Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans’ members, a new federal watchdog report says. The investigators allege that some insurers effectively set up “ghost networks” of psychologists, psychiatrists, and other mental health professionals who purportedly have agreed to treat patients covered…
Lumeris says ‘Tom’ platform to enable tracking, performance management, and scalable best-next-action workflows embedded in clinical operations
Flu season is rapidly approaching, which means healthcare providers must ramp up their preparedness efforts. What can they do to ensure they’re ready to meet the seasonal surge in demand? Recent data from the southern hemisphere, often a forecast of what’s to come in the US, suggests that this year’s flu season will likely be…
Este año, el período de inscripción abierta para adquirir un plan médico en los mercados estatales y federales establecidos por la Ley de Cuidado de Salud a Bajo Precio (ACA, conocida también como Obamacare), que comenzó el 1 de noviembre en la mayoría de los estados, está lleno de incertidumbre y confusión para más de…
Giving dentists more hands-on training provides a platform for repeated practice, real-time feedback, and continuous improvement, helping prepare students with the confidence and consistency they need to succeed in patient care. The post AI-Based Simulation Training is Key to Solving Dentistry’s Procedural Skills Crisis appeared first on MedCity News.
Cigna’s self-insured clients now have the option to offer the Hinge Health platform to its employees. Through the platform, patients gain virtual access to physical therapists, health coaches, real-time guidance and a wearable pain relief device. The post Hinge Health Launches MSK Collaboration with Cigna Healthcare appeared first on MedCity News.
The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to…
The public health community can circle the wagons and complain about the attacking forces outside. Alternatively, public health advocates can take a hard look in the mirror, get outside of their bubble, frankly identify failures and missteps, and determine how to regain the trust of an increasingly skeptical public. The post Public Health’s Proudest Moment…
Innovaccer is committing $250 million to expand its AI agent platform, which automates workflows across areas like prior authorization, revenue cycle management and population health. The move comes amid an ongoing debate over whether administrative AI tools can ultimately reduce costs for providers. The post Why Innovaccer Is Pouring $250M into Its Agentic AI Platform…
“A lot of times, health care comes with a job.” Sen. John Thune (R-S.D.), in an interview with KOTA on May 30, 2025 Millions of people are expected to lose access to Medicaid and Affordable Care Act marketplace health insurance plans if federal lawmakers approve the One Big Beautiful Bill Act, President Donald Trump’s domestic…