Jefferson Health in Philadelphia is suing Aetna over a new Medicare Advantage payment policy that hospitals say unfairly reduces reimbursements for legitimate inpatient stays. The case highlights a broader clash between providers and Medicare Advantage plans over “downcoding” short hospital stays and controlling costs. The post Jefferson Health Sues Aetna As Providers’ Frustration with MA…
The real question is whether we’re being honest with ourselves about what medical education was designed to produce, and whether our current system is still doing that job. The post Medical Education Is at a Crossroads. AI Isn’t the Problem — It’s the Mirror appeared first on MedCity News.
In 2025, the donor government funding landscape fundamentally changed. Under the new administration, the United States (U.S.
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. Trump Team’s Rhetoric Doesn’t Match Actions The recent KFF Health News article “Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump” (April 17) struck a nerve….
Nurse managers care for the people who care for the patients and families. When they feel overwhelmed, unsupported, or sidelined by bureaucracy, the ripple effect touches every corner of care delivery. The post The Manager’s Heartbreak: Why Nurse Turnover Cuts So Deep appeared first on MedCity News.
Bain Capital’s buyout of Mitsubishi Tanabe Pharma brings a company with a drug portfolio and pipeline in areas such as immunology, central nervous system disorders, and metabolic disease. This business is the pharmaceuticals division of Japanese conglomerate Mitsubishi Chemical Group. The post Bain Capital Broadens Its Biotech Reach With $3.3B Deal for Mitsubishi Tanabe Pharma…
This brief uses 2021 Medicaid claims data to examine utilization among Medicaid expansion adults and estimate how much cost sharing these enrollees could be required to pay under the new requirement if all states imposed the maximum cost sharing amounts. This is an illustrative analysis intended to describe which enrollees may be subject to the…
Codoxo’s funding was led by CVS Health Ventures and included participation from Echo Health Ventures, Sands Capital and 111 West Capital. The post Codoxo Raises $35M to Prevent Healthcare Payment Errors appeared first on MedCity News.
A universal medical coder, applied consistently across care settings, offers a practical solution to the enduring challenge of data integrity. The post The Case for a Universal Medical Coder in Achieving True Interoperability appeared first on MedCity News.
We are building a more connected system that bridges acute and post-acute settings by uniting insights across the continuum. The insights empower clinicians with the information they need at the moment they need it, resulting in faster, safer, and more human-centered care. The post How AI Is Reshaping Emergency Departments appeared first on MedCity News.