Startup Atria Health’s Goal Is to Help Cardiology Practices Remain Independent
Matthew Eakins, M.D., CEO and co-founder of Atria Health, describes the company’s origins and the market opportunity
February 2025
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The New Game Plan for Star Ratings Must Start with Member Incentives
Medicare Advantage plans can more effectively position themselves for success under an evolving measurement system. Here are three strategic actions health plan leaders should prioritize to enhance 2026 bids to secure stronger Star Rating performance. The post The New Game Plan for Star Ratings Must Start with Member Incentives appeared first on MedCity News.
Eliminating the ACA Medicaid Expansion Match Could Reduce Total Medicaid Spending by Up To $1.9 Trillion Over 10 Years and End Coverage for 20 Million People
A new KFF analysis finds that a congressional proposal to significantly cut federal spending on the Affordable Care Act’s Medicaid expansion could reduce total Medicaid spending by up to nearly one-fifth, or $1.9 trillion, over a 10-year period, and end Medicaid coverage for as many as 20 million people. The impacts would be felt in…More
Building Patient Trust in Digital Health Software
We need apps that have been tested with real users to ensure they are intuitive and easy to use. The apps also need to be designed to be inclusive of different needs including patients with disabilities, different levels of tech literacy, and diverse needs. The post Building Patient Trust in Digital Health Software appeared first…
Skepticism Surrounding ADHD Diagnoses and Medication — The Monitor
This volume examines the impact of recent executive actions on federal health communication, along with concerns and stigmas surrounding ADHD diagnoses and treatments, including skepticism about pharmaceutical influence on medication promotion. It also explores distrust in food regulations following the FDA’s ban on Red Dye No. 3.
Healthcare revenue cycle challenges and how to overcome them
Revenue cycle management (RCM) challenges exist at every stage of the patient journey – from patient intake and registration to insurance eligibility, claims processing and collections. Creating administrative efficiencies, reducing claims denials, improving the patient experience and remaining compliant with payer requirements and industry regulations all play a role in successfully managing revenue cycles and…
Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care
HELENA, Mont. — When Lou and Lindsay Volpe’s son was diagnosed with a chronic bowel disease at age 11, their health insurer required constant preapproval of drugs and treatments — a process the Volpes say often delayed critical care for their son. “You subscribe to your insurance policy, you pay into that for years and…
Top California Democrats Clash Over How To Rein In Drug Industry Middlemen
California Gov. Gavin Newsom and state legislators in Sacramento seem to agree: Prescription drug prices are too high. But lawmakers and the second-term governor are at odds over what to do about it, and a recent proposal could trigger one of the biggest health care battles in Sacramento this year. A California bill awaiting its…
Republican States Claim Zero Abortions. A Red-State Doctor Calls That ‘Ludicrous.’
In Arkansas, state health officials announced a stunning statistic for 2023: The total number of abortions in the state, where some 1.5 million women live, was zero. In South Dakota, too, official records show zero abortions that year. And in Idaho, home to abortion battles that have recently made their way to the U.S. Supreme…
Eliminating the Medicaid Expansion Federal Match Rate: State-by-State Estimates
This analysis examines the potential impacts on states and Medicaid enrollees of eliminating the 90% federal match rate for the Affordable Care Act (ACA) expansion. Eliminating the federal match rate for adults in the Medicaid expansion could reduce Medicaid spending by nearly one-fifth ($1.9 trillion) over a 10-year period and up to nearly a quarter…