Our annual family vacation on Cape Cod included all the familiar summer pleasures: climbing dunes, walking beaches, spotting seals, eating oysters, reading books we had intended to get to all year. And a little shopping. My grandkid wanted a few small toys. My daughter stocked up on thousand-piece jigsaw puzzles at the game store in…
Experts from BRG recently discussed the two presidential candidates’ stances on key healthcare issues, including drug pricing, Medicaid and AI. The post Where Trump & Harris Stand on Payers, AI, Drug Pricing and CMS appeared first on MedCity News.
Federal spending on the Medicare Advantage quality bonus program has more than quadrupled since 2015, rising to at least $12.7 billion in 2025. Most Medicare Advantage enrollees are in a plan that receives a bonus payment in 2025, with employer- and union-sponsored plans receiving the highest bonus payments and special needs plans receiving the lowest…
Because of past fraud by rogue brokers, some Affordable Care Act policyholders may get an unexpected tax bill this season. But that isn’t the only potential shock. Other changes coming soon — stemming from proposals by the administration of President Donald Trump — could affect their coverage and its cost. And sorting out related problems…
Mental health experts are hopeful about the de-stigmatization of behavioral health, the promise of AI and other areas, they shared at a recent conference. The post 4 Areas Within Mental Health Care that Give Executives Hope appeared first on MedCity News.
KFF Health News has sued the U.S. Department of Health and Human Services Office of Inspector General to compel it to release a range of Medicare Advantage health plan audits and other financial records. The suit, filed Nov. 12 in U.S. District Court in San Francisco under the Freedom of Information Act, or FOIA, seeks…
Translucent AI raised $7 million in seed funding to help healthcare providers better manage mounting financial pressures. Its AI-powered platform is designed to give hospital leaders instant, plain-language answers to complex financial questions. The post Meet the Startup That’s like ChatGPT for Provider Finances appeared first on MedCity News.
A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars — only to abruptly back off amid an “uproar” from the industry, newly released court filings show. The Centers for Medicare & Medicaid Services published the draft regulation in January 2014. The rule…
Kai Romero is Head of Clinical Success at Evidently. The company is one of many that are using AI to dive into the EMR and extract data to deliver it to clinicians. It works to get really great information from the EMR to various flavors of clinicians in a fast and innovative way. Kai leads…
ATLANTA — Lloyd Mills was tired of being stuck in a small, drab hospital room. On a rainy mid-September morning, a small TV attached to a mostly blank white wall played silently. There was nothing in the space to cheer it up — no cards, no flowers. In February, the 32-year-old with autism, cerebral palsy,…