The Facilities for Medicare & Medicaid Providers (CMS) has made it clear that hospitals should enhance postoperative well being outcomes for Medicare sufferers by 2026. The Remodeling Episode Accountability Mannequin (TEAM) coverage will reshape how care is coordinated and delivered to assist Authentic Medicare sufferers from surgical procedure to 30 days post-hospitalization. CMS particularly focuses on sufferers present process certainly […]

Medical spas deal with delicate affected person data. Utilizing generic reserving software program can depart information susceptible to Well being Insurance coverage Portability and Accountability Act (HIPAA) violations and cyber assaults. Investing in a premium software program platform helps safe information and streamline your operations. Discover out the place to search out HIPAA compliant medical spa software program. 1. Meevo […]

This survey asks employers about the price of single protection and protection for a household of 4 for as much as two of their largest plans. Medical health insurance premiums In 2025, common premiums for lined employees in California will probably be $10,033 for single protection and $28,397 for household protection. Premiums for lined employees in California are larger than […]

Hospitals and medical practices want an efficient system to cut back missed appointments, dropped calls, delayed care and annoyed sufferers. A whitepaper from RingCentral AI Receptionist (AIR) highlights these wants and reveals the way it can deal with ceaselessly requested questions, guide scheduling, and pressing after-hours calls. The 24/7 AI-powered system automates routine duties, improves first contact decision with good […]

Background In June 2025, the Meals and Drug Administration (FDA) authorised lenacapavir (Jeztugo) as the newest pre-exposure prophylaxis (PrEP) drug to forestall HIV in adults and adolescents. Lenacapavir is totally different from different obtainable PrEP merchandise. It’s the second long-acting injectable PrEP drug available on the market, however is dosed much less incessantly (twice a 12 months). Its comparatively rare […]

The rise of AI has led to a wave of curiosity in digital innovation throughout the pharmaceutical sector. However to have an enduring influence, AI – like several digital well being innovation – should be capable to ship worth by being simply included into the pharmaceutical sector’s each day workflow. I imagine that 2026 would be the turning level from […]

With regards to controlling well being care spending, the basic distinction between our well being care system and people of different rich nations is that they every have a method to management total well being care spending, after which depart well being care professionals and well being care establishments comparatively free, in comparison with us, to do their jobs with […]

Almost one in three American adults and multiple in 4 American youngsters report having a respiratory allergy, eczema or meals allergy. Nonetheless, as much as 35% of individuals self-diagnose a meals allergy or intolerance to meals and handle the situation themselves, quite than in search of a scientific analysis from a healthcare skilled. Self-diagnosed people might take actions resembling adopting […]

If the improved premium tax credit underneath the Inexpensive Care Act (ACA) are allowed to run out on the finish of the yr, out-of-pocket premiums for 22 million enrollees receiving premium help will enhance by a median of 114%, or $1,016 per individual. Democrats have pushed for the improved tax credit to be prolonged, with a vote on their proposal […]

Senior help community SilverAssist acquires Caring.com Useful resource and referral service for house care and seniors Caring.com has been acquired by senior help community SilverAssist. The deal, introduced Monday, expands SilverAssist’s community of senior referral companies, which additionally consists of Oasis Senior Advisors, a community of domestically licensed senior advisors, and ElderLife Monetary, a monetary companies supplier designed to assist […]

Whereas all well being plans search to interact their members in significant methods, enrollees insured via Medicare Benefit and Medicaid will be notably difficult, particularly these with twin eligible particular wants plans (D-SNP). They’re usually tough to succeed in, are more likely to obtain care in costly settings such because the emergency division, and are more likely to lag behind […]

If the quantity they pay in premiums have been to double, about one in three enrollees in Inexpensive Care Act Market well being plans say they’d “very possible” search for a Market plan with a decrease premium (with larger deductibles and copays) and one in 4 would “very possible” go with out insurance coverage subsequent 12 months, in accordance with […]

This text is a part of your HHCN+ membership The approaching yr can be outlined by the strain of sturdy however opposing forces within the private dwelling care market. One main supply of pressure: As demand rises, labor prices have risen and residential care is changing into unaffordable for a lot of shoppers. One other seemingly supply of pressure: The […]

