Managing routine radiology does not require the administrative burden of prior authorization. Instead, health plans can implement post-service, pre-payment automated management based on clinical guidelines. The post Managing Routine Radiology: An Opportunity to Control Costs and Improve Care appeared first on MedCity News.
Solution developers have a key role to play in mapping the full patient experience and providing patients with the tools and knowledge needed to overcome common hurdles and maintain high rates of compliance. Doing so will benefit both patients and innovators. The post How Developers Can Use Patient Feedback to Improve Health Outcomes appeared first…
On the last day of patient care at the Planned Parenthood clinic in Marquette, Michigan, a port town on the shore of Lake Superior, dozens of people crowded into the parking lot and alley, holding pink homemade signs that read “Thank You!” and “Forever Grateful.” “Oh my god,” physician assistant Anna Rink gasped, as she…
At the start of 2025, many issues are at play that will affect Medicaid coverage, financing, and access to care. While Medicaid was not discussed much on the campaign trail, Congress may consider big changes as part of tax and spending debates and the Trump administration may make changes to Medicaid through executive actions. Amid…
ADAIR, Iowa — The blue-and-white highway sign for the eastbound rest stop near here displays more than the standard icon of a person in a wheelchair, indicating facilities are accessible to people who can’t walk. The sign also shows a person standing behind a horizontal rectangle, preparing to perform a task. The second icon signals…
Trey Sutten, co-founder and CEO of Siftwell Analytics, talks about how his firm engages with community health plans on risk stratification, quality measures, and member retention
From Tyler Cowen at Marginal Revolution: One of the problems with an RFK Jr. ascendancy is that his core views, which run strongly against vaccines and pharmaceuticals, make it unlikely that any of these reimbursement revisions will be done in a rational or scientific way. The best evidence indicates that pharmaceuticals are a relatively cost-effective ways of saving…
Project Bread CEO Erin McAleer describes learnings as MassHealth’s Health-Related Social Needs program moves from pilot to broader roll-out
By MELISSA LUNARDI The Rise of Digital Grief Support We’re witnessing a shift in how we process one of humanity’s most universal experiences: grief. Several companies have emerged in recent years to develop grief-related technology, where users can interact with AI versions of deceased loved ones or turn to general AI platforms for grief support….
By MIKE MAGEE For those many, many millions of viewers who tuned in to the live coverage of former President Jimmy Carter’s funeral this week, they were rewarded with two hours of intriguing video images, and moving words and song, including a recounting of the beginnings of environmental advocacy as Los Angeles burns, and John…