The 72-Hour Hurdle: Faster Prior Authorization is Exposing Healthcare’s Broken Billing Cycle
The healthcare ecosystem is fixing how quickly decisions get made, without fixing how quickly money…
The 72-Hour Hurdle: Faster Prior Authorization is Exposing Healthcare’s Broken Billing Cycle
The healthcare ecosystem is fixing how quickly decisions get made, without fixing how quickly money actually moves. This isn’t a failure of reform. It’s evidence that reform is working — and revealing where modernization needs to continue. The post The 72-Hour Hurdle: Faster Prior Authorization is Exposing Healthcare’s Broken Billing Cycle appeared first on MedCity…
Why Traditional CQI Breaks Down as EMS Agencies Grow
The problem isn’t that CQI no longer matters. It’s that traditional approaches were never built for the scale and complexity many agencies are now dealing with. The post Why Traditional CQI Breaks Down as EMS Agencies Grow appeared first on MedCity News.
The Smart Way to Build the Future of Fertility Benefits
The challenge isn’t just access to fertility benefits, it’s how those benefits are structured and delivered. Here are three emerging themes that can help employers better align cost, quality and experience. The post The Smart Way to Build the Future of Fertility Benefits appeared first on MedCity News.
Shifting Our Focus to Sample Sensitivity: The Metric That Deserves More Attention in Respiratory Care
The positive ripple effect of high specimen sensitivity influences the clarity of diagnoses, the timing of treatment and the efficiency of care delivery across systems, while also protecting communities from further disease spread for stronger outbreak control. The post Shifting Our Focus to Sample Sensitivity: The Metric That Deserves More Attention in Respiratory Care appeared…
Medicare Advantage in 2026: Enrollment Update and Key Trends
More than half (55%) of eligible Medicare beneficiaries are enrolled in Medicare Advantage in 2026. To better understand trends in the growth of the Medicare Advantage program, this brief provides current information about enrollment, including by plan type and firm
Medicare Advantage in 2026: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization
This brief provides information about Medicare Advantage plans in 2026, including premiums, out-of-pocket limits, supplemental benefits, and prior authorization, as well as trends over time.
Millions of Kids Could Lose Insurance as GOP Healthcare Cuts Start To Bite
0:00 0:00 Produced in partnership with: Embed Download Volume Speed 0.5x 1x 1.25x 1.5x 2x Embed this player × <iframe src=”https://kffhealthnews.org/insurance/health-hub-kids-lose-insurance-coverage-gop-healthcare-cuts/embed/” width=”600″ height=”200″ frameborder=”0″ scrolling=”no” title=”Millions of Kids Could Lose Insurance as GOP Healthcare Cuts Start To Bite”></iframe> Copy More than 1 million children have lost insurance since President Donald Trump took office in 2025….
‘We Live With Fear’: In Congo, Doctors Face Ebola With Little Protection
Harrowing scenes are unfolding at health facilities at the epicenter of an Ebola outbreak in the Democratic Republic of Congo. A 25-year-old midwife and a doctor in his early 30s are sick with Ebola symptoms, including fevers and severe joint pain, said their colleague Elisabeth Furaha, the medical director at SOFEPADI’s Karibuni Wa Mama Medical…
Upcoming Billing Change Could Make Pregnancy Pricier
Having a baby in the United States is about to get more complicated. Under new billing codes that take effect in January, doctors who manage maternity care will start charging à la carte for visits and services related to pregnancy, childbirth, and postpartum care. It’s an about-face from recent years, when doctors have often received…
What the ‘One Nation, Overcharged’ Campaign Aims to Achieve
One Nation, Overcharged, a campaign backed by the Robert Wood Johnson Foundation, launched to raise awareness of rising healthcare costs. The post What the ‘One Nation, Overcharged’ Campaign Aims to Achieve appeared first on MedCity News.
