Youth Medicaid beneficiaries in Colorado had medication costs of $1.1 billion, with 47% of costs attributed to the 6% of youth taking five or more medications, according to data from the 2022 Colorado All Payer Claims Database. The remaining 53% of costs were attributed to the 94% of youth taking fewer medications concurrently. Of the…

On June 30, 2025, Joint Commission launched Accreditation 360: The New Standard, a simplified accreditation standard for hospitals and health care provider organizations. The new approach has fewer requirements and a strong focus on consumer outcomes, according to the announcement. It is intended to streamline and simplify processes and more efficiently share best practices across…

DarioHealth Corp. (Dario), which provides a digital health platform for chronic condition self-management, partnered with GreenKey Health (GreenKey), which provides a value-based care management program for consumers with obstructive sleep apnea (OSA). Dario and GreenKey plan to deliver a value-based, tiered, data-driven solution for integrating behavioral health, sleep health, and cardiometabolic care through this partnership. …

The Centers for Medicare & Medicaid Services (CMS) released the 2025 Marketplace Integrity and Affordability Final Rule. Its stated aim is to reduce individual health insurance premiums by approximately 5% on average and save taxpayers up to $12 billion in 2026. The rule addresses what CMS describes as widespread fraud in Affordable Care Act (ACA)…

Unite Us, which integrates health and community-based care, and Nomi Health, a national health care financial services platform, partnered to deliver an innovative joint solution designed to streamline administration and accelerate payments to community-based organizations (CBOs) on behalf of Medicaid health care payers. The partnership is intended to ensure that essential community services for Medicaid…

Deacon Health, Inc., which provides care management solutions, launched its specialty care management platform for people with multiple chronic health conditions. The company also announced a seed funding round with $7 million in closed and committed capital from Herb Fritch, founder and former CEO of HealthSpring; Larry Cash, former president and CFO of Community Health…

Solace, a digital health platform that connects consumers with health advocates, raised $60 million. The round was led by Menlo Ventures, with participation from existing investors Craft Ventures, Inspired Capital and Torch Capital, as well as new investor SignalFire. Solace plans to use the funding to scale its national network of health care advocates, and…

CenterWell Senior Primary Care, a Humana business segment, agreed to acquire The Villages Health (TVH), a provider organization in north central Florida that serves 55,000 residents of The Villages retirement community and the surrounding communities. TVH has filed for Chapter 11 bankruptcy to restructure debt due to overbilling Medicare. Most TVH consumers are Medicare beneficiaries.…

Within one year of its launch, the Integral Health Network of Southern Arizona (IHNSA), a clinically integrated network (CIN), reduced the medical loss ratio (MLR) by 12.1 points for a cohort of high-cost members attributed by the Medicaid managed care organization (MCO) Banner–University Family Care (BUFC). The MLR for the cohort dropped from 151.3% in…