New Bill Led by Democrats Aims to Cap Medicare Out-of-Pocket Costs
The Medicare Cost Cap Act seeks to create a $5,000 cap on out-of-pocket costs for…
New Bill Led by Democrats Aims to Cap Medicare Out-of-Pocket Costs
The Medicare Cost Cap Act seeks to create a $5,000 cap on out-of-pocket costs for traditional Medicare beneficiaries. The post New Bill Led by Democrats Aims to Cap Medicare Out-of-Pocket Costs appeared first on MedCity News.
Documentation Tools Aren’t Just for Doctors: Inside Reid Health’s Deployment of Abridge’s Nurse Tech
Rural health system Reid Health is using Abridge’s AI-powered documentation tech to reduce burnout among nurses. It appears to be working — after-shift charting is down by up to 45 minutes, and the RN vacancy rate has been cut more than in half, said Misti Foust-Cofield, Reid’s chief nursing officer. The post Documentation Tools Aren’t…
Why Generative AI Isn’t Enough: The Case for Causal Reasoning in Medicine
AI built on transparent, causal reasoning, systems that ground every output in validated biological mechanisms, show the pathway behind each recommendation, and cite their sources is what makes the difference between a tool that erodes clinical trust and one that rebuilds it. The post Why Generative AI Isn’t Enough: The Case for Causal Reasoning in…
The Hidden Cost of “Good Enough” in Healthcare Experiences
It’s not low effort or underinvestment. It’s the steady-state output of an organization succeeding at the wrong thing. The post The Hidden Cost of “Good Enough” in Healthcare Experiences appeared first on MedCity News.
Have Healthcare Data Lakes Become “Data Swamps”?
They are vast, deep, and nearly impossible to navigate without the right clinical lens applied on top. The real challenge facing health data platform companies and health system data teams is what to do with all of it. The post Have Healthcare Data Lakes Become “Data Swamps”? appeared first on MedCity News.
Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know
(Oona Zenda/KFF Health News) A professional in-home caregiver lost her coverage for Zepbound. She soon realized getting it back was not straightforward. “I was like: ‘What am I going to do? Hopefully I can just continue keeping this weight off.’” — Deborah Finley, 50, of Lodi, California Deborah Finley, 50, of Lodi, California, said her…
Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe
A major Medicare Advantage company has paid the government more than $342 million to help settle allegations that it overcharged the federal healthcare program for years. Elevance Health, which covers about 2 million people on Medicare, sent the money to the Centers for Medicare & Medicaid Services via wire transfer on May 27, court records…
Efforts To End School Vaccine Mandates Hit a Wall in Florida
Every state, along with Washington, D.C., requires children to obtain certain vaccinations before they can attend school or childcare. These mandates date back decades, and many public health experts consider them a foundational defense against infectious disease. Since the summer of 2025, Florida leaders have aimed to make the state the first to drop some…
THCB Spotlight: Warris Bokhari, Claimable
One of the most interesting follows on Linkedin is Warris Bokhari from Claimable. He’s a British MD, who has had stints not only as a doc in the UK, but also as a health tech and health insurance exec in the US. But now he’s at war with the system, in particular working for patients…
How much does the US spend on health care?
Fiore et al. (2026) just released their annual national health expenditure projections in Health Affairs. I summarize some of the key findings in Q&A format. How much is the US currently spending on health care? $5.7 trillion. This is represents an increase in healthcare spending as a share of GDP from 18.0% in 2024 to…
