As our healthcare system has evolved to provide higher quality care to more — and increasingly clinically complicated — people, the disconnect between what’s billed, what’s documented, and what’s actually true has deepened. The post Payment Integrity is a Systems Problem, not a Data Glitch appeared first on MedCity News.
The growing use of AI chatbots for medical questions should not be seen as a threat to the healthcare system, but as a signal that patients aren’t trying to replace their physicians; they’re trying to find them. The post ChatGPT for Medical Use Is a Cry for Help. We Need Better Medical Triage appeared first…
[Sponsored] The 2025 Benefits Sentiment Index finds that self-insured employers are shifting their positions on healthcare navigation, GLP-1 drugs and more. The post What Direction is Healthcare Navigation for Self-Insured Employers Moving? appeared first on MedCity News.
Florida plans to end all vaccine mandates, drawing sharp criticism from health experts who warn it threatens public health and could lead to preventable disease outbreaks. The post Healthcare Experts Slam Florida’s Plan to End Vaccine Mandates appeared first on MedCity News.
Lawmakers and health experts convened on Capitol Hill this week to discuss the use of AI in healthcare. They highlighted the technology’s potential to reduce administrative burdens and boost care access in rural areas — while also warning about oversight gaps and the risks of AI-driven prior authorization. The post What Did Lawmakers Discuss at…
FDA Commissioner Marty Makary said publishing complete response letters recognizes public interest in the transparency and credibility of agency decision-making about drugs. He also said the move complies with an executive order that covers the communication of scientific data. The post Embracing Transparency, FDA Will Make All Future Drug Rejection Letters Public appeared first on…
There’s always going to be a new AI tool promising to save healthcare, optimize a workflow, or save someone a few minutes a day. But before we chase every emerging use case, we should tackle the biggest, most expensive part of the system: labor optimization. The post The Most Impactful AI in Healthcare Isn’t Clinical,…
The pathway for health plans to achieve better Star ratings performance in their MA business depends on creating an ecosystem where providers are supported with the right tools and resources, incentives are properly aligned, and the member experience remains central to all initiatives. The post What’s Missing from Your Tool Chest? How Health Plans Can…
[Sponsored] In this webinar, sponsored by Solera Health, executives will share how companies can make the most of healthcare benefits. The post Exploring The Next Generation of Healthcare Benefits appeared first on MedCity News.
Eschewing the traditional model of financing biotech startups milestone to milestone to support a lead asset, Treeline Biosciences’ well-funded pipeline is comprised of multiple complementary programs. Select investors have supported the approach of Treeline, which said it has raised more than $1.1 billion to date. The post Startup Treeline Bio Emerges From the Shadows With…