A $1B Acquisition Gives Novartis a Way to Stand Out in Crowded Area of Cancer
Myricx Bio brings to Novartis antibody drug conjugates with a novel cancer-killing payload called an…
A $1B Acquisition Gives Novartis a Way to Stand Out in Crowded Area of Cancer
Myricx Bio brings to Novartis antibody drug conjugates with a novel cancer-killing payload called an NMT inhibitor. Novartis says Myricx’s drugs could have advantages over currently available ADCs as well as those still in clinical development. The post A $1B Acquisition Gives Novartis a Way to Stand Out in Crowded Area of Cancer appeared first…
Medicare Advantage Insurers Deny Prior Authorization Requests for Post Acute Care at Substantially Higher Rates Than the Overall Denial Rate
Two recent reports find that Medicare Advantage organizations deny prior authorization requests for long-term care hospital, inpatient rehabilitation hospital, and skilled nursing facility stays at higher rates than requests overall. When these decisions are appealed, they are frequently overturned, particularly for skilled nursing facility stays. This may cause delays for Medicare beneficiaries who are particularly…
In Oncology, the Cost Problem Goes Beyond Predictability
Healthcare does not lack the data needed to better understand oncology costs. What it does lack is a consistent way to connect clinical progression with financial impact in a time frame that aligns with strategic planning. The post In Oncology, the Cost Problem Goes Beyond Predictability appeared first on MedCity News.
The AI Playbook for Health Plans: 5 Steps for Leaders Who Don’t Know Where to Start
It starts with a simple mindset shift, realizing that a successful AI journey begins with identifying a business problem, not with technology. The plans that make real progress embrace this mindset first then follow these five steps. The post The AI Playbook for Health Plans: 5 Steps for Leaders Who Don’t Know Where to Start…
Closing the Quality-Affordability Gap in Workplace Mental Health
[Sponsored] In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable. The post Closing the Quality-Affordability Gap in Workplace Mental Health appeared first on MedCity News.
New Medicaid Work Rule Means More Opportunities To Lose Coverage
0:00 0:00 Produced in partnership with: Embed Download Volume Speed 0.5x 1x 1.25x 1.5x 2x Embed this player × <iframe src=”https://kffhealthnews.org/medicaid/wamu-health-hub-audio-medicaid-work-rule-requirement-tips-coverage/embed/” width=”600″ height=”200″ frameborder=”0″ scrolling=”no” title=”New Medicaid Work Rule Means More Opportunities To Lose Coverage”></iframe> Copy Too sick to work? You may have to prove it. Next year, Medicaid recipients will have to start showing…
In California Governor’s Race, Voters Face Stark Choice on Immigrant Healthcare
For decades, Californians have generally said that immigrants, who make up more than a quarter of the state’s population and a third of its labor force, are beneficial to the state and its economy. But budget instability and concerns about rising costs are spilling into a debate over the controversial and expensive policy of allowing…
AI and Professional Nursing: On a Collision Course
By JEFF GOLDSMITH In his wonderful and pragmatic new book, A Giant Leap, Dr. Robert Wachter cautions his professional colleagues that simply confiscating potential administrative and clinical staffing savings created by AI could foster a whirlwind of negative consequences for healthcare enterprises. Nowhere is the explosive potential for reaction to AI incursions into care delivery greater…
What to Know About CMS’ New Proposed Outpatient Payment Rule
CMS published its proposed 2027 outpatient payment rule, including a 2.4% base rate increase alongside steep cuts to 340B drug payments and an expansion of site-neutral payment to off-campus imaging services. Provider groups warn that these changes would push many hospitals’ payments into negative territory. The post What to Know About CMS’ New Proposed Outpatient…
Medicare to Spend $13B on MA Quality Bonus Program in 2026
KFF estimates Medicare will spend $13.4 billion on the Medicare Advantage Quality Bonus Program in 2026 amid continued scrutiny of the program. The post Medicare to Spend $13B on MA Quality Bonus Program in 2026 appeared first on MedCity News.
