For years, payment integrity was built around simple assumptions: errors can be fixed after payment. In today’s environment of rising medical costs and accelerating claims volume, that approach isn’t sustainable.
Policy Expert Believes CMS is Taking “Adversial Posture” to Medicare Advantage
At the annual Medicarians conference in Las Vegas on Monday, an analyst on Medicare Advantage policy research sounded the alarm about how there’s a fundamental shift in attitude towards MA
Eli Lilly Makes Another In Vivo Genetic Medicines Move With $3.2B Kelonia Acquisition
Eli Lilly is expanding its reach in genetic medicines with a multi-billion dollar deal to acquire Kelonia Therapeutics, a startup whose most advanced drug candidate is a cell therapy in
OSHA’s Evolving Approach to Workplace Violence Prevention in Healthcare
Workplace violence is a persistent and worsening problem in healthcare. According to the Bureau of Labor Statistics, healthcare workers are five times more likely to experience workplace violence than those
Obsidian, Galera Merger Comes With $350M Infusion for Cancer Drug Trials
Obsidian Therapeutics is merging with Galera Therapeutics to advance clinical development of a pipeline led by a next-generation cell therapy for melanoma that could offer advantages over the only cell
Is Shah Capital’s Criticism of Novavax Fair? A Wall Street Analyst Weighs In
In May 2024, Shah Capital, a hedge fund in North Carolina, withdrew from its proxy fight against Novavax’s board of directors when the vaccine maker announced a billion-dollar deal with
How Team-Based and Virtual Nursing Models Are Redefining Care Delivery
Across the country, nurse leaders are rethinking how care is delivered and what it means to lead through transformation. The past few years have shown us that traditional nursing models
The End of Incrementalism: Why Healthcare Innovation is Finally Reshaping the Model
Most of what we called healthcare innovation over the last decade was an expensive lie we told ourselves. Between 2015 and 2020, we poured billions into digitizing the status quo,
Startup Nula Emerges to Advance a New Class of Medicines for Metabolic Disease
In a cell, the nucleus and related genetic material are housed inside a double-layered membrane. Scientists previously thought this nuclear envelope played a passive role, simply separating these components from
Strengthening Social Security in a Changing World
The challenges facing social security are no secret. They are straining global systems built for a different era. According to the International Labour Organization’s World Social Protection Report 2024-26, a staggering 3.8 billion









