By MICHAEL MILLENSOM This article is adapted from a talk given Sept. 7 at the 11th Annual World Patient Safety, Science & Technology Summit in Irvine, California, sponsored by the Patient Safety Movement Foundation. World Patient Safety Day is Sept. 17, with a series of events in Washington, D.C. from Sept. 15-17 sponsored by Patients…
While AI has the potential to streamline processes, its current use in the revenue cycle is resulting in more claim denials, payment delays, and a greater need for appeals, particularly because payers often use AI to retroactively review medical necessity determinations. The post How Payers are Using AI to Deny Claims and Dent Provider Revenue…
This volume examines how AI-generated videos contributed to false narratives about SNAP recipients; findings from KFF’s Health Tracking Poll on beliefs about undocumented immigrants’ ACA eligibility; how a new film amplifies false vaccine claims; Louisiana’s delayed whooping cough response; medical education efforts to address shame; and teens’ distrust of news media.
That is the title of a new paper with Shanshan Wang, Jaehong Kim, and Slaven Sikirica that has the subtitle “Budget impact analysis from the US payer perspective.” That abstract is below: BACKGROUND:Heart failure (HF) is a leading cause of mortality in the United States, often complicated by comorbidities like diabetes mellitus. These patients face…
Brian Hoberman, M.D., envisions health systems developing deeply curated conversational AI triage
Health care is suddenly front and center in the final sprint to the presidential election, and the outcome will shape the Affordable Care Act and the coverage it gives to more than 40 million people. Besides reproductive rights, health care for most of the campaign has been an in-the-shadows issue. However, recent comments from former…
CMS proposed a 2.4% Medicare payment increase for hospitals’ outpatient departments and ambulatory surgery centers in 2026, along with a new two-tiered physician reimbursement structure based on participation in value-based care models. Provider groups are welcoming the short-term boosts, but they fear the changes don’t go far enough to address their long-term financial pressures. The…
RICHMOND, Vt. — On a warm autumn morning, Roger Brown walked through a grove of towering trees whose sap fuels his maple syrup business. He was checking for damage after recent flooding. But these days, his workers’ health worries him more than his trees’. The cost of Slopeside Syrup’s employee health insurance premiums spiked 24%…
[Sponsored] Neurologists and health care practitioners must evolve with the world. Telemedicine carts assist in this evolution by serving as an intermediary between patients and doctors. The post The 3 Best Options to Buy Telemedicine Carts for Neurology Care appeared first on MedCity News.
The director of California’s mental health commission traveled to London this summer courtesy of a state vendor while he was helping to prevent a $360 million budget cut that would have defunded the company’s contract. Emails and calendars reviewed by KFF Health News show Toby Ewing, executive director of the Mental Health Services Oversight and…