The Uninsured Crisis: Letter from Arizona
By EMMANUEL SARKEES Arizona consistently ranks among the states with the highest uninsured rates in…
The Uninsured Crisis: Letter from Arizona
By EMMANUEL SARKEES Arizona consistently ranks among the states with the highest uninsured rates in the nation. Over 800,000 residents lack health coverage, a number shaped not by failure, but by a consistency of structural, geographic, financial, and linguistic barriers that have been poorly addressed for decades. What makes Arizona’s situation this severe is that…
Prevalence, adherence, and health care resource utilization in schizophrenia
How can we characterize the epidemiology and health care resource utilization of Americans with schizophrenia? This is the question a new paper in JMCP by Parks et al. (2026) aims to answer among patients enrolled in Medicaid. The authors use Transformed Medicaid Statistical Information System (MSIS) Analytic Files from 2016 to 2022 and find that:…
Servier Moves Into Muscular Dystrophy, Paying $1.5B for Assets From Edgewise Therapeutics
France-based pharma company Servier is acquiring the muscular dystrophy business of Edgewise Therapeutics as part of a revenue growth strategy in oncology and neurology. The deal brings an Edgewise drug in clinical development for two rare neuromuscular disorders with limited treatment options. The post Servier Moves Into Muscular Dystrophy, Paying $1.5B for Assets From Edgewise…
Massachusetts Attorney General Sues UnitedHealthcare, Alleges $100M MassHealth Fraud
The Massachusetts attorney general sued UnitedHealthcare, alleging the insurer improperly inflated MassHealth members’ health risk scores to secure at least $100 million in excess payments. The post Massachusetts Attorney General Sues UnitedHealthcare, Alleges $100M MassHealth Fraud appeared first on MedCity News.
Are We Measuring Metabolic Health All Wrong?
A fragmented system built on isolated metrics like BMI and A1C fails to capture the full picture of metabolic health and limits our ability to manage it effectively. The post Are We Measuring Metabolic Health All Wrong? appeared first on MedCity News.
Scaling AI in Health Systems: From Innovation to Sustainable Implementation
By adopting interpretation-driven, clinically intelligent technologies, revenue cycle teams can ensure that every nuance of care is accurately represented. This safeguards revenue integrity while maintaining the highest standards of compliance. The post Scaling AI in Health Systems: From Innovation to Sustainable Implementation appeared first on MedCity News.
The Most Expensive Queue in Healthcare Isn’t Prior Auth — It’s the IT Backlog
Every month a legitimate workflow improvement sits in queue, the organization pays for the problem twice: once in the inefficiency the change was supposed to fix, and again in the workaround everyone built to get through the week. The backlog doesn’t show up as a line item. It shows up everywhere else. The post The…
Baffling. Frustrating. Frightening. What It’s Like To Be Sued Over Medical Debt.
When Christine Wood received a $12,000 bill from Bristol Hospital, she thought it must be a mistake. It was more than she and her husband made in a month combined. “I’m freaking out,” said Wood, who lives in a 1,700-square-foot home in Terryville, a village just outside Bristol, Connecticut. “I don’t understand it.” Wood, 52,…
Telehealth Booms as Demand for GLP-1s Surges and Questions Mount About Safety, Oversight
Within 24 hours of injecting the first dose of a weight loss medication she received following a visit with a telehealth doctor, Karleigh McClain was admitted to the hospital, she said. The 31-year-old compliance consultant from Hendersonville, Tennessee, said she couldn’t stop vomiting. “Sunday morning, it all hits,” McClain recalled, as she described what happened…
Amid Ebola, Hantavirus Outbreaks, Democrats Decry Trump’s Health Cuts
The Trump administration’s deep cuts to federal health agencies have become a political liability after a deadly outbreak of hantavirus aboard a cruise ship and the spread of an even more fearsome disease, Ebola, in Africa. At least that’s the way many Democrats see it. They have seized on the situation to charge that the…
