductibles, formularies, prior authorizations, benefit explanations and coverage rules that rarely speak to one another and often contradict each other. Better AI can help.
Hospitals Take CVS to Court Over Alleged $250M 340B Scheme
Three health systems — Mount Sinai, Michigan Medicine and the University of Kansas Health System — are suing CVS Health, alleging its pharmacy benefit manager diverted roughly $250 million in savings from the 340B program through “spread pricing” between 2020 and 2025.
Takeda Vows Appeal of $885M Jury Verdict in ‘Pay-for-Delay’ Antitrust Case
Pharmacies and wholesalers claimed Takeda Pharmaceutical delayed generic competition from entering the market, forcing them to overpay for a gastrointestinal drug. Takeda said the trial had “evidentiary and legal errors,” and the company will appeal the verdict.