Modern Interoperability: How APIs Can Heal a Fragmented System

The go-to mechanisms for differential payment – network design, case management, quality measurement and prior authorization – increasingly rely on APIs capable of handling not only claims data but, more importantly, the clinical data critical to intelligent decision-making. The post Modern Interoperability: How APIs Can Heal a Fragmented System appeared first on MedCity News.

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When a Hearing Aid Isn’t Enough

Kitty Grutzmacher had contended with poor hearing for a decade, but the problem had worsened over the past year. Even with her hearing aids, “there was little or no sound,” she said. “I was avoiding going out in groups. I stopped playing cards, stopped going to Bible study, even going to church.” Her audiologist was…

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Neurocrine Lands FDA Nod for First New Treatment in Decades for Rare Endocrine Disorder

Neurocrine Biosciences’ Crenessity is now FDA approved for treating classic congenital adrenal hyperplasia (CAH), a rare and potentially fatal endocrine disorder. The approval comes with a priority review voucher, which Neurocrine could sell for around $150 million. The post Neurocrine Lands FDA Nod for First New Treatment in Decades for Rare Endocrine Disorder appeared first…

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How Can AI Startups Navigate Healthcare’s Fragmented Landscape?

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.

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After Pandemic-Era Policies and Enhanced Funding End, State Medicaid Officials Report Enrollment Declines and Upward Cost Pressures 

Costs are limiting states’ coverage of obesity drugs and could affect other Medicaid priorities States expect national Medicaid enrollment to decline by about 4% and state Medicaid spending to rise by 7% in fiscal year (FY) 2025. These rates follow a larger but anticipated enrollment decline and state spending increase in FY 2024, as pandemic-era…More

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Recortes federales pondrán en riesgo la inscripción en Medicaid, advierte directora ejecutiva del plan público de salud más grande

Cuando la directora del plan público de salud más grande del país expresa su preocupación por los inminentes recortes federales a Medicaid, no lo hace solo porque se trata de su trabajo. Es algo personal. Martha Santana-Chin, hija de inmigrantes mexicanos, creció con Medi-Cal, la versión californiana de Medicaid, el programa de atención médica administrado…

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