The Inflation Reduction Act (IRA) created the Medicare Drug Price Negotiation Program (DPNP). The aim of the program is to reduce the cost of pharmaceuticals for Medicare. A key question is how are investors viewing this policy and how is it impacting their investment decisions. A paper by Canestaro, Patterson and Campbell (2025) aimed to…
Executives of the California Medicaid insurer discuss the impact of new CalAIM benefits on the deployment of community health workers
Now is a good time for health systems to step back and ask some foundational questions instead of rushing into their next AI purchase. The post The Hidden Cost of Healthcare AI: Why Premium Prices Don’t Equal Premium Results appeared first on MedCity News.
Data is not optional; it is essential to financial stability and strategic growth. The organizations that thrive will be those that use data to lead, not follow. The post Data-Driven Decisions: Unlocking Strategic Financial Performance in Healthcare appeared first on MedCity News.
This analysis estimates that 48% of adults under age 65 with individual market coverage are either employed by a small business with fewer than 25 workers, self-employed entrepreneurs, or small business owners. Because the vast majority of this coverage is purchased through the Affordable Care Act (ACA) Marketplaces, changes to the ACA, including the expiration…
Any evidence of lice was once a reason for immediate dismissal from school, not to return until the student’s head was lice-free. But what are known as “no-nit” policies have been dropped in favor of “nonexclusion” rules, prioritizing class time over any nuisance caused by parasites the size of sesame seeds. That leniency, of late,…
Republicans insist that President Donald Trump’s cuts to Medicaid were aimed at reducing fraud and getting more of its adult beneficiaries into jobs. But the side effects may include less care for sick kids. Some children’s hospitals collectively stand to lose billions of dollars in revenue once Trump’s wide-ranging tax and spending law, which Republicans…
“Everybody can get” the covid-19 vaccine. Robert F. Kennedy Jr. on Sept. 4 in a Senate Finance Committee hearing When health secretary Robert F. Kennedy Jr. testified before the Senate Finance Committee on Sept. 4, several senators criticized him for restricting the covid-19 shots after promising in November he wouldn’t “take away anybody’s vaccines.” “Did…
By MATTHEW HOLT I have been on a quest to try to understand why I am being charged $34.95 by Labcorp for some lab tests that I think should be free under the ACA preventative care statutes, and for which my insurer Blue Shield of Californian has issued me an EOB with a $0 co-pay….
Michael Cannon makes the convincing case that the answer is a resounding ‘no’. Those who say that private health insurance companies are evil entities that profit from denying health care to patients fail to appreciate that private health insurance companies are in fact a wondrous force for good.Outrageous? Not at all. Health insurance companies get…