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News
GoodRx Launches Companion Family Plan Covering Children, Adults, and Pets with 250+ Free Medications
7+ hour, 13+ min ago (77+ words) Household Pricing, Free Generics, and Pet Inclusions The new membership builds on the standalone GoodRx Companion subscription introduced earlier this year, expanding coverage across children, adult dependents, and household pets without age restrictions. The plan is priced at $24.99 per month…...
Cityblock Acquires Homeward and Secures $116M to Unify Urban-Rural Care
2+ week, 5+ day ago (243+ words) HIT Consultant What You Should Know - Cityblock Health entered into a definitive agreement to acquire Homeward Health in an all-stock transaction, paired with a $116M Series E financing round led by General Catalyst. - The combined entity now serves nearly 200,000 members nationwide…...
JD Power Finds Medicare Advantage Satisfaction Drops as Members Demand Patient Advocacy
2+ week, 6+ day ago (278+ words) hitconsultant.net What You Should Know - Overall customer satisfaction with Medicare Advantage plans dropped 12 points in 2026 to 611 (on a 1,000-point scale), marking a 41-point cumulative decline since 2024 across all measured dimensions of the member experience, according to the JD Power…...
Papa Expands Multi-Year Medicare Advantage Partnership with eternalHealth Across Massachusetts and Arizona
3+ week, 9+ hour ago (233+ words) HIT Consultant What You Should Know - Papa announced the expansion of its multi-year partnership with eternalHealth, a women-owned Medicare Advantage plan operating in Massachusetts and Arizona. - The expanded agreement integrates Papa Plus pathways into eternalHealth’s companion care benefit, specifically targeting…...
Inovalon Research Identifies Preventable Drivers of Claim Denials and Prior Authorization Delays
3+ week, 5+ day ago (263+ words) HIT Consultant What You Should Know - An Inovalon national survey of over 400 revenue cycle management (RCM) leaders by Inovalon reveals that healthcare’s most costly billing problems begin before a claim is ever submitted. - Front-end workflow breakdowns drive 78% of denied claims,…...
Aligned Marketplace Raises $20M to Scale Independent Primary Care
3+ week, 5+ day ago (284+ words) HIT Consultant What You Should Know - Healthcare marketplace Aligned Marketplace secured $20M in Series A funding led by healthcare venture firm Venrock. - Actuarial data from a 2025 Fortune 500 employer program demonstrated a 12% reduction in total cost of care for engaged members—generating…...
Blue Shield of California and Cedars-Sinai Secure 4-Year Network Deal
3+ week, 6+ day ago (213+ words) HIT Consultant What You Should Know - Blue Shield of California and Cedars-Sinai Health System reached a new four-year long-term agreement, ensuring uninterrupted in-network access for Commercial HMO and PPO members across Southern California. - The renewed contract covers major hospital facilities…...
M&A: Unite Us Acquires Vircho Health to Advance Performance Analytics for Community Care Networks
1+ mon, 2+ day ago (283+ words) HIT Consultant What You Should Know - Social care coordination leader Unite Us has acquired Vircho Health, a technology platform providing performance, quality, and financial accountability analytics for community care networks. Financial terms of the acquisition were not disclosed. - The acquisition…...
Why AI Finally Changes the Math on Fraud, Waste, & Abuse in Healthcare
1+ mon, 1+ week ago (369+ words) The U.S. health care system loses more than $100 billion a year to fraud, waste, and abuse, and by some estimates several times that. We have known this for decades. What is new is that the technology to catch it has finally…...
CMS Releases FY 2027 IPPS and LTCH PPS Final Rule: Rates, Mandatory CJR-X Model, and EHR Changes
1+ mon, 1+ week ago (157+ words) CMS Finalizes Mandatory Nationwide CJR-X and FY 2027 Inpatient Payment Rules The hospital administration, revenue cycle management, and health policy sectors face a major regulatory pivot following the release of CMS’s FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital…...