Medicare, Medicaid to pay for Wegovy | Ohio nonprofit investigated | California chooses Innovaccer’s AI for pop health

Novo Nordisk and Eli Lilly have agreed to sell their popular Wegovy and Zepbound injectables through TrumpRx.gov for a discounted rate, as the White House promises that Medicaid and Medicare plans will begin covering the costs. 

Authorities said in a court filing that they received a complaint about Northeast Ohio Neighborhood Health Services’ business practices. The health system owes more than $12 million to creditors, and investigators are asking to see its financial records.

The company will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be used for compliance reporting and to improve patient care coordination.

Proposition 14 passed by an overwhelming 69% of the vote, with residents approving an amendment to the state constitution that makes the Dementia Prevention and Research Institute of Texas (DPRIT) official. The new group will fund research into Alzheimer's, Parkinson's and more.

Lori Robertson, a registered nurse, faces one count of tampering with a consumer product. She was arrested by federal authorities, accused of endangering her hospice patient with dementia.

The findings are from research conducted by the Commonwealth Fund that looked at nationwide provider reimbursement data. While the sample size is small, it shows the insurer tends to favor its own doctors.

The cohort of union nurses, advanced practitioners, pharmacists, dieticians and more is employed by Kaiser Permanente. The demonstration is expected to last until Sunday morning.

Crystal Scott, 44, of Las Vegas is accused of forging the signature of two physicians to prescribe drugs, including insulin, to diabetic children. She also allegedly operated an unlicensed healthcare business, portraying herself as a registered nurse.

SIR contends that payments toward transarterial radioembolization (TARE)/selective internal radiation therapy (SIRT) should extend beyond the current coverage limitations in patients with liver cancer and metastases. 

In some cases, researchers noted, cardiologists may need to rely on transcaval access during the treatment of a high-risk heart failure patient.