2025
What’s Next for the Community Health Worker Role?
The Common Health Coalition’s Challenge on Community Health Workers is designed to advance meaningful CHW initiatives through partnerships between healthcare and public health
Overview of existing taxonomies of pricing and payment scheme
What options do payers have for setting prices for high-cost drugs? Examples include volume discounts, performance based contracts and coverage with evidence. However, is there a comprehensive taxonomy one can use for defining all these different pricing and payment options? The closest we have come is a new paper by Ardito, Ciani & Drummond (2024)….
Affordable Care Act Marketplace and Medicaid Expansion Enrollment Reached a Combined 44 Million in 2024
A new KFF analysis finds that there were 44 million people enrolled in health coverage through the Affordable Care Act’s Marketplaces and its expansion of the Medicaid program in 2024. That represents about 1 in every 6 people under age 65, or 16.4%. There was significant variation in ACA enrollment across states, ranging from…More
A Look at ACA Coverage through the Marketplaces and Medicaid Expansion Ahead of Potential Policy Changes
In 2024, ACA enrollment (including Marketplace, Medicaid expansion, and BHP) reached 44 million, or 16.4% of the nonelderly U.S. population. From 2020-2024, enrollment in ACA coverage increased by over 60%.
Tech-driven Heart Care Key to Cardiology Desert Crisis
The good news is that virtual solutions are becoming more sophisticated every day to eliminate these care deserts. These promising strategies are helping. The post Tech-driven Heart Care Key to Cardiology Desert Crisis appeared first on MedCity News.
Is ‘Big Data’ the Cure-all for U.S. Healthcare?
AI/big data haven’t solved healthcare’s challenges. Despite advancements, systemic barriers persist, but AI offers potential to improve outcomes and efficiency. The post Is ‘Big Data’ the Cure-all for U.S. Healthcare? appeared first on MedCity News.
GVX Venture Studio Launches FusionCare.AI: A One-Stop Shop for Obesity Care at the Future and Health Executive Summit at JPM 2025
Combining AI-driven insights with tailored care pathways, patients gain access to health coaches, psychologists, and treatment plans, while providers benefit from workflow optimization. The post GVX Venture Studio Launches FusionCare.AI: A One-Stop Shop for Obesity Care at the Future and Health Executive Summit at JPM 2025 appeared first on MedCity News.
Q&A: Can automated prior authorizations help providers meet new challenges in 2025?
Prior authorizations continue to challenge healthcare organizations as payer authorization requirements expand and change. Automated prior authorizations can bring new efficiency and consistency to a process that’s ripe for evolution, but how will providers make the leap? Alicia Pickett, Senior Product Manager at Experian Health, shares her perspectives on the issues providers are talking about…
Midwives Blame California Rules for Hampering Birth Centers Amid Maternity Care Crisis
Jessie Mazar squeezed the grab handle in her husband’s pickup and groaned as contractions struck her during the 90-minute drive from her home in rural northeastern California to the closest hospital with a maternity unit. She could have reached Plumas District Hospital, in Quincy, in just seven minutes. But it no longer delivers babies. Local…