Are gold carding programs working?

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Top Story Gold Carding Programs Are Meant to Improve Prior Authorization. Are They Working? Several states and insurers have gold carding programs to streamline prior authorization. However, some say they're falling short. Sponsored The Top-Rated Orthopedic Surgery Centers in the Houston Area and Beyond Presented by Fondren Orthopedic Group Discover Houston's best orthopedic surgery centers and what features — from personalized treatment plans to rehabilitation services — make these top providers stand out in their industry. Learn More Only 3 Weeks Away! MedCity News' flagship event for the entire healthcare innovation ecosystem! Join us May 20-21 in Chicago for two days packed with fresh ideas, strategic insights, and unmatched networking. Register Now

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Report Highlights Data Breach Risks Email Vulnerabilities Pose to Healthcare [Sponsored] The report, 60% of Healthcare Orgs Admit Email Security Failure, highlights what Paubox says is a broken infrastructure at the heart of this issue, exposing millions to preventable risks. It also offers recommendations to fix the problems. Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs April has seen a slew of executive hires, exits and layoffs across the healthcare industry. For example, AdventHealth and DexCare both named new CEOs, and Crozer Health and UNC Health have undergone CEO exits. There were also layoffs at organizations including Aetna, Sanford Health and Caribou Biosciences. Novartis Gets Phase 3-Ready Rare Kidney Disease Drug via $800M Regulus Acquisition Regulus Therapeutics drug farabursen is a potential first-in-class treatment for a rare kidney disease whose only FDA-approved therapy introduces severe toxicity risks. Farabursen is joining a Novartis drug lineup spanning several therapies for rare renal disorders. MedCity FemFwd: Improving the Collection of Maternal Health Data In this episode, we're joined by Maggie McCullough, CEO of PolicyMap. She discusses what's wrong with the way maternal health data is collected at the federal level and ways it can be improved. Success in Chaos: Building Resilient Systems for an Unpredictable Future The organizations that will thrive in this environment are those that invest in resilience — the capacity to adapt, absorb strain, and maintain performance in the face of volatility. The Biggest Opportunity for AI in Healthcare Isn't Disease, It's Wellness By shifting the focus for consumers earlier in the care continuum, AI has the potential to play a transformative role in prevention and personalized health solutions-particularly for health conditions that impact hundreds of millions of people worldwide.

Video   What Should Employers Be Thinking About as They Develop Their Pharmacy Benefit Strategy? For Josh Golden, Capital Rx's senior vice president of strategy, it boils down to one question employers need to be asking themselves: Does my pharmacy benefit manager make more money when I spend more money? Most PBM profit models are tied directly to the price and volume of drugs, he noted.

Sponsored The Top 6 Best Analytics Tools for Health Care Revenue in 2025 Presented by Millennia Finding the best analytics tools for health care revenue management can revolutionize operational processes. Compare the leading software options to discover helpful team resources. Learn More

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MedCity Pivot: What if Pancreatic Cancer Became a Chronic Disease? Ben Zeskind, co-founder, president and CEO of Immuneering, is attempting a new approach to treat certain types of cancers. If it works, there will be a vast improvement in the quality of life of cancer patients. Listen now

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