The healthcare trade is adopting synthetic intelligence at a charge greater than twice that of the broader U.S. financial system. The promise is gigantic, but most initiatives stall as soon as they attain the hospital flooring. Fashions that function in pilots collapse when confronted with outdated infrastructure and incompatible information. In actual fact, a brand new examine from MIT’s NANDA […]

Predicting the approaching 12 months in well being coverage is all the time treacherous, as occasions intervene and spoil even one of the best predictions. I am certain lobbyists have already got a full agenda of actions Congress may take that may have an effect on the pursuits they symbolize. In healthcare, even pinprick modifications in laws can transfer billions […]

Six Republican members of the U.S. Home of Representatives have written a letter to the Workplace of Inspector Normal (OIG) of the U.S. Division of Well being and Human Companies (HHS), denouncing fraud within the house well being care trade and calling for stronger oversight. The letter, despatched on Friday, January 9, by members of the Home Vitality and Commerce […]

Entrepreneurs coming into the healthcare business usually uncover inefficiencies and launch corporations to unravel them. Whether or not optimizing care transitions, simplifying billing, or empowering dwelling care groups, most healthcare know-how startups inevitably cope with digital well being info. However fixing these issues means extra than simply constructing an amazing product – it means ensuring your answer speaks the identical […]

Industrial medical health insurance markets stay extremely concentrated in protection varieties. Nonetheless, the person market, which consists primarily of the ACA marketplaces, has attracted extra insurers and has seen elevated competitors amongst insurers on a wide range of measures for the reason that implementation of the improved premium tax credit in 2021, in line with a brand new Wholesome System […]

In accordance with the U.S. Facilities for Medicare & Medicaid Providers (CMS), whole U.S. healthcare spending will expertise the quickest development since 1991 in 2024. Nationwide healthcare spending reached $5.3 trillion in 2024, a rise of seven.2% yr over yr. In 2023, these bills elevated by 7.4%. The 2024 quantity represents a price of $15,474 per particular person and represents […]

Outpatient infusion care has gone from a distinct segment various to a cornerstone of power illness remedy. Ten years in the past, most infusions befell in hospital outpatient clinics (HOPDs), the place sufferers had restricted selection and little management over their expertise. As we speak, market forces have modified decisively. The variety of specialty therapies continues to develop, payers are […]

A number of latest polls have proven rising financial turmoil within the U.S., and a long time of KFF polling present how rising well being care prices are a key element of individuals’s financial considerations. New information from the KFF Well being Monitoring Ballot supplies further insights into who’s struggling most in right now’s economic system and the way healthcare […]

Aveanna Healthcare Holdings (NASDAQ: AVAH) is specializing in density and similarities with its most well-liked payers because it explores potential acquisitions in 2026 – and is not shying away from house well being care offers now that the 2026 Medicare cost rule for house well being care presents a level of certainty. CEO Jeff Shaner is searching for low-cost offers […]

Specialised physiotherapy performs a decisive function in restoration after a stroke and influences mobility, independence and high quality of life in the long run. For healthcare leaders and physicians, referral choices usually depend upon this system’s depth, medical rigor, and talent to help sufferers via a number of levels of restoration. The highest-rated U.S. organizations with the perfect bodily remedy […]

Medical affairs groups are beneath strain like by no means earlier than, not solely from the flood of healthcare knowledge and growing engagement calls for, but additionally from the continuing problem of proving their worth to the C-suite. Knowledge volumes in healthcare have exploded, whereas medical contacts are taking over increasingly more duties beforehand dealt with by gross sales. That […]

By STEVEN ZECOLA On December 19, the Division of Well being and Human Companies (“HHS”) issued a request for data on utilizing synthetic intelligence (“AI”) to decrease healthcare prices and make America wholesome once more. As described herein, AI can be utilized in lots of dimensions to scale back healthcare prices and enhance care. Nevertheless, to attain vital breakthroughs with […]

Referral Advisor improves group collaboration, allows quicker responses to hospital referrals, and streamlines administrative duties for employees. Credit score: Meeko Media/Shutterstock.com. PointClickCare has introduced the upcoming launch of Referral Advisor, the most recent AI-powered resolution geared toward bettering referral administration for expert nursing amenities (SNFs). The brand new instrument will likely be accessible to pick SNF organizations later this month […]

