AHIP (formerly America’s Health Insurance Plans) released a statement yesterday saying that their health plan members “announced a series of commitments to streamline, simplify and reduce prior authorization.” 48 US health plans signed off on the statement. What were AHIP’s 6 commitments? Standardizing Electronic Prior Authorization. Participating health plans will work toward implementing common, transparent submissions…
Health system performance has splintered into three distinct groups — leaders, strugglers and those stuck in the middle, according to Fitch Ratings’ Kevin Holloran. At the HFMA Annual Conference, he and Mayo Clinic CFO Dennis Dahlen discussed how technology and innovation are accelerating this divide. The post The Hospital Word Has Become a Tale of…
Novo Nordisk is ending its partnership with Hims & Hers due to concerns over its practices related to compounded GLP-1s. The post Why Novo Nordisk Is Dropping Its Collaboration with Hims & Hers appeared first on MedCity News.
Nektar Therapeutics’ biologic drug rezpegaldesleukin take a new approach to atopic dermatitis, or eczema, stimulating proliferation of immune cells that tamp down excessive immune responses. The drug met the goals of a Phase 2b study, but analysts note that cross-trial measures show those results are short of the marks achieved by Dupixent, the top biologic…
This resource examines U.S. global health funding awards going to U.S.-based implementers in FY2024, by state and congressional district
Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Dozens of insurance companies, including Cigna, Aetna, Humana, and UnitedHealthcare, agreed to several measures, which…
[Sponsored] Explore how integrated workflow solutions—powered by Veradigm’s suite of products—can transform your operations into a more efficient, connected healthcare system. The post From Data Silos to Integrated Care: Driving Provider Engagement appeared first on MedCity News.
[Sponsored] Unlike inpatient recovery, which requires you to live at a facility full-time, outpatient care allows you to continue working and maintain important relationships while getting necessary care. The post Your Guide to Outpatient Addiction Treatment: Top Choices in Sacramento and Beyond appeared first on MedCity News.
Healthcare doesn’t reward shortcuts. It rewards outcomes. AI will play a critical role in shaping those outcomes — but only if leaders measure what truly matters. The best AI implementations elevate expertise, improve quality and create space for innovation. The post How Smarter Metrics Can Unlock AI’s Potential in Healthcare appeared first on MedCity News.
The CMS vision is ambitious, but so is the potential for rehab therapy to shape its execution. To do that, providers must actively engage, document their impact, and advocate for their inclusion in evolving models of care. The post What the New CMS Strategy Signals for Rehab Professionals appeared first on MedCity News.