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UnitedHealth audits medical policy development, finds gaps
Mind Body

UnitedHealth audits medical policy development, finds gaps

UnitedHealth's audit of its medical policy development reveals gaps in the 80-person team’s clinical criteria process, highlighting transparency efforts.

Seraphina Wentworth · November 13, 2026
Medicare to cut 340B drug funding billions
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Medicare to cut 340B drug funding billions

Medicare to cut billions in 340B drug funding starting in 2027, impacting hospital-owned clinics.

Persephone Blackwood · November 6, 2026
CVS to split into two companies
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CVS to split into two companies

CVS Health to split into two companies, one for insurance and pharmacy benefits, and another for retail pharmacies, marking a significant shift…

Ottoline Dunmore · November 5, 2026
Medicare limits coverage for pain relief procedures
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Medicare limits coverage for pain relief procedures

Medicare limits coverage for pain relief procedures, affecting patients with severe chronic pain.

Seraphina Wentworth · October 24, 2026
FDA grants accelerated approval for rectal cancer drug
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FDA grants accelerated approval for rectal cancer drug

The U.S. Food and Drug Administration granted accelerated approval on Monday for the PD-1 inhibitor dostarlimab (Jemperli) to treat certain operable.

Ottoline Dunmore · October 20, 2026
Risankizumab Improves Crohn’s Outcomes with Subcutaneous Therapy
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Risankizumab Improves Crohn’s Outcomes with Subcutaneous Therapy

Risankizumab crohn's treatment shows 55% remission at 12 weeks vs 29.6% placebo, improving outcomes for Crohn's disease patients.

Seraphina Wentworth · October 17, 2026
FIT Test Misses More Cancers in Women
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FIT Test Misses More Cancers in Women

FIT test may miss more colorectal cancers in women than men using standard thresholds, per a study of 30,000+ participants presented at…

Seraphina Wentworth · October 16, 2026
Italian Registry Shows Strong Efficacy for Avacopan in Vasculitis
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Italian Registry Shows Strong Efficacy for Avacopan in Vasculitis

Avacopan showed strong efficacy in an Italian registry study treating ANCA-associated vasculitis, with all but one of 32 patients achieving remission.

Seraphina Wentworth · October 13, 2026
Hospitals see fewer denials but still lose money to insurer
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Hospitals see fewer denials but still lose money to insurer

Hospitals reduce claim denials but still lose money as insurers claw back more from approved payments in 2026, per Kodiak Solutions analysis.

Seraphina Wentworth · October 2, 2026
Penn Medicine expands outpatient surgery centers with insurer and developer
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Penn Medicine expands outpatient surgery centers with insurer and developer

Penn Medicine partners with Independence Blue Cross and Regent Surgical to build 18 outpatient surgery centers in PA, NJ, and DE, addressing…

Ottoline Dunmore · October 1, 2026