To rejoice Tom Racobaldo’s upcoming retirement, Compass One Healthcare leaders, who’ve labored carefully with Tom over time, had been requested to explain his impression on the enterprise, tradition and their lives. Their responses display the gratitude, respect and admiration that every particular person has for Tom: Bobby Kutteh, CEO of Compass One Healthcare Tom has been the whole chief for […]

January 16, 2026 – Common Well being Providers introduced that it has been named a winner of the 2025 Human Expertise (HX) Guardian of Excellence Award® by Press Ganey, the worldwide chief in healthcare expertise options and providers. This award is a part of Press Ganey’s annual rankings of the nation’s prime hospitals and healthcare programs, primarily based on shopper […]

This text is a part of your HHCN+ membership In 2025, Medicare-certified residence well being suppliers confronted dramatic uncertainty. The Facilities for Medicare and Medicaid Companies (CMS) proposed the biggest minimize ever to the Medicare residence well being care fee, sparking outrage amongst suppliers, workers, and sufferers, leading to a a lot much less painful ultimate fee minimize. As they […]

President Donald Trump on Thursday launched a plan to decrease drug prices and insurance coverage premiums, although some well being care leaders say it stays unclear how it will obtain these objectives. The plan, titled the Nice Healthcare Plan, requires codifying the Most Favored Nation agreements, which intention to carry U.S. drug costs consistent with these of peer nations. Trump […]

This 12 months’s JP Morgan Healthcare Convention in San Francisco, which concluded Thursday, introduced collectively healthcare leaders from around the globe to debate trade tendencies and supply updates on their actions. The occasion additionally featured information bulletins from corporations throughout the healthcare trade. Beneath are six notable bulletins made throughout the occasion. —Nvidia And Eli Lilly are investing $1 billion […]

By KIM BELLARD I am an innovation junkie, the additional the higher, however every so often it is good to be reminded that innovation continues to be potential, even when an organization has been round for some time. Two examples: LEGO® and Kodak. Let’s begin with LEGO. You probably have young children round – and possibly not even that small […]

Following the closure, the Emeryville and Berkeley manufacturing services shall be transferred to Zydus below the newly fashioned subsidiary Zylidac Bio. Credit score: Piotr Swat / Shutterstock.com. Agenus has accomplished a $141 million strategic collaboration with Zydus Lifesciences to speed up the worldwide growth and potential commercialization of its botsilimab and balstilimab (BOT/BAL) immunotherapy mixture program. The collaboration secures financing […]

On December 29, 2025, the Facilities for Medicare & Medicaid Providers (CMS) introduced state allocations for the primary yr of the $50 billion Rural Well being Transformation Program (the “rural well being fund”), which will probably be administered by a brand new Workplace of Rural Well being Transformation. The Rural Well being Fund was created as a part of the […]

In honor of Tom Racobaldo: Crothall CEO retires after many years of management In 1979, Tom Racobaldo repaired hospital flooring and cleaned affected person rooms as a administration trainee at Crothall. Six months later, he was given his first project: main a 50-bed, 10-employee hospital in Northeast Philadelphia. Forty-six years later, Racobaldo will retire as CEO of Crothall. Recognized for […]

January 16, 2026 – HealthTrust Efficiency GroupSM has obtained two Fashionable Healthcare Finest in Enterprise Awards for its development and design, and recruitment and staffing. Fashionable Healthcare celebrates those that drive innovation, effectivity and excellence in healthcare: Finest in Enterprise Award – Recruitment and Staffing: HealthTrust Workforce Options (HWS) is the nation’s largest vendor-neutral supplier of managed healthcare companies designed […]

The administrator of the US Facilities for Medicare & Medicaid Providers (CMS), Dr. Mehmet Oz, and different CMS officers delved into dwelling well being care and hospice fraud at latest conferences in Nevada and California. Oz, CMS Chief Working Officer Kimberly Brant and Medicare Director Chris Klomp visited Nathan Adelson Hospice in Nevada after which held a roundtable dialogue with […]

The Novo Nordisk Basis supplies a startup incubator it based with further capital to strengthen innovation and entrepreneurship in Denmark and Europe. The muse introduced Thursday that it has dedicated as much as 5.5 billion Danish krone (roughly $850 million or 736 million euros) to the BioInnovation Institute (BII), funding that may run from 2026 to 2035. This capital will […]

