Doctor’s offices are the front door of the American healthcare system. We owe it to them to support H.R. 2474 and put an end to annual Congressional stop-gap spending bills. The post Medicare Reimbursement for Doctors is in Critical Condition appeared first on MedCity News.
Precision medicine relies on understanding how differences affect drug response. Researchers can develop more precise treatments that are effective for more patients when prioritizing diversity. The post Why Accessible, Worldwide Biomanufacturing Solutions are Paramount appeared first on MedCity News.
As healthcare embraces value-based care, data-driven, targeted patient outreach helps close gaps in care that impact performance. The post Boosting Patient/Member Engagement For Value-based Performance: Why Leaning Into Technology Matters More Than Ever appeared first on MedCity News.
Cuando Pam McClure se enteró que el próximo año ahorraría casi $4,000 en sus medicamentos recetados dijo: “parece demasiado bueno para ser verdad”. Para finales de 2024, habrá gastado casi $6,000 en estos fármacos, incluido uno para controlar su diabetes. McClure, de 70 años, es una de las aproximadamente 3.2 millones de personas con un…
Health systems should take the lead in fixing the broken prior authorization process, said Jeff Balser, CEO of Vanderbilt University Medical Center, during a recent conference. He highlighted AI, better workflows and centralized support as ways to reduce delays. The post Vanderbilt CEO: Health Systems Can Fix Prior Auth Without Waiting for Payers appeared first…
The Trump administration recently issued a manifesto on what’s wrong with health in America, but many of its actions clash with its answers. Scientists and public health advocates see deep disconnects between what the administration has said about health — notably, in “The MAHA Report,” which President Donald Trump recently presented at the White House…
That is the title of a new paper out in Value in Health with co-authors Jaehong Kim, Jacob Fajnor, Kyi-Sin Than, Elizabeth S. Mearns , Stacey L. Kowal, Thomas Majda and Jakub P. Hlávka PhD. The abstract is below. Objectives To quantify how incorporating patient risk preferences and severity adjustments affect the value of a…
The Peterson Health Technology Institute outlined five key recommendations for employers seeking to design sustainable GLP-1 coverage. The post PHTI: How Employers Can Manage GLP-1 Coverage appeared first on MedCity News.
Nearly 53 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2024, of which 4.1 million (7.7%) were denied. Just 11.5% of denied requests were appealed, though 80.7% of appeals overturned the initial denial in Medicare Advantage. Substantially fewer prior authorization requests were made in traditional Medicare,…
Continuous Glucose Monitoring tools are revolutionizing the way diabetes is managed, offering unparalleled benefits for both healthcare providers and patients. By providing continuous, accurate data, CGM is especially useful for remote monitoring, enabling timely interventions and leading to better user health. The post Improved Access to CGM Data Empowers Providers and Patients to More Effectively…