Every year, the HLTH conference provides healthcare leaders an opportunity to collect and share concepts. The occasion additionally provides firms the possibility to announce information — oftentimes about new merchandise, partnerships and enterprise plans.
Under are seven noteworthy bulletins made throughout this yr’s HLTH convention in Las Vegas.
Mark Cuban’s Price Plus Medication firm will companion with TrumpRx
Throughout an onstage session at HLTH, Mark Cuban revealed a forthcoming partnership between his Cost Plus Drugs firm and TrumpRx, a federal program designed to carry discounted pharmaceuticals on to shoppers.
TrumpRx, which is ready to launch early subsequent yr, will perform as a referral platform, directing folks to web sites like Price Plus Medication. Via this partnership, Price Plus Medication will present its pricing knowledge to TrumpRx.
Cuban stated he hopes this collaboration will disrupt the standard PBM mannequin, which he has lengthy criticized for contributing to the nation’s exorbitant drug costs.
Optum launches claims administration platform
UnitedHealth Group subsidiary Optum unveiled an AI-powered real-time claims administration platform known as Optum Real. The system is designed to scale back friction between suppliers and payers throughout claims submission and reimbursement processes.
The platform’s aim is to permit suppliers to immediately confirm particulars about sufferers’ advantages and protection, subsequently lowering the guesswork and delays that suppliers sometimes face when attempting to receives a commission.
Cedar rolls out new instruments to assist folks afford care
Healthcare funds startup Cedar launched Cedar Cover, a digital platform geared toward serving to sufferers entry Medicaid protection and monetary help. The platform — which integrates with hospital billing workflows — helps establish sufferers’ potential Medicaid eligibility, assists with their enrollment, manages their renewals and connects them to co-pay help for medicines.
Given the current Medicaid cuts underneath the One Large Lovely Invoice Act, Cedar’s new system is supposed to mitigate the hurt on sufferers and suppliers by reducing uncompensated care prices. Early adopters of Cedar Cowl embrace Novant Well being, Baystate Well being and The Iowa Clinic.
Oscar Well being creates menopause-focused ACA plan
Oscar Health debuted a brand new Reasonably priced Care Act plan known as HelloMeno. The New York-based payer developed the plan in collaboration with Elektra Health, a digital supplier of menopause care.
Tailor-made for girls navigating menopause, HelloMeno provides zero-copay main care, gynecological and behavioral well being visits, in addition to no-cost labs, hormone remedy, insomnia medicines and bone density scans.
AMA unveils new middle for digital well being and AI
The American Medical Association launched a new center geared toward giving physicians a stronger voice in shaping how digital well being instruments and AI applied sciences are deployed in scientific care.
The middle seeks to assist form insurance policies and laws round digital well being know-how, in addition to discover higher methods to combine these instruments into scientific workflows. Different targets embrace offering schooling and coaching to clinicians about how one can use AI instruments and fostering collaboration throughout industries — together with with tech firms, payers, authorities and researchers.
Knownwell snags $25 million
Knownwell closed a $25 million funding round led by CVS Well being Ventures. The startup provides metabolic well being companies, main care, vitamin counseling and behavioral well being care — and likewise prescribes GLP-1s when thought of acceptable. It gives digital care nationwide, in addition to in particular person care at its clinics within the Atlanta, Boston, Chicago and Dallas areas.
With its new capital, the startup will deal with increasing care, each by including further clinics and rising its digital care group.
Highmark Well being groups up with Noom
Highmark Health, the Pittsburgh-based mother or father firm of payer Highmark and well being system Allegheny Health Network, partnered with digital weight reduction firm Noom. They may provide Noom’s weight administration and behavioral well being applications to almost 2 million eligible Highmark members beginning subsequent yr.
The program is designed to leverage AI instruments and conduct‑science strategies, corresponding to meals logging, physique scan applied sciences and peer help communities, to assist members develop wholesome habits fairly than simply deal with illness. The profit shall be obtainable at no further price for Highmark’s eligible members.
Picture: HLTH
