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…
Using data from the 23rd KFF survey of officials administering Medicaid home care programs, this issue brief describes the mechanisms states are currently using to limit Medicaid spending on home care and their plans for adopting new mechanisms in state fiscal year (FY) 2026.
Prior authorization is a sore subject for payers and providers. So what if it went away? In a recent fireside chat hosted by MedCity News, Don Antonucci, CEO of Providence Health Plan, shared his thoughts. The post Video: What Would Happen If Prior Authorization Went Away? appeared first on MedCity News.
By KIM BELLARD Over the years, one area of tech/health tech I have avoided writing about are brain-computer interfaces (B.C.I.). In part, it was because I thought they were kind of creepy, and, in larger part, because I was increasing finding Elon Musk, whose Neuralink is one of the leaders in the field, even more…
Clinical trials focus in-sample (direct) effect of vaccines on health outcomes (e.g., decrease in illness, hospitalization, emergency department use, and death). Typically, however, clinical trials do not test whether the vaccines reduce transmission. FDA do not require this as it would be logistically challenging and costly to estimate indirect effects of vaccination within a clinical…
It’s a truth that many healthcare communicators overlook: the mental health crisis spans generations, yet the way people engage with mental health content is deeply shaped by age, experience and culture. The post Four Generations, One Conversation: Bridging the Mental Health Messaging Gap appeared first on MedCity News.
David Garza a veces siente que no tiene seguro médico, por lo caro que le cuesta tratar su diabetes tipo 2. Su prima mensual de $435 por la cobertura familiar es casi igual a la del seguro de su trabajo anterior. Pero el plan de salud de su empleo actual tiene un deducible anual de…
Hinge Health is poised to go public, 23andMe has filed for bankruptcy, and the importance of data sharing are the focus of the latest episode of the Debunked podcast with MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch. The post Debunked Episode 14: Is This a Good Time for…
There’s always going to be a new AI tool promising to save healthcare, optimize a workflow, or save someone a few minutes a day. But before we chase every emerging use case, we should tackle the biggest, most expensive part of the system: labor optimization. The post The Most Impactful AI in Healthcare Isn’t Clinical,…
By DAVID INTROCASO After having worked in DC for sixteen years, in 2013 I created The Healthcare Policy Podcast. The title was in part intended to be sarcastic because healthcare policymaking in DC is very narrowly drawn. Consequently, healthcare delivery is excessively commodified, reductionistic and financialized or in sum anachronistic and ironically lacking purchase. If the…