Health insurance in the U.S. is notoriously confusing. So we’re covering the basics to make navigating your plan a little easier. We explain the difference between a deductible and an out-of-pocket limit, define copay and coinsurance, and point out where surprise bills can get you in trouble, from out-of-network providers to prior authorizations. Read more…
An independent orthopedic surgeon in New York is claiming that he is being unfairly pushed out of a regional hospital owned by Mount Sinai Health System. The post Was Mount Sinai’s Victory in a Dispute Over a Physician’s Credentialing Worth It? appeared first on MedCity News.
Immunology-focused Windward Bio raised a mega-round of financing to support a lead program in development for respiratory disorders and a second program that could find use in respiratory and dermatological indications. Both drugs are long-acting antibodies that offer a dosing edge over currently available biologic medicines. The post Windward Bio Secures $165M for Clinical Trials…
The Department of Justice’s new “West Coast” strike force targets Arizona, Nevada and Northern California — regions flagged for rising Medicaid, hospice and tech-enabled fraud risks. Legal experts say the effort signals a broader shift toward data-driven enforcement, as regulators ramp up their scrutiny of telehealth companies and billing automation software. The post DOJ Doubles…
By investing upfront in a more highly trained homecare workforce, states can avoid the massive costs associated with acute interventions and admissions to hospitals and residential facilities. The post States are Advancing Homecare’s Next Big Step — Paying Caregivers for Skill, Not Just Time appeared first on MedCity News.
The question isn’t whether costs will rise. It’s whether employers will continue managing around the margins — or address the root cause. The post GLP-1s, Specialty Spend, and a 9% Cost Surge: Why Employers Must Rethink Primary Care Now appeared first on MedCity News.
The truth is there are ways to understand our cancer risk more precisely than we do today, and there are tools to manage it. What’s missing is awareness, access, and a system built to help us use these tools before something goes wrong. The post Why We’re Still Finding Cancer Too Late appeared first on…
Céline Gounder, KFF Health News’ editor-at-large for public health, discussed the cruise ship hantavirus outbreak on PBS NewsHour, Fox’s LiveNow From Fox, and CBS News’ CBS Mornings on May 5. She also discussed the hantavirus outbreak on NPR’s Morning Edition on May 6. Click here to watch Gounder on PBS NewsHour. Click here to watch Gounder…
From a Topaz et al. (2026) paper in The Lancet reviewing citations across 2.5 peer-reviewed papers in PubMed: Among 97·1 million verified references, we identified 4046 fabricated references across 2810 papers (illustrative examples are shown in the appendix p 5–6). In 2023, approximately one in 2828 papers contained at least one fabricated reference. By 2025,…
Pennsylvania sued Character.ai, alleging one of the startup’s AI chatbots illegally practiced medicine by posing as a licensed psychiatrist. The case marks the second state lawsuit against the startup and highlights growing regulatory scrutiny of AI chatbot platforms and their safety guardrails. The post Pennsylvania Sues Chatbot Over Claims It Impersonates Doctors appeared first on…