Surprise tends to magnify human emotion. If the surprise is positive, a person’s reaction to it will be intensely positive. If it’s negative, it will be extremely negative. Such is the case with unexpected medical bills, and that’s one reason why the No Surprises Act was passed in 2021. It aims to protect consumers from…
A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars — only to abruptly back off amid an “uproar” from the industry, newly released court filings show. The Centers for Medicare & Medicaid Services published the draft regulation in January 2014. The rule…
The conversation wasn’t sounding good for Kensington residents on June 20. The Philadelphia neighborhood is a critical center of the nation’s opioid crisis, and the city had decided to spend $7.5 million in opioid settlement money to improve the quality of life there. But on that day, a Pennsylvania oversight board was about to vote…
GREELEY, Colo. — In early August, farmworkers gathered under a pavilion at a park here for a picnic to celebrate Farmworker Appreciation Day. One sign that this year was different from the others was the menu: Beef fajitas, tortillas, pico de gallo, chips, beans — but no chicken. Farms in Colorado had culled millions of…
Caitlyn Mai thought she did everything right. She called ahead to make sure her insurer would cover her cochlear implant surgery. She thought everything went according to plan but she still got a bill for the full cost of the surgery: more than $139,000. What Caitlyn did next is a reminder of why a beloved…
By GEORGE HALVORSON MedPac has just released a report on Medicare Advantage that’s incorrect on multiple key points that need to be corrected. Medicare Advantage currently enrolls the majority of Medicare members in the country, and it’s now the new basic plan for the Medicare program because of that majority enrollment level. That’s very good…
Automation startup Qventus launched a new AI assistant designed to alleviate healthcare staff’s administrative burden by completing mundane tasks for them. The assistant was built in collaboration with health systems, including Northwestern Medicine, Ardent Health and Allina Health. The post Why Northwestern Is Using Qventus’ New AI Assistant appeared first on MedCity News.
The RE-AIM framework developed by Glasgow et al. (1999) has five evaluation components. Reach: share of people from a given population who participate in a program and their characteristics. For instance, organizational reach with stakeholders could be indirect, intended or direct. Reach is the number of participants in the program divided by the size of…
Waltz Health launched Waltz Connect on Monday. The solution supports payers and aims to lower specialty drug costs. The post Waltz Health Unveils New Solution to Lower Specialty Medication Costs appeared first on MedCity News.
The industry is increasingly under attack by lawmakers from both parties for drug prices most Americans regard as unreasonable, so the election outcome could be pivotal to drug companies’ fortunes. The post For Big Pharma, Trump vs. Harris Is a Clash Between Two Industry Foes appeared first on MedCity News.