SPRINGFIELD, Ohio — Tyeesha Ferguson fears her 28-year-old son will kill or be killed. “That’s what I’m trying to avoid,” said Ferguson, who still calls Quincy Jackson III her baby. She remembers a boy who dressed himself in three-piece suits, donated his allowance, and graduated high school at 16 with an academic scholarship and plans…
ORANGE, Calif. — Carmen Basu, bundled in a red jacket and woolly scarf, stood outside the headquarters of her local health plan one morning after picking up free groceries. She had brought her husband, teenage son, and 79-year-old mother-in-law to help. They grabbed canned food, fruit and vegetables, and a grocery store gift card. And…
BALTIMORE — David Fitzgerald knows how tough it is to prevent gun violence. In 15 years working in some of Baltimore’s deadliest neighborhoods for a program called Safe Streets, he said, he’s defused hundreds of fights that could have led to a shooting. The effort, part of Baltimore’s more than $100 million gun violence prevention…
By NAHEEM NOAH A Call from the Black Hole Three months into building Carenector’s facility-to-facility platform, I got a call that crystallized everything wrong with healthcare referrals. A hospital social worker, who was already using our individual patient platform to help families find care, had been trying to coordinate an institutional placement for an 82-year-old…
More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or delays in care. The post Payers Made a Bold Prior Auth Commitment in 2025. Here’s What to Expect in 2026 appeared first on MedCity News.
Clinical decision support startup Aidoc has become a major player in healthcare AI thanks to its focus on acute, life-or-death cases and its R&D-first approach. As Aidoc continues to innovate, Chief Business Officer Tom Valent thinks its commitment to patient safety and transparency will be key contributors to future success. The post Why Are Aidoc’s…
The shortfalls that accompany this technology gap touch everything from continuity of care and outcomes to the patient experience. The post Mind The Gaps: Closing the Digital Divide to Improve Behavioral Healthcare appeared first on MedCity News.
The proposed models intend to test a payment model that modifies the inflation rebate using international drug pricing information
We’ve automated everything but the one workflow that most directly determines whether patients actually get the care they need. The gap between knowing what works and implementing it at scale reveals the real problem that healthcare treats referrals as an administrative burden to manage, not a critical workflow to optimize. The post The Referral Is…
A look back at some of the most intriguing statements from Healthcare Innovation interviews in the past year