Experian Health Survey: Providers Struggle Amid Increasing Claim Denials
A new Experian Health survey finds that healthcare providers’ efforts to prevent claims denials are…
Experian Health Survey: Providers Struggle Amid Increasing Claim Denials
A new Experian Health survey finds that healthcare providers’ efforts to prevent claims denials are falling short, with many reporting an increase in denials over last year and increasingly complex payer requirements. The post Experian Health Survey: Providers Struggle Amid Increasing Claim Denials appeared first on MedCity News.
The Movement to Remove Race From Clinical Decision-Making Tools: Assessing Progress and Impacts
This brief provides an update on how the use of race in clinical decision-making tools has changed in recent years, as a growing number of medical specialties and institutions have moved away from race-based tools, and the implications of this change for racial health disparities.
Louisville Health Systems Collaborate on Medicaid Quality Improvement
UofL Health, Norton Healthcare meet regularly to discuss developing actionable data sources to help clinics proactively close care gaps
The Big Challenge for AI in Healthcare Comes After Approval
Typically, software placed on the market will undergo changes and updates after its initial release. In the case of healthcare AI, changes can occur, often unexpectedly, even when the developers have not updated the model. The post The Big Challenge for AI in Healthcare Comes After Approval appeared first on MedCity News.
Medicaid Payment Transparency Rules: State Reporting Requirements and Limitations
This brief describes the transparency requirements that took effect in July 2026, uses T-MSIS data to assess the share of FFS spending and claims captured by certain reporting requirements, and discusses limitations of the new transparency requirements.
Why Physician Leadership Is More Important Than Ever
One voice needs to be increasingly present in the rooms where healthcare’s future is being decided: the physician’s. The post Why Physician Leadership Is More Important Than Ever appeared first on MedCity News.
Myths of Customer Discovery
Customer discovery is a well accepted idea in any innovation process. At the core of it, it means talking to potential customers about an invention. In reality, it is a more evolved process, and often less understood than it first appears. The post Myths of Customer Discovery appeared first on MedCity News.
Debunked Episode 31: CVS Health Restructure, AI ROI Report Findings, FTC Warning Letters
In the latest episode of the Debunked podcast, MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, Managing Partner of Health Innovation Pitch, talked about a new report by Bessemer Venture Partners assessing AI ROI, their insights on the CVS Health restructure, FTC warning letters sent to healthcare organizations, and more. The post Debunked Episode 31:…
Midterm Wave Sets a Course for ‘Medicare for All’ Fight
LANSING, Mich. — Fifteen years working as an emergency room nurse has convinced Kim Bogan that the only way to fix the American healthcare system is to tear it down and start over. Her patients arriving for triage are sicker than ever. They can’t afford many of the prescriptions they get in the ER. And…
Healthcare Cuts Fuel Democrats’ Election Blowout
Healthcare affordability. Abortion access. “Medicare for All.” Healthcare was a major force behind the big wins for Democrats in this week’s midterm elections. But the debate over what the Democratic Party will do next is just getting started. KFF Health News chief Washington correspondent Julie Rovner appeared on WAMU’s Health Hub on Nov. 4 to…
