How do we tip the scale to lower the rate of denials? While AI has been the initial decision-maker for years, it must become better trained. And to do that, it needs help. The post Better AI + Correct Provider Guidance = Fewer Denials appeared first on MedCity News.
BOGALUSA, La. — Less than a mile from a century-old mill that sustained generations in this small town north of New Orleans, 19-year-old Tajdryn Forbes was shot to death near his mother’s house. She found Forbes face down in the street in August 2023, two weeks before he had planned to move away from the…
In the final days of 2025, governors around the country trumpeted the hundreds of millions of federal dollars they won from a new, $50 billion rural health fund. But plans to spend those nine-digit awards aren’t all warmly received. At least one group of Republican state lawmakers appears to have scuttled an initiative preapproved by…
The number of US employees offered ICHRAs continues to grow. Yet, headwinds – including competition, individual coverage market uncertainty, and complexity – may hamper the ICHRA opportunity. The post So What’s the Deal with ICHRA? appeared first on MedCity News.
How best can you design an outcomes based agreement (OBA)? What are the key factors to consider? Project IDEATE is a “cross-disciplinary collaboration between National Health Service (NHS) Wales, industry and academia” with the aim to develop and refine OBA models. What were the key factors IDEATE considered for an OBA? Feasibility: Identify parameters to…
Currently available therapies for Hunter syndrome don’t cross the blood-brain barrier to address cognitive symptoms of the inherited enzyme deficiency. Denali Therapeutics’ technology gets its drug across the protective membrane, and the biotech plans to seek accelerated FDA approval in this rare disease. The post Denali’s Data in Rare Enzyme Deficiency Keep It on Pace…
HHS struggles in carrying out its cybersecurity responsibilities, GAO report shows
Over 99 percent of non-federal acute care hospitals in the U.S. have adopted certified EHR systems by 2024
Microsoft launched Copilot Health, an AI model that pulls together users’ medical records, wearable data and trusted health information. The move comes amid a wave of other tech companies announcing healthcare-focused large language models for consumers, including Anthropic, OpenAI and Amazon. The post Microsoft Enters Healthcare Chatbot Race with Copilot Health appeared first on MedCity…
Reperio Health is trying to really boost the delivery of at home health testing, including not only weight and blood pressure but also cholesterol, obesity and blood sugar. Having use the kit and done an at home demo, I’m pretty interested to see if this can be a front-end telehealth service to get the average…