Medical Article

High-performing groups treat utilization with the same rigor they apply to coding and quality. Here are four key principles we’ve seen successful organizations adopt. The post Utilization: The Hidden Revenue Leak in VBC appeared first on MedCity News.

Here’s why we need stricter oversight, independent third-party testing, more rigorous research and a cultural shift in how we think about ‘natural’ remedies. The post I Trusted A Popular Supplement — It Shut Down My Liver appeared first on MedCity News.

Two U.S. representatives have introduced the Prompt and Fair Pay Act, a bipartisan bill that would require Medicare Advantage plans to reimburse providers at least the same rates as traditional Medicare, as well as pay claims more promptly. Providers and industry groups have welcomed the proposal, citing mounting financial strain and growing concerns over care…

Numerous insurers — including Oscar Health, Elevance Health, Molina Healthcare and Centene — have announced they’re cutting or withdrawing their earnings guidance for the year. And the individual market seems to be the culprit. The post Why Several Insurers Are Cutting/Withdrawing Their Earnings Guidance appeared first on MedCity News.

A growing body of evidence shows that structured lifestyle interventions such as physical activity, nutrition, and stress management aren’t just helpful; they also reduce cancer recurrence, improve quality of life, lower mortality, and even decrease healthcare costs.  The post It’s Time to Make Lifestyle Interventions Standard in Oncology appeared first on MedCity News.

Let’s be honest. Clinicians are taught to reduce unnecessary care. But there’s a razor-thin line between avoiding unnecessary tests and failing to believe a patient’s symptoms. The post When Listening Could Save a Life: The Human Cost of Medical Gaslighting appeared first on MedCity News.