Annually, the HLTH conference offers healthcare leaders an opportunity to assemble and share concepts. The occasion additionally offers firms the prospect to announce information — oftentimes about new merchandise, partnerships and enterprise plans.
Beneath are seven noteworthy bulletins made throughout this 12 months’s HLTH convention in Las Vegas.
Mark Cuban’s Price Plus Medicine firm will associate 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 convey discounted pharmaceuticals on to customers.
TrumpRx, which is ready to launch early subsequent 12 months, will perform as a referral platform, directing individuals to web sites like Price Plus Medicine. By this partnership, Price Plus Medicine will present its pricing information 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 cut 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 individuals afford care
Healthcare funds startup Cedar launched Cedar Cover, a digital platform aimed toward serving to sufferers entry Medicaid protection and monetary help. The platform — which integrates with hospital billing workflows — helps determine 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 below the One Massive 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 embody Novant Well being, Baystate Well being and The Iowa Clinic.
Oscar Well being creates menopause-focused ACA plan
Oscar Health debuted a brand new Inexpensive 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 ladies navigating menopause, HelloMeno gives 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 aimed 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 expertise, in addition to discover higher methods to combine these instruments into scientific workflows. Different objectives embody offering schooling and coaching to clinicians about how you 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 gives metabolic well being companies, main care, diet counseling and behavioral well being care — and likewise prescribes GLP-1s when thought of acceptable. It supplies digital care nationwide, in addition to in individual 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 extra clinics and rising its digital care crew.
Highmark Well being groups up with Noom
Highmark Health, the Pittsburgh-based dad or mum firm of payer Highmark and well being system Allegheny Health Network, partnered with digital weight reduction firm Noom. They are going to supply Noom’s weight administration and behavioral well being applications to just about 2 million eligible Highmark members beginning subsequent 12 months.
The program is designed to leverage AI instruments and conduct‑science strategies, comparable to meals logging, physique scan applied sciences and peer help communities, to assist members develop wholesome habits moderately than simply deal with illness. The profit will likely be out there at no extra value for Highmark’s eligible members.
Photograph: HLTH
