Avicenna Medical Blog

Care Management Weekly News Update 7/09/25

Posted by DeAnn Dennis on Wed, Jul 09, 2025 @ 11:30 AM

A new study suggests that the introduction of a real-time prescription benefit tool did not lead to meaningful changes in prescription spending or medication use among Medicare Advantage beneficiaries during its first year of implementation. The analysis, published in JAMA Network Open, examined more than 2.8 million beneficiaries and compared patients treated with access to the tool to those without it. 

Federal Judge Blocks White House’s HHS Mass Layoffs and Reorganization

As Reuters’ Nate Raymond wrote on Tuesday afternoon, “A federal judge on Tuesday blocked the Trump administration from moving forward with plans to overhaul the U.S. Department of Health and Human Services by reorganizing several of its agencies and substantially cutting their workforce. U.S. District Judge Melissa DuBose in Providence, Rhode Island, issued an injunction at the behest of a group of Democratic-led states who challenged a plan HHS Secretary Robert F. Kennedy Jr. announced in March to consolidate agencies and fire 10,000 of the department's employees.”

CMS sued over Trump administration's ACA final rule

Doctors for America, the Main Street Alliance and three cities have sued the Centers for Medicare & Medicaid Services (CMS) over a recent Affordable Care Act (ACA) final rule the agency said will help counter improper enrollments. The plaintiff cities named in the lawsuit are Baltimore, Chicago and Columbus. The groups and cities say the regulation will cause upward of 1.8 million Americans to lose coverage in 2026, leading to downstream raised premiums and out-of-pocket costs.

According to Gallup’s annual rating of U.S. professions, trust in medical doctors has fallen 14% since 2021, and at 53%, is now the lowest since the mid-1990s. This doesn’t have to be the case. As technology innovators in healthcare, it’s up to us to improve healthcare with access to technological innovation that enables better quality, safer and less costly care for patients. We can meaningfully transform our industry with three C’s: collaboration, comprehensive solutions and commitment to purpose.

Health insurance payers, healthcare providers, and their associated contractors who handle patient data have all been forced to reckon with heightened cybersecurity concerns. For the entire industry, a proactive approach — rather than a reactive approach — is more important than ever. The data around expensive security breaches and other cyberattacks do not tell the complete story of what’s happening in healthcare.

Tags: Weekly Industry News