By ABNER MASON What do television shows 60 Minutes, Roseanne, Designing Women, and Murder, She Wrote all have in common? They were top 10 prime time shows in the 1991 – 92 season according to Nielson Media research. Obviously, what Americans want to watch has changed in 34 years. The decline in market share the…
On February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to identify unusual billing patterns for specific services, states, or providers. This policy watch describes what the data include, what they exclude, and how they could potentially lead to mistaken conclusions given the limitations of the…
A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn’t exist. Independent Health Association of Buffalo, which operates two Medicare Advantage…
The tools exist today to significantly reduce PA’s burden on our healthcare system, we just need to mobilize and implement them. The post A Four-Part Roadmap for Responsible Prior Authorization appeared first on MedCity News.
By MATTHEW HOLT There’s been a lot of discussion lately about whether digital health is a legitimate place for venture capital. There have been lots of huge failures, very few notable successes (and certainly no “biggest companies in the world” yet, while some real giants (Walmart/Walgreens/Amazon) have come in and then got out of health…
AI startups should be thoughtful about which healthcare market(s) they’re going after, according to investors at Bessemer Venture Partners. Healthcare AI startups seeking venture capital face heightened expectations for scale, which requires access to substantial total addressable markets. The post How Can AI Startups Navigate Healthcare’s Fragmented Landscape? appeared first on MedCity News.
The Healthcare Infection Control Practices Advisory Committee (HICPAC) held a public meeting August 22, 2024, in Atlanta, GA. Official meeting minutes will be available on the HICPAC website soon. Until then, here is a summary of key issues from the day’s discussion. Watch recording of the live public webcast: HICPAC Meeting – Aug. 22, 2024…
As health and human services secretary, Robert F. Kennedy Jr. wields one of the louder megaphones the federal government has. Yet he insists he doesn’t want to impose his opinions on Americans. “I don’t think people should be taking medical advice from me,” Kennedy told a Democratic congressman in May. Kennedy once expressed different views…
Health insurance in the U.S. is notoriously confusing. So we’re covering the basics to make navigating your plan a little easier. We explain the difference between a deductible and an out-of-pocket limit, define copay and coinsurance, and point out where surprise bills can get you in trouble, from out-of-network providers to prior authorizations. Read more…
Tech partners play an important role in scaling AI effectively and responsibly – without compromising patient trust. The post Building Smarter, Safer Healthcare: The Role of Tech Partners in AI Adoption appeared first on MedCity News.