Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say
Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as…
Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say
Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans’ members, a new federal watchdog report says. The investigators allege that some insurers effectively set up “ghost networks” of psychologists, psychiatrists, and other mental health professionals who purportedly have agreed to treat patients covered…
Ex-Cano Health CEO on Trial Amid $72M Fraud Claims
Marlow Hernandez, the founder and former CEO of Cano Health, is facing a jury trial this week over allegations that he fraudulently enriched himself and his family while managing the senior-focused primary care company. Cano filed for bankruptcy last year — an event many industry experts attributed to Hernandez’ poor governance. The post Ex-Cano Health…
Withings Health Solutions Expands Obesity Care Network, Launches Best Practices for Treatment Programs
Withings Health Solutions added Ilant Health to its Obesity Care Network and shared best practices to improve patient monitoring, engagement and outcomes. The post Withings Health Solutions Expands Obesity Care Network, Launches Best Practices for Treatment Programs appeared first on MedCity News.
BioCryst’s $700M Astria Acquisition Gives It a Shot to Beat Larger Rivals in Rare Disease HAE
BioCryst Pharmaceuticals’ Astria Therapeutics acquisition brings navenibart, a drug in Phase 3 testing for the rare disease hereditary angioedema. The injectable antibody has the potential to match the efficacy of the blockbuster Takeda Pharmaceutical drug that currently dominates the market, but with less burdensome dosing that could encourage HAE patients to switch. The post BioCryst’s…
Stress Test: OBBBA, Rural Fragility, and Innovation
Clinging to our old models is equivalent to waiting for failure. We need to embrace the tools, team structures, and delivery models that this ongoing crisis demands. The post Stress Test: OBBBA, Rural Fragility, and Innovation appeared first on MedCity News.
IVF Coverage Proposals Could Squeeze U.S. Fertility Clinics Without Improving Access
Ideas floated by the Trump Administration and Democrats in Congress aim to expand access to fertility treatment as an essential health benefit. But an influx of patients could collide with an already-brittle system of 430,000 annual cycles, 5,000 embryologists, and long-overdue lab upgrades. The post IVF Coverage Proposals Could Squeeze U.S. Fertility Clinics Without Improving…
New Hampshire’s Leading ABA Therapy Centers: A Comparison
[Sponsored] Health care professionals can learn more about the top-rated ABA therapy providers in New Hampshire to understand where their patients can get help from industry leaders. The post New Hampshire’s Leading ABA Therapy Centers: A Comparison appeared first on MedCity News.
Weekend Reading
UK to pay more for pharmaceuticals?Prior distributions for regression coefficients.What is the “Rural Health Fund”Pedestrian deaths in the US (Part 1, 2)US physicians in private practice dropped from 60.1% (2012) to 42.2% (2024).
Verily Launches Free Consumer Health App to Put AI-Powered Insights in Users’ Hands
Verily has launched a free consumer health app that aggregates users’ medical records, helps them track their habits and delivers personalized preventive care recommendations. The app also features an AI-powered health assistant that contextualizes users’ data. The post Verily Launches Free Consumer Health App to Put AI-Powered Insights in Users’ Hands appeared first on MedCity…
Cohere Health Teams Up with Microsoft to Advance Prior Authorization Using Ambient Listening
Cohere Health and Microsoft have teamed up to use ambient listening and AI to simplify and speed up the prior authorization process, part of a broader industry shift toward reducing paperwork and improving care at the point of service. The post Cohere Health Teams Up with Microsoft to Advance Prior Authorization Using Ambient Listening appeared…
