The way the healthcare industry thinks about interoperability doesn’t capture the whole story. Interoperability is often described as ensuring that the right participants can access the right patient information at
FDA Nod for Merck HIV Drug Brings Competition to a Gilead Sciences Antiretroviral
Merck has FDA approval for a new combination drug for HIV, giving patients a new treatment option and an alternative to a blockbuster Gilead Sciences pill that comes with tolerability
How the DOJ Is Tackling Fraud in the ACA Marketplace
The U.S. Department of Justice is seeing numerous trends of fraud in the Affordable Care Act Marketplace targeting vulnerable populations. At the Medicarians Conference in Las Vegas on Monday, an
Wearable Noise Is Exploding — Trust Is the Filter
Over the past decade or so, I’ve watched on with fascination as consumer wearables have evolved from simple fitness accessories into increasingly sophisticated health tools. Smart rings, watches, patches and
Alignment Health Plan CEO: Sometimes When MA Plan is Pulling Out, the Provider is to Blame
One big news story from the world of Medicare Advantage recently has been the number of plans that are in retrenchment mode. For instance, UnitedHealthcare reportedly exited 109 counties for
Neuro Startup Tortugas Unveils $106M and a Pipeline of Drugs for the Brain
Tortugas Neuroscience launched from stealth Tuesday with $106 million to support a pipeline of four in-licensed drugs in clinical development for a range of central nervous system indications. The programs
The Next Era of Payment Integrity: Earlier Clinical Validation, True Transparency
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