GLP-1s have been the biopharmaceutical success story of latest years, and these efficient weight reduction medicine will ceaselessly signify the turning level within the lengthy battle in opposition to weight problems. To not be non secular, however from a calendar perspective the pre-GLP-1 period would possibly as nicely seem like BCE. And sure, there are questions on sustaining weight reduction […]

By OWEN TRIPP Transfer over, GLP-1s. This yr, healthcare is within the highlight on different plan design. Different well being plans supply price transparency and a consumer-friendly buying expertise. However can the capabilities below the hood ship high quality and worth? Whereas it could not sound that promising, it has the potential to create a seismic shift within the industrial […]

EnCor EnCompass streamlines breast biopsy procedures by supporting use throughout a number of breast imaging platforms inside one built-in gadget. Credit score: NMK-Studio / Shutterstock.com. BD (Becton, Dickinson and Firm) has obtained 510(ok) clearance from the U.S. Meals and Drug Administration (FDA) for the EnCor EnCompass Breast Biopsy and Tissue Elimination System. The approval marks the introduction of a multimodality […]

President Trump is commonly ridiculed for not having a well being care reform plan, and even his “ideas of a plan” that he has been speaking about, or, extra exactly, a plan to interchange the ACA and the improved tax credit at present underneath dialogue. It’s true that he has none of those. However he does have a particular sport […]

Shirley Ryan abilitiesyLab Deserves new Joint Fee Sustainability Award With assist from Compass One Healthcare, Shirley Ryan AbilityLab has reached one other milestone in its dedication to environmental stewardship. The Chicago-based rehabilitation hospital, recognized for treating sufferers with stroke, spinal twine and mind accidents, has acquired the Joint Fee’s new Sustainability Healthcare Certification. It’s the first hospital in Illinois and […]

January 15, 2026 – Cardinal Well being supplied an replace to its fiscal yr 2026 monetary steerage and plans to focus on vital progress on its strategic progress initiatives through the 44e Annual JP Morgan Healthcare Convention. Bettering the 2026 finances outlook Cardinal Well being is elevating its fiscal 2026 non-GAAP diluted earnings per share steerage to no less than […]

This text is a part of your HHCN+ membership Whereas I’ve considerations about the usage of AI chatbots like ChatGPT and Anthropic’s Claude – specifically the environmental influence, the potential for harmful hallucinations, and the usage of information from unreliable sources – I’m removed from an AI naysayer. The extra time I spend in healthcare, the extra satisfied I’m that […]

WTW launched a brand new resolution on Tuesday aimed toward offering higher healthcare pricing transparency for employers. WTW is a world consulting, brokerage and options firm. The brand new resolution known as the Well being Transparency Optimizer and permits employers to guage healthcare prices together with high quality and utilization knowledge. The answer is designed to be used by “all […]

Pharmaceutical firms must spend cash to earn cash, and the looming lack of patent exclusivity for numerous merchandise is inflicting these firms to make enterprise offers to fill their pipelines with new medication that supply blockbuster potential. A latest report exhibits that main pharmaceutical firms spent $36 billion on company offers in October and November alone. A type of offers […]

By BRIAN STANLEY Sufferers ready for Medicaid enrollment are dealing with extra payments, at the same time as Congress touts that as price financial savings. Hospitals should select their place. Medicaid covers the lion’s share of short- and long-term well being care prices for low-income, older, and/or disabled People. Till now, this system paid for care acquired as much as […]

Fibromyalgia is characterised by widespread ache, fatigue, sleep disturbances, melancholy and hypersensitivity to stimuli. Credit score: Jo Panuwat D / Shutterstock.com. Axsome Therapeutics has initiated the FORWARD Part III trial evaluating AXS-14 (esreboxetine) for the remedy of fibromyalgia, with the primary affected person now dosed. The FORWARD Part III trial, utilizing a randomized trial design, goals to evaluate the efficacy […]

In his new “Nice Healthcare Plan,” President Trump has proposed that the federal government “codify” drug pricing agreements agreed to by pharmaceutical corporations in latest months. These MFN agreements are primarily based on the premise that the US mustn’t pay prescription drug costs larger than these paid in different comparable international locations, an concept that President Trump promoted throughout his […]