Focused on Work, Needed at Home: A Federal Caregiving Policy Might Help
(Candice Evers for WPLN and KFF Health News) Jill Woodrow reached a tipping point as…
Focused on Work, Needed at Home: A Federal Caregiving Policy Might Help
(Candice Evers for WPLN and KFF Health News) Jill Woodrow reached a tipping point as a caregiver when her mom began struggling to communicate information about her latest doctor appointments. Woodrow’s mother, a uterine cancer survivor, was seeing specialists to get to the bottom of several new, concerning symptoms. “When she would try to tell…
Is AI Better for Patients?
Is AI Better for patients? What is changing on the ground? Chip talks with Dr. Patrick Conway, Chief Executive Officer of Optum, a health services and technology business under parent company, UnitedHealth Group. They discuss how to ensure the health care industry’s use of AI serves patients first, particularly when the same company bears financial…
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,…
