Rural Emergency Hospitals (REHs) are a new Medicare provider type created to preserve essential emergency and outpatient access in rural communities where low inpatient volume makes full-service hospitals financially unsustainable. They receive enhanced outpatient payments and a fixed monthly facility payment in exchange for forgoing acute inpatient care. CMS has an REH fact sheet that…
President Donald Trump ratcheted up his administration’s reversal of transgender rights on Tuesday with an executive order that seeks to intervene in parents’ medical decisions by prohibiting government-funded insurance coverage of puberty blockers or surgery for people under 19. Trump’s order, titled “Protecting Children From Chemical and Surgical Mutilation,” is certain to face legal challenges…
Many healthcare AI developers lack access to real-world data. To address this, Atropos Health is allowing AI developers to train and deploy their models using its real-world evidence network. The federated healthcare data network consists of more than 300 million patient records gathered from EHRs, claims data and patient registries. The post AI Developers Need…
When tax-advantaged dollars enter a care model, they do more than expand purchasing power. They reorganize incentives, accelerate intermediary involvement, and clarify who holds leverage. The post When HSA Dollars Enter Direct Primary Care, Control Follows appeared first on MedCity News.
Excited to be attending ISPOR 2026 next week. I’m looking for some great plenary sessions, presenting my research on “The Extent of Treatment Response and Preference Heterogeneity in Major Depressive Disorder: Implications for Population-Level Resource Allocation” with co-authors Nadine Zawadzki and Cheryl Neslusan, and meeting up with old colleagues. See you in Philadelphia!
During HLTH 2024, Blue Shield of California and Salesforce announced a partnership that will streamline the prior authorization process. The post Blue Shield of California, Salesforce Partner to Modernize Prior Authorization appeared first on MedCity News.
By MIKE MAGEE Stanford neuroscientist, David Eagleman, reminded us this week that “A coherent explanation of consciousness eludes modern science.” That was his opening line in the New York Times book review of Michael Pollan’s latest effort, “A World Appears.” In it, Pollan asks innocently, “How does the brain generate a unified sense of self?”…
DENVER — On a bustling street corner one recent afternoon outside the offices of the Harm Reduction Action Center, employees of the education and advocacy nonprofit handed out free naloxone kits to passersby. Distributing the opioid reversal medication is essential to the center’s work to reduce fatal overdoses in the community. But how long the…
Centivo and Premise Health are launching a new primary care-focused health plan that will become available to employers in the 2026 benefits cycle. The post Centivo, Premise Health Strike Partnership to Create Primary Care-Focused Health Plan appeared first on MedCity News.
Here in Washington, we’ve been hearing about tensions between the White House and one of its most controversial — but, at least in some circles, most popular — figures: Robert F. Kennedy Jr. Polling of likely voters indicates that the Health and Human Services secretary can be an asset to Republicans when he’s talking about improving the nation’s food supply or labeling ultraprocessed foods. But when he’s talking about removing recommendations for routine childhood vaccinations, he can be a detriment. So, when I…