What You Should Know:
– Popai Health, the Patient Conversation Intelligence company, today announced it has raised $11M in seed funding led by Team8 and NEA, alongside additional strategic investors,
– The capital intended to strengthen…
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The following is a guest article by Mark Noel, SVP and GM of ClaimInsight at AMPS
As health plans face escalating medical costs and increasing scrutiny over member and provider satisfaction, a critical strategic challenge…
The Oversubscribed Round, Led by Wellington Management and General Catalyst, Will be Used to Enhance and Scale the Company’s Enterprise Health Platform, and Transform Health Benefit Management and Administration for Employers and Plans
Rebrand Signals…
Oscar Health introduces a suite of health plans and AI features | Mobi Health News
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MedSetGo, an AI-driven healthcare company modernizing patient care transitions, today announced the close of its $2.4 million oversubscribed seed round, exceeding its target by 20%. The round was led by TurboStart with participation from Gold House Ventures,…
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The 2025 CMS D-SNP Revolution
CMS’s 2025–2030 regulatory updates to Dual-Eligible Special Needs Plans (D-SNPs) represent the most comprehensive reforms in Medicare-Medicaid integration history. These changes fundamentally reshape how health plans serve dual-eligible populations, demanding…
What You Should Know:
– Daymark Health, a company dedicated to redefining the cancer care experience secures $20M in Series A funding round led by Healthier Capital and Blue Venture Fund, with continued participation from…
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What You Should Know:
– Cohere Health, a leader in clinical intelligence solutions, has acquired ZignaAI and launched a new Payment Integrity (PI) Suite, which is anchored by Cohere Validate™. Financial details of the acquisition…
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Matt Cunningham, Executive Vice President of Product at Availity
For too long, utilization management (UM) has been the most painful source of abrasion between health plans and healthcare providers.
Care decisions are too often made by…
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What You Should Know:
– HealthEdge and UST HealthProof have announced the successful completion of their merger, following Bain Capital’s acquisition of UST HealthProof from UST.
– The combined company will operate as HealthEdge, with its…
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