In mid-May, Mandi Rokx had a 3-month-old baby and a letter from a Florida agency warning that they both would be cut from Medicaid, the health insurance program for people with low incomes or disabilities. Under a Florida law passed in 2021, Rokx was supposed to receive 12 months of continuous coverage after giving birth….
[Sponsored] Get actionable strategies and insights from industry leaders to help payers navigate digital transformation, optimize outcomes, and stay ahead in a value-based care environment. The post Redefining Payer Operations: Data-Driven Strategies for the Future of Healthcare appeared first on MedCity News.
The U.S. workforce does not need to be in a position where they must choose between their careers and caring for their families. If sufficient balance between work and caregiving is not achieved, caregivers face the risk of becoming patients themselves. The post It’s Time for Employers and Policymakers to Step Up for Caregivers appeared…
The actual science is far from the apocalyptic scenario we’ve been led to believe and demonstrates clearly that much of the media rhetoric is rooted far more in fear than in fact. The post Microplastics and Our Health: What Does the Science Say? appeared first on MedCity News.
The choices we make now will determine not just the future of healthcare, but the kind of society we leave to our children. Will we continue to allow faceless algorithms to decide who lives and who suffers? Or will we finally reclaim healthcare’s moral center and build a system worthy of our highest values? The…
This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration…
Mass firings at the FDA have decimated divisions tasked with releasing public records generated by the agency’s regulatory activities in sectors including tobacco, food, medical devices, and veterinary medicine. But as the dust settled on the layoff melee, a notable exception emerged among the agency’s staff charged with responding to Freedom of Information Act requests….
The Affordable Care Act’s enhanced subsidies are at risk of expiring at the end of 2025, and healthcare leaders are worried about what could happen if Congress doesn’t renew them. For instance, more Americans would become uninsured, premiums would increase, and hospitals would be saddled with more bad debt due to uncompensated care. The post…
Every year more than 10,000 taxpayer-supported public housing units are lost to disrepair. But federal lawmakers routinely ignore the full amount, around $115 billion, needed to keep the units in “decent, safe and sanitary” condition. One-time funds for public housing repairs were cut from the final version of the 2022 Inflation Reduction Act to appeal…
Adding generative AI and other AI tools to coding and chart review practices streamlines a complex process and better positions plans for risk adjustment audits. The post Medicare Advantage Audit Ready with AI appeared first on MedCity News.