The contract negotiation process between providers and payers is now more complex than ever, according to Baptist Health CEO Michael Mayo. In an interview, he spoke about his health system’s recent protracted negotiation with Florida Blue — which required months of preparation, external consultants, and even a task force of board members. The post The…
EHR vendor exec discusses national survey of practices in which 62% of clinicians and practice managers reported using four or more AI-enabled tools
The difference between that last era and this one isn’t incremental. It’s categorical. Artificial intelligence isn’t optimizing the old system. It’s making the old system economically indefensible. The post The End of Incrementalism: Why Healthcare Innovation is Finally Reshaping the Model appeared first on MedCity News.
A couple of months back I hosted a conversation about my favorite topics, primary care and how telehealth and AI are changing it. The panel was Timm Schneider — Co-Founder & COO, Third Way Health, Jamie Reddick — COO, Graybill Medical Group & Erin Parks, Ph.D. — Co-Founder, Equip. The panel was at a tech…
Federal officials resolved more than a decade ago to crack down on whopping government overpayments to private Medicare Advantage health insurance plans, which were siphoning off billions of tax dollars every year. But Centers for Medicare & Medicaid Services officials have yet to demand any refunds — and over the years the private insurance plans…
EHRs not only document care but can also act as a financial engine to bridge the gap between patient care and prompt reimbursement. Here’s how to bring the two sides together to alleviate tedious administrative burdens. The post Why EHRs Are Critical to Effective Revenue Cycle Management appeared first on MedCity News.
ISPOR recently released their award winners from their 2025 conference this May. Winners are listed below. I’m excited to announce that my podium presentation “Quantifying Treatment Value Using Alternative Health Benefit Metrics: A Case Study of Adjuvant Osimertinib for Elderly Patients with EGFR mutated NSCLC Following Resection” received an award for the Best General Podium…
More than two dozen Black and Latino health tech leaders have endorsed Kamala Harris for president. Another group of over 500 women healthcare leaders has also come out in support of Harris. The post Black, Latino, Women Healthcare Leaders Sign Letters in Support of Kamala Harris appeared first on MedCity News.
Sleep threads through cardiovascular function, metabolism, immune activity, and mental health. It happens nightly, which means it can produce a steady flow of information that, measured well, could tell us a lot about near-term changes and long-range risk. The post Sleep Is the Missing Vital Sign, and Health AI Is Scaling the Consequences appeared first…
When people call large insurance brokerages seeking free assistance in choosing Medicare Advantage plans, they’re often offered assurances such as this one from eHealth: “Your benefit advisors will find plans that match your needs — no matter the carrier.” About a third of enrollees do seek help in making complex decisions about whether to enroll…