Medicaid MCO Survey Highlights Persistent Behavioral Health Barriers
Managed care plans say access to data continues to be a major barrier to behavioral…
Medicaid MCO Survey Highlights Persistent Behavioral Health Barriers
Managed care plans say access to data continues to be a major barrier to behavioral and physical health integration
Implementation of Medicaid Immigrant Eligibility Restrictions Under the 2025 Reconciliation Law: Issues to Consider
The 2025 reconciliation law includes new eligibility restrictions for many lawfully present immigrants for Medicaid and CHIP that become effective October 1, 2026. This brief provides an overview of implementation of the immigrant eligibility changes based on CMS guidance and issues to consider for affected individuals and states.
AI Workers Need a Probation Period, Not Just a Pilot
Healthcare leaders know how to test software. We don’t yet have a shared playbook for onboarding agents expected to do a job end to end. That is the gap a probation period is meant to fill. The post AI Workers Need a Probation Period, Not Just a Pilot appeared first on MedCity News.
As Health Insurance Costs Soar, Healthcare Workers Also Feel the Pinch
BOISE, Idaho — Joshua and Ashley Durham run a family medicine practice, and for the first time in their lives, they have no health insurance. When the Durhams began their practice at the end of 2023 — he as a primary care physician and she as a pharmacist who handles the billing — the couple…
Insurance Coverage Lags as Cancer Science, Treatment Move Forward
Mason Henderson with his mother, Tabitha Lowe, in November during a visit to New York, where Henderson was participating in a clinical trial to treat his brain cancer. Henderson died in May after a two-year battle with the disease. (Jerry Lowe) Eighteen months after his initial diagnosis, chemotherapy hadn’t slowed 21-year-old Mason Henderson’s rare brain…
AI: To Regulate, or Not to Regulate?
Across the tech industry, many of AI’s own leaders are calling for oversight — self-imposed or from government. That debate is on, but where it will land is anyone’s guess. Joe Grogan takes a different tack: the biggest threat in health care AI may not be too little regulation, but the wrong kind.
Radiopharmaceutical Dealmaking Continues With Telix’s $1.65B ITM Acquisition
Telix Pharmaceuticals is acquiring Isotope Technologies Munich, or ITM, in a $1.65 billion stock deal that will create a radiopharmaceuticals company with greater global scale. ITM’s lead pipeline asset is in late-stage development for a type of gastrointestinal cancer, where it could compete against Novartis and Curium Pharma products. The post Radiopharmaceutical Dealmaking Continues With…
Array Behavioral Care Unveils New Triage Model
Array Behavioral Care launched a new service to help providers assess patients with urgent behavioral health needs and connect them to appropriate care. The post Array Behavioral Care Unveils New Triage Model appeared first on MedCity News.
Crothall Housekeeper Matthew Phillips Takes Center Stage on Andy Garcia’s TV Show
Matthew Phillips doesn’t consider himself a hero. To him, caring for patients and supporting his team are simply part of doing his job. But twice, when patients needed help, Matthew’s quick thinking and willingness to act made all the difference. While cleaning a room at a Pennsylvania hospital, he noticed the patient in medical distress…
How AI Is Transforming Clinical Documentation at Intermountain Health
Since implementing AI clinical documentation improvement (CDI) tools, Intermountain has seen a 22% point increase in inpatient chart completion during or immediately after rounds. The post How AI Is Transforming Clinical Documentation at Intermountain Health appeared first on MedCity News.
