SARASOTA, Fla. — Florida plans to end nearly a half-century of required childhood immunizations against diseases that have killed and maimed millions of children. Many critics of the decision, including doctors, are afraid to speak up against it. With the support of Republican Gov. Ron DeSantis, Surgeon General Joseph Ladapo on Sept. 3 announced his…
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Experts believe value-based care won’t ever reach scale unless fundamental barriers are addressed — including voluntary models, misaligned payer incentives, excessive metrics and weak employer engagement. The post What’s Standing in the Way of Healthcare Payment Reform? appeared first on MedCity News.
Threat actors continue to refine their strategies, and the financial incentives for cybercrime persist. However, the combination of stronger defenses, regulatory pressure, and industry collaboration is starting to shift the balance in favor of defenders. The post The Changing Landscape of Ransomware: Why Healthcare Organizations Are Paying Less appeared first on MedCity News.
Donor government funding to combat HIV in low- and middle-income countries fell by $2.1 billion in 2025, a 25% decrease from the previous year, according to a new report by KFF and the Joint United Nations Programme on HIV/AIDS (UNAIDS). Total disbursements dropped to $6.2 billion in 2025, down from $8.
This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for…
Headed into a lame-duck session, the AHA requested Congress to act on key priorities for health systems before the end of 2024
[Sponsored] In this episode, MedCity News’ Arundhati Parmar chats with a pharmacy benefits leader and a virtual pharmacy operator about ways to modernize and scale prior authorization. The post MedCity Pivot Podcast: Modernizing Prior Auth appeared first on MedCity News.
This poll looks at awareness and concern over the outbreak of measles in the U.S. and finds that a growing share of adults is encountering false claims about the measles vaccines, but many are uncertain whether these claims are true or false. Parents who lean toward believing the false claims are less likely to say…
Community oncology practice believes responding to patient symptoms earlier will keep patients out of the ER or hospital