MedCity News

New Bill Seeks to Lower Out-of-Pocket Drug Costs

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Why Innovaccer Is Pouring $250M into Its Agentic AI Platform

Innovaccer is committing $250 million to expand its AI agent platform, which automates workflows across areas like prior authorization, revenue cycle management and population health. The move comes amid an ongoing debate over whether administrative AI tools can ultimately reduce costs for providers.

By Katie Adams

BioPharma, Pharma

Eli Lilly Buys Startup CrossBridge Bio to Bring a More Powerful Strike to Tumors

Eli Lilly is paying up to $300 million for CrossBridge Bio, a startup developing antibody drug conjugates that deliver two drug payloads to cancers. Beyond potentially better efficacy, CrossBio’s dual approach could also fight drug resistance.

By Frank Vinluan

MedCity Influencers

From Insight to Intervention: Why Over-the-Counter Digital Therapeutics (ODTx) are the Next Step for LLMs and Wearables

These products have yet to offer treatment solutions designed to get users from their current health state to a desired future health state. This creates a massive, untapped opening for tools that move people from awareness to action in a clinically meaningful way, without the cost and access barriers of engaging the healthcare system or requiring a prescription.

By Austin Speier and Steven Lee

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MedCity Influencers

The Last Mile Problem in AI Radiology: Detection Improves, Follow-Through Breaks

The next wave of radiology AI value will come from closed-loop follow-up. An actionable finding should start a pathway with a measurable end state: the follow-up exam is completed, the referral is completed, or the recommendation is clinically resolved with a documented rationale.

By Angela Adams

Artificial Intelligence, Startups, Devices & Diagnostics, Health Tech

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Heartflow Sues Cardiac AI Rival Cleerly Over Alleged IP Theft

HeartFlow, which makes AI tools to analyze cardiac images, sued its rival Cleerly, alleging infringement on six patents. Cleerly is pushing back.

By Katie Adams

Beyond Analytics: How Sellers Dorsey is Hard-Coding Value into Medicaid Policy [Video]

How to turn analytics into actual policy outcomes.

By Sellers Dorsey and MedCity News

Health Tech

Vida Health Teams Up with ŌURA to Provide More Personalized Metabolic Care

Vida Health is partnering with ŌURA to use data from the Oura Ring to provide more continuous, personalized cardiometabolic care and improve patient outcomes.

By Marissa Plescia

BioPharma, Pharma

Bouncing Back From Trial Failure, Travere Wins First FDA Approval in Rare Kidney Disease

Travere Therapeutics’ Filspari is now the first FDA-approved drug for focal segmental glomerulosclerosis (FSGS), a rare kidney disease. Analysts project the pill will become a blockbuster seller.

By Frank Vinluan

5 of the Top 10 U.S. Health Systems Are Moving to This New Health IT Category. Here’s Why.

74% of healthcare AI is stuck in pilots. The reason isn't the AI, it's the data architecture underneath it. Read more to find the solution.

By Innovaccer

The Power Behind Enterprise EHR Software for Large Healthcare Systems

Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems.

By Malvika Tarnekar, Director of Product Strategy, PrognoCIS by Bizmatics Inc

MedCity Influencers

Why Synthetic Data is the Antidote to Clinical Trials

To address the clinical burden and enhance R&D, companies are turning to virtual solutions. This involves synthetic data, digital twin models, and AI to speed analysis.

By Marie Hattar

MedCity Influencers

Clinical Supply Chain Hits Its AI Turning Point

The question is where will healthcare see the greatest value? Here are five use cases that define the greatest ROI for leveraging agentic AI for clinical supply chain operations.

By John Wright

Hospitals, Providers

Doctor holding piggy bank in financial insurance concept in hospital

Hospital Margins Squeeze as Costs Outpace Revenue Growth

Hospitals are still on quite fragile financial footing if you look beneath the surface, according to new Kaufman Hall data. Rising costs, uneven patient volumes, and ongoing reimbursement and payer mix pressures continue to limit the sector’s financial recovery.

By Katie Adams

Payers

Report: Growth in MA Is Associated With Lower Total Medicare Spending

New research from the Elevance Health Public Policy Institute finds that higher enrollment in Medicare Advantage may be linked to lower overall Medicare spending.

By Marissa Plescia

BioPharma, Pharma

Revolution Medicines Reports ‘Unprecedented’ Survival in Pivotal Pancreatic Cancer Trial

Revolutions Medicines’ daraxonrasib met the main goals of its Phase 3 test in pancreatic cancer, posting results that were both statistically significant and clinically meaningful. The company now plans to file for speedy regulatory approval under a new FDA pilot program.

By Frank Vinluan

MedCity Influencers

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The AI Value Gap and Why Validation is a Practical First Win for Life Sciences

While many AI conversations revolve around regulated industry transformation, the question is where to actually start in a way that does not break trust, budgets or regulatory limits.

By Juanita Schoen

MedCity Influencers

Female medical expert consoling senior patient. Senior man getting test results from doctor. They are sitting in examination room.

Trust Before Triage: Why I Let the Patient Help Write the Agenda

The patient's voice should be an entry point and not a barrier to better compliance and health outcomes. A nurse practitioner outlines a protocol for a frank exam-room exchange that sustains cultural humility.

By Samuel Logan

Policy

‘A Significant Assault on Our Health’: Healthcare Policy Leaders Condemn Trump’s Budget Proposal

President Donald Trump’s 2027 budget proposes deep healthcare cuts, raising concerns about harm to patients and research.

By Marissa Plescia

BioPharma, Startups

Two New Takes on Making a Type of Targeted Cancer Therapy Even Better

Sidewinder Therapeutics and Stipple Bio each raised mega-rounds of financing to support their approaches to improving the targeting abilities of antibody drug conjugates for cancer. Both startups are on track to enter the clinic next year.

By Frank Vinluan

Hospitals, Payers, Legal, Providers

The Robert F. Kennedy Department of Justice Building, home to the headquarters of the United States Department of Justice, is located in the heart of Washington, DC.

Inside The DOJ’s Hospital Contracting Crackdown: What Message Are the Feds Sending?

The Department of Justice has sued both OhioHealth and NewYork-Presbyterian Hospital this year, alleging that they use contracting tactics that limit competition and keep healthcare prices high. The cases mark a broader push by regulators to scrutinize how health systems use “all-or-nothing” contracts to shape insurance networks and patient access.

By Katie Adams