62 Organizations Call on Congress to Advance 4 Medicare Reforms
The AMA and 61 healthcare organizations are urging Congress to advance four Medicare reforms to stabilize physician payments and protect patient access to care.
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Sustaining Effective Care Teams During Staff Shortages
Join us on December 9 at 1 p.m. ET for an Inovalon-sponsored webinar, where panelists will discuss why hospitals and post-acute care facilities continue to struggle with staffing shortages and turnover. They will also share practical ways to keep employees engaged, reduce burnout, and build more stable care teams.
How Innovation in BTK Inhibitor Development Is Improving Treatment Outcomes
BTK inhibitor has become an important treatment option for certain B-cell malignancies.
Experian Health Survey: Providers Struggle Amid Increasing Claim Denials
A new Experian Health survey finds that healthcare providers’ efforts to prevent claims denials are falling short, with many reporting an increase in denials over last year and increasingly complex payer requirements.
Debunked Episode 31: CVS Health Restructure, AI ROI Report Findings, FTC Warning Letters
In the latest episode of the Debunked podcast, MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, Managing Partner of Health Innovation Pitch, talked about a new report by Bessemer Venture Partners assessing AI ROI, their insights on the CVS Health restructure, FTC warning letters sent to healthcare organizations, and more.
Do We Have a Choice But to Ensure the Success of VBC? Part 1
In part 1, we delve into how physicians are looking at value-based care. It involves a visit to a local
Why the Wealth of Data From Wearables Are Important for Consumers and Clinicians
Growing use of wearable technologies and the data they produce was discussed by a panel at the MedCity News INVEST Digital Health Conference in Dallas.
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The Healthcare Payments Industry Faces a Perception Challenge
Healthcare payments are no longer about transactions. It’s about controlling the revenue cycle. And increasingly, that control is not sitting with ISOs.
When Medicaid’s Data Can’t Verify Eligibility, Members Shouldn’t Lose Coverage
When verification fails and an eligible member loses coverage, treatment can be interrupted, medications can go unfilled and manageable conditions can become medical emergencies.
Breast Cancer Survivorship Is a Menopause Problem Nobody Owns
For all the pink ribbons we see, women with breast cancer are abandoning one of the most effective treatments they have because of symptoms no one in their care team is clearly responsible for.
7 Potential Problems with Medicare’s AI Prior Authorization Experiment
The federal government is testing whether artificial intelligence can help Medicare identify unnecessary medical care, speed up the prior authorization process, and reduce healthcare spending. But a new report based on evidence recovered from a lawsuit raises concerns about the AI experiment.
Mental Health Care Was Never Built for Everyone — AI Won’t Fix That
Companies aren't slowing down to ask if AI is ready for mental health; they're racing to build it in. Encoding the same unexamined standards into these tools means repeating the systemic issues marginalized groups have lived with for far too long.
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The AI-Native Clinician Is Already Here. Medical Education and Health Systems Need to Catch Up.
Medical students, residents, and fellows are not waiting for formal guidance on artificial intelligence before putting it to use.
Midstream Health Snags $20M to Provide Health Systems More Financial Stability
Midstream's Series A round was led by Valtruis, and included participation from Andreessen Horowitz (a16z), Foundry and CommonSpirit Ventures.
Prestige Is a Business Model
An employer that treats board disclosure, community benefit reporting, and contracting terms as three separate conversations is missing that they are the same conversation.
A Meaningful Signal on Palliative Care – But Not Yet a Benefit
CMS asked the right questions - the ones that will determine whether any future benefit actually reaches these patients.
Ahead of Midterms, HFMA Calls for Cross-Sector Action on Healthcare Affordability
With healthcare affordability set to influence voters’ decisions in next week’s midterm elections, the Healthcare Financial Management Association is calling on healthcare leaders to move beyond finger-pointing and work together to address rising costs. HFMA is urging financial leaders across healthcare to sign its Declaration on Healthcare Affordability and Sustainability.
Work Requirements Put New Pressure On Medicaid Member Retention
By using existing data to better understand members and implementing retention strategies, plans can remain sustainable and members can get the care they need.