Insurers have Cut Prior Auth by 11% Following Commitments
Health insurers have reduced prior authorizations by 11% and are continuing reforms to streamline and…
Insurers have Cut Prior Auth by 11% Following Commitments
Health insurers have reduced prior authorizations by 11% and are continuing reforms to streamline and speed up approvals, according to an announcement from AHIP and Blue Cross Blue Shield Association. The post Insurers have Cut Prior Auth by 11% Following Commitments appeared first on MedCity News.
Trial Failure in the Skin Does Not Dent Insmed Drug’s Potential in the Lungs
Insmed drug Brinsupri failed to beat a placebo in a mid-stage clinical trial testing the daily pill as a treatment for hidradenitis suppurativa, a chronic inflammatory skin disorder. Brinsupri is still projected to become a blockbuster seller in non-cystic fibrosis bronchiectasis, where it is the first approved therapy for this chronic lung condition. The post…
Jefferson Health Sues Aetna As Providers’ Frustration with MA Grows
Jefferson Health in Philadelphia is suing Aetna over a new Medicare Advantage payment policy that hospitals say unfairly reduces reimbursements for legitimate inpatient stays. The case highlights a broader clash between providers and Medicare Advantage plans over “downcoding” short hospital stays and controlling costs. The post Jefferson Health Sues Aetna As Providers’ Frustration with MA…
Rural Healthcare Transformation Has to Focus on the Real World, Not Techno-Fantasies
Rural health organizations cannot afford to get dazzled by AI demo candy. There is no such thing as “FixHealthcareGPT,” and investing in the wrong technology for the future isn’t going to do anything to improve patient outcomes today. The post Rural Healthcare Transformation Has to Focus on the Real World, Not Techno-Fantasies appeared first on…
It’s Time to Put Guardrails on GLP-1 Compounding
Consumers are inundated with false information circulating online about GLP-1 medicines, which causes confusion and can lead to potentially serious health problems resulting from dosing errors and adverse reactions to ingredients in compounded GLP-1 products. The post It’s Time to Put Guardrails on GLP-1 Compounding appeared first on MedCity News.
The HPV Vaccine: Access and Use in the U.S.
This factsheet discusses HPV and related cancers, use of the HPV vaccines for both females and males, and insurance coverage and access to the vaccines.
The Power Behind Enterprise EHR Software for Large Healthcare Systems
[Sponsored] Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems. The post The Power Behind Enterprise EHR Software for Large Healthcare Systems appeared first on MedCity News.
Trump’s Personnel Agency Is Asking for Federal Workers’ Medical Records
The Trump administration is quietly seeking unprecedented access to medical records for millions of federal workers and retirees, and their families. A brief notice from the Office of Personnel Management could dramatically change which personally identifiable medical information the agency obtains, giving it the power to see prescriptions employees had filled or what treatment they…
Urgent Care Clinics Move To Fill Abortion Care Gaps in Rural Areas
MARQUETTE, Mich. — Providing abortions was the last thing Shawn Brown thought she’d be doing when she opened an urgent care clinic in this remote town in Michigan’s Upper Peninsula. But she also wasn’t expecting the Planned Parenthood in Marquette to shut down last spring. Roughly 1,100 patients relied on that clinic each year for…
Do Healthcare CEOs Agree on Whether VBC and MA Actually Save Money?
Healthcare leaders can’t tell whether value-based care and Medicare Advantage are truly lowering costs. Some see promise in these models and ongoing innovations, while others say the programs haven’t delivered measurable savings and point to direct contracting as a more transparent way to control spending. The post Do Healthcare CEOs Agree on Whether VBC and…
