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News You Need to Know Today
CMS appeals Medicare Advantage ruling | Kalshi opens markets to FDA drug development bets | Why insurers don't cover GLP-1s
Thursday, July 23, 2026
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Today's News and Trends

CMS appeals court ruling on Medicare Advantage star rating methodology as insurers file lawsuits

The agency announced its appeal of a court ruling it lost to Clover Health, which resulted in the agency recalculating the grades it gave to the payer’s Medicare Part C plans. Other insurers are now asking for the same redo, spurring CMS to appeal the initial ruling.

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Medicare Advantage Part C clipboard payment
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CMS appeals court ruling on Medicare Advantage star rating methodology as insurers file lawsuits

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Medicare Advantage Part C clipboard payment
The agency announced its appeal of a court ruling it lost to Clover Health, which resulted in the agency recalculating the grades it gave to the payer’s Medicare Part C plans. Other insurers are now asking for the same redo, spurring CMS to appeal the initial ruling.
READ MORE >

Kalshi opens prediction markets to FDA drug development decisions, clinical trial outcomes

Users of the popular online betting marketplace can now wager on specific FDA regulatory scenarios, including when Eli Lilly’s new weight loss drug will be approved, or when camizestrant will be given the greenlight to treat breast cancer.

READ MORE >
betting big on AI artificial intelligence in healthcare
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Kalshi opens prediction markets to FDA drug development decisions, clinical trial outcomes

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betting big on AI artificial intelligence in healthcare
Users of the popular online betting marketplace can now wager on specific FDA regulatory scenarios, including when Eli Lilly’s new weight loss drug will be approved, or when camizestrant will be given the greenlight to treat breast cancer.
READ MORE >

Why aren’t health insurers rushing to cover GLP-1 prescriptions for beneficial weight loss?

In theory, GLP-1 receptor agonist drugs like semaglutide and tirzepatide should save a lot of money for the health insurers that pay for them. As it turns out, the lived reality is not keeping pace with the idealistic expectation. 

READ MORE >
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Why aren’t health insurers rushing to cover GLP-1 prescriptions for beneficial weight loss?

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In theory, GLP-1 receptor agonist drugs like semaglutide and tirzepatide should save a lot of money for the health insurers that pay for them. As it turns out, the lived reality is not keeping pace with the idealistic expectation. 
READ MORE >

Featured Articles

$17M lawsuit alleges upside-down heart valve left Oregon girl on life support

The medical error is said to have occurred at Oregon Health & Science University, but wasn’t discovered until the teenager was flown to Seattle Children’s Hospital for a transplant.

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broken heart stethoscope Takotsubo syndrome
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$17M lawsuit alleges upside-down heart valve left Oregon girl on life support

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broken heart stethoscope Takotsubo syndrome
The medical error is said to have occurred at Oregon Health & Science University, but wasn’t discovered until the teenager was flown to Seattle Children’s Hospital for a transplant.
READ MORE >

3 newsy must-reads on healthcare AI (plus 3 bonus picks)

1.) Some clinical AI has a fuzzy ROI. That doesn’t mean it shouldn’t be reimbursed. 2.) What makes biomedical research different from other sectors where AI has been quickly adopted? 3.) Unmoved by enthusiasm, health execs are making AI decisions around organizational priorities. 

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AI model algorithm tablet digital patient data
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3 newsy must-reads on healthcare AI (plus 3 bonus picks)

Share on Twitter Share on Facebook Share on Linkedin
AI model algorithm tablet digital patient data
1.) Some clinical AI has a fuzzy ROI. That doesn’t mean it shouldn’t be reimbursed. 2.) What makes biomedical research different from other sectors where AI has been quickly adopted? 3.) Unmoved by enthusiasm, health execs are making AI decisions around organizational priorities. 
READ MORE >

Tempus buys cancer diagnostics firm Personalis for $1.5B

That equates to $16.25 per share, a 6% premium over the current market price. The deal will expand Tempus’ molecular residual disease test offerings, allowing the company to better support cancer patients.

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defiant cancer survivor
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Tempus buys cancer diagnostics firm Personalis for $1.5B

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defiant cancer survivor
That equates to $16.25 per share, a 6% premium over the current market price. The deal will expand Tempus’ molecular residual disease test offerings, allowing the company to better support cancer patients.
READ MORE >

Women ER doctors less reluctant to err on the side of defensive medicine or proactive care—or maybe both

In emergency settings, female physicians order more tests and admit more patients than their male peers. The difference is not pronounced, but its presence suggests women physicians may have a greater tendency to consider peripheral assessment factors. 

READ MORE >
woman doctor physician nurse
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Women ER doctors less reluctant to err on the side of defensive medicine or proactive care—or maybe both

Share on Twitter Share on Facebook Share on Linkedin
woman doctor physician nurse
In emergency settings, female physicians order more tests and admit more patients than their male peers. The difference is not pronounced, but its presence suggests women physicians may have a greater tendency to consider peripheral assessment factors. 
READ MORE >

In Case You Missed It

Mangione’s federal murder trial delayed as state case begins in September

Luigi Mangione, the man accused of shooting UnitedHealthcare CEO Brian Thompson, faces a second-degree murder charge in New York, which carries the possibility of life in prison. Federal prosecutors will get a second crack at him in January.

READ MORE >
Mangione PA Police Photo
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Mangione’s federal murder trial delayed as state case begins in September

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Mangione PA Police Photo
Luigi Mangione, the man accused of shooting UnitedHealthcare CEO Brian Thompson, faces a second-degree murder charge in New York, which carries the possibility of life in prison. Federal prosecutors will get a second crack at him in January.
READ MORE >

As AI becomes integral to nursing, AI involvement becomes key to nurses’ job satisfaction

The portion of nurses regularly using AI is skyrocketing. It’s at 44% now after slouching in at just 15% a year ago. Yet only 8% of nurses say their organization has spelled out what it wants them to do with the technology.

READ MORE >
Mayo Clinic's AI Nurse Virtual Assistant
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As AI becomes integral to nursing, AI involvement becomes key to nurses’ job satisfaction

Share on Twitter Share on Facebook Share on Linkedin
Mayo Clinic's AI Nurse Virtual Assistant
The portion of nurses regularly using AI is skyrocketing. It’s at 44% now after slouching in at just 15% a year ago. Yet only 8% of nurses say their organization has spelled out what it wants them to do with the technology.
READ MORE >

In Other News

Surgeon hails new CABG technology as a 'technical breakthrough'

The new-look ELANA device from AMT Medical could simplify CABG procedures and help improve patient access to minimally invasive and robotic surgical techniques.

READ MORE >
Distal anastomoses are almost exclusively hand-sewn as a current standard of care, which limits the widespread implementation of less-invasive approaches. This trial looked at the ability of the ELANA device to more easily construct distal anastomoses in CABG.
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Surgeon hails new CABG technology as a 'technical breakthrough'

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Distal anastomoses are almost exclusively hand-sewn as a current standard of care, which limits the widespread implementation of less-invasive approaches. This trial looked at the ability of the ELANA device to more easily construct distal anastomoses in CABG.
The new-look ELANA device from AMT Medical could simplify CABG procedures and help improve patient access to minimally invasive and robotic surgical techniques.
READ MORE >

AI-backed imaging workflow helps generalist radiologists perform like breast specialists

Scaling the solution across the U.S. has the potential to mitigate the current shortfall of breast radiologists, researchers contend. 

READ MORE >
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AI-backed imaging workflow helps generalist radiologists perform like breast specialists

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Scaling the solution across the U.S. has the potential to mitigate the current shortfall of breast radiologists, researchers contend. 
READ MORE >

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