Prior Authorization Is Draining Revenue: Why Automation Has Become a Strategic Imperative
When staff are overextended and patients face delays or abandon care, the issue is no…
Prior Authorization Is Draining Revenue: Why Automation Has Become a Strategic Imperative
When staff are overextended and patients face delays or abandon care, the issue is no longer a narrow administrative burden. It becomes a business, financial, and access challenge that demands a different operating model. The post Prior Authorization Is Draining Revenue: Why Automation Has Become a Strategic Imperative appeared first on MedCity News.
How AI Inside Clinical Workflows Is Unlocking Patient Throughput
The question is not whether the technology is impressive. The question is whether it shows up at the right time, with the right information, inside the workflow where the decision is being made. Anything else is just another report. The post How AI Inside Clinical Workflows Is Unlocking Patient Throughput appeared first on MedCity News.
AI Readiness Starts with Solving Healthcare’s Data Fragmentation Problem
[Sponsored] On a recent webinar sponsored by Verato, panelists from SCAN Health Group and the Alliance of Community Health Plans discussed how their organizations are meeting the moment. The post AI Readiness Starts with Solving Healthcare’s Data Fragmentation Problem appeared first on MedCity News.
What Happens When Patients Trust AI Over Their Doctor?
As patients increasingly bring AI chatbot advice into exam rooms, where does liability land when that advice goes wrong? Health law attorney Meghan O’Connor said the answer still isn’t clear, but silence is the riskiest response for providers. The post What Happens When Patients Trust AI Over Their Doctor? appeared first on MedCity News.
Trump Administration Demands Hospitals Share Emergency Room Records
A tiny federal agency tasked with protecting the public from injuries caused by lawn mowers and coffeemakers is demanding that some of the nation’s biggest health systems turn over detailed, personally identifiable medical records of all patients who seek help at their emergency rooms. The Consumer Product Safety Commission, responsible for tracking and issuing recalls…
Tracking State Rural Health Transformation Plans
The five-year, $50 billion Rural Health Transformation program was created as part of the One Big Beautiful Bill Act to expand access to healthcare. States competed to win funding with first-year allocations ranging from $147 million for New Jersey to $281 million for Texas. Find links to available public documents for each state below. KFF…
Crystalys Therapeutics Tacks On $130M for Pivotal Tests of Gout Drug
Crystalys’s dotinurad is currently in pivotal testing for gout, a prevalent inflammatory disorder with few treatment options. The drug has the same mechanism of action as molecule that Sobi added to its pipeline through a $950 million acquisition. The post Crystalys Therapeutics Tacks On $130M for Pivotal Tests of Gout Drug appeared first on MedCity…
Candid Health Snags $120M for AI RCM Platform
Candid’s Series D round was led by Sixth Street Growth, with participation from Oak HC/FT, 8VC and Y Combinator. The post Candid Health Snags $120M for AI RCM Platform appeared first on MedCity News.
Why Value-Based Care Only Works If You’ve Tamed Costs
VBC aligns reimbursements to outcomes, emphasizing the quality and effectiveness, not quantity, of healthcare activities. But the same cost constraints driving interest in VBC can also turn it into a liability. The post Why Value-Based Care Only Works If You’ve Tamed Costs appeared first on MedCity News.
Medicine Understands Trauma’s Impact, But Rarely Asks About It
A core principle of trauma-informed care is understanding that past and ongoing exposure to stress and trauma can directly shape health outcomes. But by remaining blind to these histories, the medical community severely limits its ability to address the very drivers of the diseases it is trying to cure. The post Medicine Understands Trauma’s Impact,…
