Surveying the Landscape of Computable Consent
Sequoia Project work group co-chairs discuss the state of granular data-sharing consent and some possible approaches to further progress
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Beyond Stigma: Why Addressing Maternal Mental Health Means Confronting Systemic Failures
By EMILY JOHNSON Imagine you’re an executive at a large health system in a major metropolitan area. One morning, you wake up to a missed call and a voicemail from your PR leader. It’s urgent: one of your employees–who was also a patient and a member of the organization–has unexpectedly died by suicide. Their family…
Akero Smashes Expectations in MASH, Showing Its Drug Reverses Fibrosis in Fatty Livers
Akero Therapeutics reported that at 96 weeks, 39% of patients who received the 50 mg dose of efruxifermin achieved improvement in fibrosis, or liver scarring, caused by the fatty liver disease MASH. This study previously failed to achieve statistically significant improvement at 36 weeks, but Akero executives say the latest results show that longer dosing…
Ardent Executives Look Beyond Urgent Care in Outpatient Plans
Surgery centers are the next focus, President and CEO Martin Bonick told a recent industry conference. But that push is more likely to be about building than buying.
5 Critical Lessons from Year One of Hybrid Measure Submissions
The transition to hybrid measures in 2024 has been more than just a regulatory requirement — it’s been a catalyst for meaningful change in how we approach quality reporting. Here are five critical insights that can help healthcare organizations comply with requirements and excel in their quality reporting journey. The post 5 Critical Lessons from…
HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data
HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of claims for out-of-network services in 2023, a new KFF analysis finds. The analysis examines the main source of publicly available data on claims denials and appeals for individual-market plans available through the…More
Claims Denials and Appeals in ACA Marketplace Plans in 2023
This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for…
Bridging the Gap Between Herbal Wisdom and Scientific Research
What if these two worlds weren’t at odds? What if they were two parts of the same story, waiting to be brought together for the benefit of all? The post Bridging the Gap Between Herbal Wisdom and Scientific Research appeared first on MedCity News.
Feb. 10 Virtual Event: The Health Wonk Shop: What’s Next for the Affordable Care Act?
Health coverage enrollment through the Affordable Care Act (ACA) marketplaces now exceeds 24 million people, a dramatic increase in recent years fueled largely by enhanced premium aid, which started in 2021 as part of the American Rescue Plan Act and extended through 2025 under the Inflation Reduction Act. But, with the subsidies set to expire…More
An Arm and a Leg: The ‘Shkreli Awards’ — For Dysfunction and Profiteering in Health Care
Every year, a health care think tank called the Lown Institute ranks the 10 worst examples of “profiteering and dysfunction” in health care and “honors” the winners. The “Shkreli Awards” are a kind of Oscars for the most outrageous examples of greed, fraud, and general brokenness in American health care. The awards are named after…