Medical Article

[Sponsored] Fraud, waste, and abuse (FWA) continue to challenge dental plans as overtreatment, miscoding and inappropriate billing practices drive unnecessary costs and weaken payment integrity. For dental payers, the stakes extend beyond financial losses: these issues can also expose members to unnecessary procedures and consume benefits that should be preserved for appropriate care. The post…

While the immune reset field is mainly focused on depleting pathogenic B cells, ai3Bio is applying its novel approach to inflammatory T cells. The startup’s initial disease targets are autoimmune disorders of the liver that have few treatment options if any at all. The post Immunology Startup ai3Bio Aims to Redefine What It Means to…

The Trump administration’s ACA fraud crackdown will remove 760,000 people from Marketplace coverage, drawing criticism from healthcare experts and advocates. The post Trump’s ACA Fraud Crackdown: Experts Urge Going After Bad Actors, Not Patients appeared first on MedCity News.

Rural patients, Medicaid enrollees, and patients from underrepresented racial and ethnic groups are more likely to go undiagnosed, more likely to be misdiagnosed, and more likely to end up in an emergency department rather than an allergist’s office. The post Closing the Diagnostic Gap: Why Access to Allergy Care Isn’t Equal appeared first on MedCity…

At a recent symposium on privacy, experts discussed how AI supports a faster and oftentimes more insightful approach to data security, while identifying which privacy risks healthcare organizations must monitor. The post Healthcare Privacy Leaders Look to AI to Improve Monitoring and Data Breach Investigations appeared first on MedCity News.