About 200,000 low-income Arkansans could see major changes to their health coverage next year after the Trump administration recently informed state officials it will not renew a key Medicaid agreement with the federal government. The decision by federal officials, citing authority granted under President Donald Trump’s signature tax-and-spending law, suggests the GOP-led state’s predicament could…
A court ruling struck down key parts of how regulators calculate the No Surprises Act’s qualifying payment amount, siding with the Texas Medical Association’s argument that the formula has historically favored payers in arbitration. The post Appeals Court Sides with Providers in No Surprises Act Pay Dispute appeared first on MedCity News.
Cotiviti launched an AI-powered coordination of benefits solution that uses enrollment data to identify and resolve coverage issues before claims are submitted. The post Cotiviti Launches AI Solution to Address Coordination of Benefits Issues appeared first on MedCity News.
Sangamo Therapeutics filed for Chapter 11 bankruptcy in June after its search for strategic alternatives failed to find a path forward for the company. PTC Therapeutics’ auction win brings a Sangamo gene therapy candidate for Fabry disease, a rare inherited disorder with few treatment options. The post PTC Therapeutics’ $211M Bid Wins Bankruptcy Auction for…
In healthcare, enterprises are moving slower than the hype cycle would lead you to believe. That said, they’re not moving slowly – they are saying yes to AI, as long as it can solve for specific workflow needs. The post Founders Should Stop Worrying If They’re “AI Enough” appeared first on MedCity News.
The initiative focuses on developing practical cybersecurity guidance and playbooks for healthcare organizations facing frontier AI threats
This analysis of available 2025 prior authorization data finds insurers denied at least 1 in 8 standard requests for prior authorization across three insurance markets: Medicare Advantage, Medicaid managed care, and the federally facilitated ACA Marketplaces. Denial rates varied wide segments by insurer. The analysis highlights limitations of the data and challenges for consumers interpreting…
Findings from KFF’s July Health Tracking Poll show that much of the public is unsure of the abortion pill mifepristone’s safety. Plus, some groups opposed to abortion are citing a misleading paper in an effort to classify mifepristone as a water contaminant, despite criticism of the paper’s methodology.
MACY, Neb. — Erica Carter is passionate about her job, and she has seven acres of flowers and vegetables to show for it. Carter’s specialty is reeling in grants to support students in the Omaha Nation school district, where she is a finance manager. One paid for the garden that sits next to the district’s…
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. Work Requirements Unfairly Burden Medicaid Applicants Great story (“A Deloitte-Run System Denied Medicaid Benefits for Michigan’s Disabled. Now Trump’s Law Piles On,” July 21). However, a key point was missed. The…