Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage.
CHEROKEE, N.C. — Two months before the deadline to implement new Medicaid work requirements, states…
Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage.
CHEROKEE, N.C. — Two months before the deadline to implement new Medicaid work requirements, states had yet to receive detailed guidance from federal health officials on how to exclude Native Americans from those rules, leading to a patchwork of eligibility checks that pose challenges for qualified enrollees trying to keep their health insurance. President Donald…
Fed Up With the Healthcare Industry, This Red State Capped Insulin Prices for Patients
HILLSBORO, N.D. — The Kritzberger family has farmed in the Red River Valley for more than a century. They once had livestock. Now they grow sugar beets, soybeans, and grains. Like many farmers, they labor to balance the books. “We’re in an incredible amount of debt,” Ang Kritzberger said as she walked the farm on…
340B’s Next Chapter Will Be Won (or Lost) on Data. Most Organizations Aren’t Ready.
By ADAM COHEN The debate over the 340B Drug Pricing Program is complicated. However, beyond the arguments over rebates, contract pharmacies, and program intent sits a simpler reality that every stakeholder should plan around. Whatever form 340B takes next, the value an organization captures will depend on its ability to document and justify every discounted…
62 Organizations Call on Congress to Advance 4 Medicare Reforms
The AMA and 61 healthcare organizations are urging Congress to advance four Medicare reforms to stabilize physician payments and protect patient access to care. The post 62 Organizations Call on Congress to Advance 4 Medicare Reforms appeared first on MedCity News.
Pfizer Deal With Blackstone Secures Up to $1.5B to Bankroll GLP-1 Drug Trials
Blackstone Life Sciences is placing a bet on Pfizer’s berobenatide, a GLP-1 drug designed for monthly dosing. This GLP-1 drug comes from Metsera, which Pfizer acquired last year in a $10 billion deal. The post Pfizer Deal With Blackstone Secures Up to $1.5B to Bankroll GLP-1 Drug Trials appeared first on MedCity News.
Is AI Really Saving Hospitals Money? A New Study Raises Questions About the Cost of AI-Driven Care
Healthcare systems are investing in AI to streamline workflows and save money, but a new study in the New England Journal of Medicine shows that AI-generated care plans might actually cost far more than those ordered by physicians. . The post Is AI Really Saving Hospitals Money? A New Study Raises Questions About the Cost…
Legislation Would Create 5-Year Medicare SNF-at-Home Pilot
BRIDGE Care Act would measure impact of providing skilled nursing and intensive rehabilitation services in the home
Insurer MVP Health Care Fine-Tunes Provider-Centric Dashboards
Execs plan to build on work in Arcadia platform by using its EMR connectors, predictive analytics
Sustaining Effective Care Teams During Staff Shortages
[Sponsored] Join us on December 9 at 1 p.m. ET for an Inovalon-sponsored webinar, where panelists will discuss why hospitals and post-acute care facilities continue to struggle with staffing shortages and turnover. They will also share practical ways to keep employees engaged, reduce burnout, and build more stable care teams. The post Sustaining Effective Care…
When the Enrollment Freeze Ends, Claim Review Takes Over — Small Providers Need Clear Rules
A large health system absorbs an appeal as routine. For a small agency with a few office staff, every hour chasing a physician signature or a face-to-face note is an hour not spent on patients. The post When the Enrollment Freeze Ends, Claim Review Takes Over — Small Providers Need Clear Rules appeared first on…
