[Sponsored] Fraud, waste, and abuse (FWA) continue to challenge dental plans as overtreatment, miscoding and inappropriate billing practices drive unnecessary costs and weaken payment integrity. For dental payers, the stakes extend beyond financial losses: these issues can also expose members to unnecessary procedures and consume benefits that should be preserved for appropriate care. The post…
Walgreens launched a virtual weight management program offering clinician support and GLP-1 prescriptions for self-pay patients. The post Walgreens Introduces Virtual Weight Management Offering appeared first on MedCity News.
Here are three things providers should consider when it comes to Medicare. The post Changes Are Coming to 2026 Medicare Benefits appeared first on MedCity News.
This analysis details the number of people who would become uninsured from policy changes in the ACA Marketplaces and Medicaid. The Congressional Budget Office estimates that, taken together, these changes will result in 16 million more uninsured people in the year 2034 than would otherwise be the case.
March has seen a slew of executive hires, exits and layoffs across the healthcare industry. For example, providers like Providence and Geisinger have appointed new C-suite leaders, and companies like Blue Shield of California and Evernorth have undergone CEO exits. There were also layoffs at organizations including HHS, Blue Cross of Idaho and the University…
AI-powered scribes are proving their ability to dramatically reduce clinician burnout, but their financial impact is unclear, according to research from the Peterson Health Technology Institute. The post Why Hospitals Are Scaling AI Scribes, Even Though They Don’t Reduce Costs appeared first on MedCity News.
GLOBE, Ariz. — Like many residents of this copper-mining town in the mountains east of Phoenix, Debbie Cox knows plenty of people on Medicaid. Cox, who is a property manager at a real estate company in Globe, has tenants who rely on the safety-net program. And at the domestic violence shelter where she volunteers as…
Idaho-based health system St. Luke’s is rolling out Ambience Healthcare’s AI platform across its enterprise following a successful pilot. The AI-powered scribing tool decreased clinicians’ documentation time by 39%. The post How Ambience Is Saving Clinicians from ‘the Perpetual Dread’ of Documentation Overload appeared first on MedCity News.
This policy watch examines the burden of medical debt in North Carolina and the state’s new plan to leverage the Medicaid program to provide debt relief and support access to care for low-income North Carolinians.
The difference between that last era and this one isn’t incremental. It’s categorical. Artificial intelligence isn’t optimizing the old system. It’s making the old system economically indefensible. The post The End of Incrementalism: Why Healthcare Innovation is Finally Reshaping the Model appeared first on MedCity News.