Reimbusement

Nerve cells affected by Alzheimer's disease

(Photo by Sebastian Kaulitzki/Getty Images)

By  Dave Muoio 03:04 pm April 1, 2021
Those keeping an eye on the digital therapeutics industry over the last several years likely remember the name Dthera Sciences. The startup and its CEO Ed Cox became one of the developing space's many standard bearers around 2018. During that timeframe it landed a Breakthrough Device designation from the FDA for its Alzheimer's symptoms treatment, with Cox chairing a handful of industry...
By  Dave Muoio 03:23 pm March 3, 2021
A January acquisition deal between medical technology provider Hillrom and cardiac monitoring device maker Bardy Diagnostics has landed in rocky waters, with Hillrom looking to back out of the purchase and Bardy filing a legal complaint to keep things moving forward. According to press releases from Hillrom, the company was caught off guard on January 29 when Novitas Solutions, a Medicare...
By  Gwendolyn Lee & Dan Gebremedhin, MD 12:54 pm December 4, 2020
In Part 1 of this article, we introduced Medicare and its covered services, along with rationales for digital health startups to engage with the nation’s largest payer. These motivations include Medicare’s large and growing beneficiary base, access to the nation’s largest and most influential payer, and movement toward value-based care. Despite these opportunities, startups have been relatively...
By  Dean Koh 11:26 pm November 30, 2020
Singapore-based DocDoc, a virtual network of physicians and hospitals supporting patients to find quality medical care in Asia has partnered with healthcare technology provider SpesNet Global Group to integrate its digital third party administrator (TPA) technology and provide a first-of-its-kind complete digital health ecosystem to insurers, supporting their policyholders through the continuum...
By  Gwendolyn Lee & Dan Gebremedhin, MD 04:41 pm November 24, 2020
Despite its attractive large market size, Medicare has long frustrated early stage healthcare companies. The complex federal health insurance system, mired in statutory constraints, has arguably discouraged entry from would-be external innovators. Regulations intended to prevent fraud, waste, and abuse, also create barriers to adoption for innovative value-creating products and services. The goal...
By  Dave Muoio 11:36 am September 2, 2020
Abbott announced yesterday that its recently cleared FreeStyle Libre 2 integrated continuous glucose monitoring (CGM) system is now covered by the Centers for Medicare and Medicaid Services (CMS), and available to Medicare beneficiaries with diabetes who meet eligibility criteria. Indicated for diabetes management in patients aged four years or older, the updated version of Abbott's system can...
By  Laura Lovett 03:17 pm August 25, 2020
Alphabet’s life science subsidiary Verily is jumping into the health insurance game with the launch of its new venture Coefficient Insurance Company.  The tech-enabled payer will be backed by Swiss Re Corporate Solutions, which specializes in data-driven risk assessments.  Coefficient, which is categorized as a Verily subsidiary, is targeted at self-funded employers and is pitched as stop-loss...
By  Laura Lovett 03:17 pm May 21, 2020
One Medical, the tech enabled health startup that made headlines when it went public in January, is reporting a 25% year-over-year revenue growth. However, it still came up short of meeting earnings per share expectations. The company, officially named 1Life Healthcare, uses a hybrid model, its members have access to 24-7 virtual health-services as well as the ability to visit brick-and-mortar...
By  Dave Muoio 02:58 pm March 11, 2020
A CVS Health service designed to help CVS Caremark pharmacy benefit management clients more easily roll out and manage third-party health products has added five new digital health offerings to its lineup. The program – which has also seen a branding change from "Vendor Benefit Management" to "Point Solutions Management" – was first announced last June with only single participating vendor: Big...