Trump Vowed To End Surprise Medical Bills. The Office Working on That Just Got Slashed.

As President Donald Trump wrapped up his first term in 2020, he signed legislation to protect Americans from surprise medical bills. “This must end,” Trump said. “We’re going to hold insurance companies and hospitals totally accountable.” But the president’s wide-ranging push to slash government spending, led by billionaire Elon Musk, is weakening the federal office…

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What is denial management in healthcare?

Millions of healthcare claims are denied annually, costing providers billions in lost revenue and expensive appeals. A 2024 survey shows that around 15% of all claims submitted to private payers, Medicare Advantage and Medicaid managed care plans are initially denied. Since most involve charges of $14,000 and above, the stakes are worryingly high. Frustratingly, more…

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How AI Is Paying Off: 5 Wins at Advocate Health

Andy Crowder, chief digital officer at Advocate Health, detailed five benefits his health system is experiencing as a result of being bullish on AI — including better staff retention, clinical improvements and cost savings. The post How AI Is Paying Off: 5 Wins at Advocate Health appeared first on MedCity News.

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Tufts-CEVR HEOR Leaders Survey

How will HEOR leaders respond to recent policy changes? A survey from Tufts and the Center for the Evaluation of Value and Risk in Health (CEVR) provides the answer. About 2/3 of the n=57 respondents were Head of their HEOR department and the remaining 1/3 had some other senior level HEOR role. Three key topic…

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