Guideline directed care pathways are a way to shift from transactional PA, where each service requires separate approval, to an episode-of-care model. The post It’s Time to Rethink Prior Authorization for Chronic and Serious Conditions appeared first on MedCity News.
Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans’ members, a new federal watchdog report says. The investigators allege that some insurers effectively set up “ghost networks” of psychologists, psychiatrists, and other mental health professionals who purportedly have agreed to treat patients covered…
Marlow Hernandez, the founder and former CEO of Cano Health, is facing a jury trial this week over allegations that he fraudulently enriched himself and his family while managing the senior-focused primary care company. Cano filed for bankruptcy last year — an event many industry experts attributed to Hernandez’ poor governance. The post Ex-Cano Health…
Withings Health Solutions added Ilant Health to its Obesity Care Network and shared best practices to improve patient monitoring, engagement and outcomes. The post Withings Health Solutions Expands Obesity Care Network, Launches Best Practices for Treatment Programs appeared first on MedCity News.
BioCryst Pharmaceuticals’ Astria Therapeutics acquisition brings navenibart, a drug in Phase 3 testing for the rare disease hereditary angioedema. The injectable antibody has the potential to match the efficacy of the blockbuster Takeda Pharmaceutical drug that currently dominates the market, but with less burdensome dosing that could encourage HAE patients to switch. The post BioCryst’s…
Clinging to our old models is equivalent to waiting for failure. We need to embrace the tools, team structures, and delivery models that this ongoing crisis demands. The post Stress Test: OBBBA, Rural Fragility, and Innovation appeared first on MedCity News.
Ideas floated by the Trump Administration and Democrats in Congress aim to expand access to fertility treatment as an essential health benefit. But an influx of patients could collide with an already-brittle system of 430,000 annual cycles, 5,000 embryologists, and long-overdue lab upgrades. The post IVF Coverage Proposals Could Squeeze U.S. Fertility Clinics Without Improving…
[Sponsored] Health care professionals can learn more about the top-rated ABA therapy providers in New Hampshire to understand where their patients can get help from industry leaders. The post New Hampshire’s Leading ABA Therapy Centers: A Comparison appeared first on MedCity News.
UK to pay more for pharmaceuticals?Prior distributions for regression coefficients.What is the “Rural Health Fund”Pedestrian deaths in the US (Part 1, 2)US physicians in private practice dropped from 60.1% (2012) to 42.2% (2024).
Verily has launched a free consumer health app that aggregates users’ medical records, helps them track their habits and delivers personalized preventive care recommendations. The app also features an AI-powered health assistant that contextualizes users’ data. The post Verily Launches Free Consumer Health App to Put AI-Powered Insights in Users’ Hands appeared first on MedCity…