By BRIAN STANLEY Patients waiting on Medicaid enrollment face more bills, while Congress touts that as cost savings. Hospitals need to choose their stance. Medicaid covers the lion’s share of short- and long-term health care expenses for low-income, older, and/or disabled Americans. Until now, the program paid for care received up to three months before…
[Sponsored] The leading device-based solutions showcase this innovative technology and offer numerous clinical benefits. Here’s a guide to how they work and what to consider. The post A Guide to Noninvasive Liver Diagnostic Devices: Technology and Leading Organizations Explained appeared first on MedCity News.
Five Kaiser Permanente affiliates agreed to pay $556 million to settle allegations from the Department of Justice that they improperly inflated Medicare Advantage payments through inaccurate diagnosis coding. The case is one of the largest risk-adjustment settlements to date — and it signals continued federal scrutiny of the program. The post Kaiser Permanente to Pay…
Bispecific antibodies are one of the hottest areas for drug research and dealmaking, and several of them were discussed this week during the annual J.P. Morgan Healthcare Conference in San Francisco. Takeda President, Research and Development, Andy Plump talked to MedCity News about what sets the Japanese pharma company’s newly licensed drug apart. The post…
The Economist reports that many life science companies are betting big on AI to help with drug development. Why? If AI can increase their likelihood new molecules become successful drugs, the cost of drug development will fall. AI-designed molecules show an 80-90% success rate in early-stage safety trials, compared with a historical average of just…
WTW launched the Health Transparency Optimizer to help employers better understand healthcare costs, quality and network options. The post WTW Launches Healthcare Pricing Data Solution for Employers appeared first on MedCity News.
With the expiration of ACA subsidies and a decline in enrollment, lawmakers face uncertainty
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle Justice Department allegations that it billed the government for medical conditions patients didn’t have. The settlement, announced Jan. 14, resolves whistleblower lawsuits that accused the giant health insurer of mounting a years-long scheme in which it…
Cuando la directora del plan público de salud más grande del país expresa su preocupación por los inminentes recortes federales a Medicaid, no lo hace solo porque se trata de su trabajo. Es algo personal. Martha Santana-Chin, hija de inmigrantes mexicanos, creció con Medi-Cal, la versión californiana de Medicaid, el programa de atención médica administrado…