OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab
An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests…
OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab
An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests for long-term acute care and inpatient rehabilitation at higher rates than other MA plans in 2024. The post OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab appeared first on MedCity…
Amgen Turns to an Independent Review to Defend Rare Disease Drug in FDA Crosshairs
FDA concerns about Amgen’s Tavneos were sparked by securities fraud litigation against ChemoCentryx, the company that originally developed the rare disease drug. The FDA wants to withdraw Tavneos’s approval, citing safety risks and alleged manipulation of the drug’s clinical trial data. The post Amgen Turns to an Independent Review to Defend Rare Disease Drug in…
Bot vs. Bot: Why Healthcare AI Progress Might Be Stuck
The healthcare industry is spending more than ever on AI — but according to executives from Oracle Health, HCA Healthcare and BJC Health, much of that investment could be wasted. During a panel this week at HFMA’s annual conference, they argued that no amount of sophisticated tech can overcome a broken, antiquated data foundation. The…
California Health Worker Union, Hospital Association Tout Dueling Ballot Initiatives
The issue of affordability has reignited a long-simmering battle between California’s medical industry and one of its largest health worker unions. SEIU-United Healthcare Workers West, with approximately 120,000 members, has put forward two ballot initiatives to cap the pay of medical executives and require community clinics to spend the vast bulk of their revenues on…
Crothall Healthcare Celebrates Hospital Partners Honored in 2026 Practice Greenhealth Awards
We are incredibly proud to celebrate our hospital partners who have been recognized in the 2026 Practice Greenhealth Environmental Excellence Awards. Several of our partners were honored across multiple award categories, including the prestigious Top 25 Environmental Excellence Award list, the organization’s highest honor for hospitals. At Compass Healthcare, sustainability is a core part of how we support our partners and our communities. These awards are more…
Stop Presenting at Health-Tech Buyers — Let Them Drive
Winning in health-tech is about giving buyers enough operational clarity, early enough, that they can say yes with confidence rather than saying yes because the alternative is another six months of the same evaluation cycle. The post Stop Presenting at Health-Tech Buyers — Let Them Drive appeared first on MedCity News.
Reliable Transportation Isn’t a Luxury — It’s an Important Part of Cancer Care
Insecurity about transportation can lead to missed appointments and delayed care, and obstacles are more common for cancer patients than for the general population. The post Reliable Transportation Isn’t a Luxury — It’s an Important Part of Cancer Care appeared first on MedCity News.
Designing Care Environments for Sensory Regulation, Not Just Clinical Efficiency
Bright overhead lighting, constant alarms, hard surfaces, and abrupt transitions between spaces can trigger agitation, confusion, and sensory overload. These reactions are not incidental; they directly affect recovery, staff workload, and cost. The post Designing Care Environments for Sensory Regulation, Not Just Clinical Efficiency appeared first on MedCity News.
1 in 4 Covered California Enrollees Could Get State Aid Under Newsom Proposal
When Congress allowed covid-era subsidies for health insurance to expire, California used its own funds to offset the hike in Obamacare premium costs for residents with low incomes. But the reach has been limited. As Gov. Gavin Newsom negotiates his last budget with the legislature, the Democrat wants to offer financial help to more than…
Final Rules for Medicaid Work Requirements Are Out. Here’s What You Need To Know.
The Trump administration has issued final rules on how states should ensure that millions of Medicaid enrollees prove they’re working or completing other activities, such as job training, volunteering, or being enrolled in an educational program. The Centers for Medicare & Medicaid Services released the rules on June 1. That deadline was set last year…
