In Oncology, the Cost Problem Goes Beyond Predictability
Healthcare does not lack the data needed to better understand oncology costs. What it does…
In Oncology, the Cost Problem Goes Beyond Predictability
Healthcare does not lack the data needed to better understand oncology costs. What it does lack is a consistent way to connect clinical progression with financial impact in a time frame that aligns with strategic planning. The post In Oncology, the Cost Problem Goes Beyond Predictability appeared first on MedCity News.
The AI Playbook for Health Plans: 5 Steps for Leaders Who Don’t Know Where to Start
It starts with a simple mindset shift, realizing that a successful AI journey begins with identifying a business problem, not with technology. The plans that make real progress embrace this mindset first then follow these five steps. The post The AI Playbook for Health Plans: 5 Steps for Leaders Who Don’t Know Where to Start…
Closing the Quality-Affordability Gap in Workplace Mental Health
[Sponsored] In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable. The post Closing the Quality-Affordability Gap in Workplace Mental Health appeared first on MedCity News.
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…
In California Governor’s Race, Voters Face Stark Choice on Immigrant Healthcare
For decades, Californians have generally said that immigrants, who make up more than a quarter of the state’s population and a third of its labor force, are beneficial to the state and its economy. But budget instability and concerns about rising costs are spilling into a debate over the controversial and expensive policy of allowing…
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…
What to Know About CMS’ New Proposed Outpatient Payment Rule
CMS published its proposed 2027 outpatient payment rule, including a 2.4% base rate increase alongside steep cuts to 340B drug payments and an expansion of site-neutral payment to off-campus imaging services. Provider groups warn that these changes would push many hospitals’ payments into negative territory. The post What to Know About CMS’ New Proposed Outpatient…
Medicare to Spend $13B on MA Quality Bonus Program in 2026
KFF estimates Medicare will spend $13.4 billion on the Medicare Advantage Quality Bonus Program in 2026 amid continued scrutiny of the program. The post Medicare to Spend $13B on MA Quality Bonus Program in 2026 appeared first on MedCity News.
Lung-Focused Celea Secures $180M for Pivotal Test of Pulmonary Fibrosis Drug
PureTech Health spinout Celea Therapeutics will apply the financing toward a Phase 3 test of its idiopathic pulmonary (IPF) drug, deupirfenidone. The pivotal study will test the oral small molecule head-to-head against a standard of care IPF drug. The post Lung-Focused Celea Secures $180M for Pivotal Test of Pulmonary Fibrosis Drug appeared first on MedCity…
Modernizing Program Integrity in Medicaid Self-Directed Care
States must rethink how program integrity is designed and delivered by focusing on four key priorities that enable oversight to scale alongside these programs. The post Modernizing Program Integrity in Medicaid Self-Directed Care appeared first on MedCity News.
