On the importance of innovation and entrepreneurship

“I will maintain that there is no comparably important question in economics, because this is the question of human progress. This is the question of human wellbeing over millennia. Everything else about resource allocation, about policy, about macro…everything else is a footnote to this larger question of how new things come into being and how…

Read More

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…

Read More

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…

Read More

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…

Read More