Medicare Advantage Out-of-Pocket Limits: Variation and Trends
This brief analyzes out-of-pocket limits in Medicare Advantage plans in 2026, variation by plan type,…
This brief analyzes out-of-pocket limits in Medicare Advantage plans in 2026, variation by plan type, the distribution of enrollees facing different out-of-pocket limits, and trends over time.
By JAKE SEGAL and KAREN LARSEN Call 988 in California and someone picks up. In parts of the state, a mobile crisis team might arrive at your door instead of police. Through Proposition 1, the state is putting billions into treatment beds, supportive housing, and youth services. On paper, California is in the middle of…
[Sponsored] In this episode, we’re joined by Janna Manjelievskaia, director of health economics and outcomes research at Veradigm. We discuss Veradigm’s recent Women’s Health Insights Report, which highlights the complicated history around Hormone Replacement Therapy (HRT), a medication used to treat menopause. The post MedCity FemFwd: The Complicated History Behind Hormone Replacement Therapy appeared first…
AI doesn’t just demand better processes. It requires a complete redesign of traditional healthcare operations for a new level of precision, traceability, and governance. A new operating model that the vast majority of healthcare organizations simply aren’t built around today. The post Healthcare AI Is Only As Good As the Systems That Govern It appeared…
To truly drive safety at scale, healthcare organizations will have to look beyond just adverse events and better leverage insights from one of the most valuable, but often underutilized, sources of safety data: near misses. The post From Close Calls to Safer Systems: Rethinking Near Miss Reporting in Healthcare appeared first on MedCity News.
The first truly scalable and transformative use of AI in medical imaging may not be autonomous diagnosis. Instead, it may be the creation of a “translation layer” designed to help patients actually understand the complex information they are already receiving. The post The Next Useful Layer in Radiology AI is Patient Comprehension appeared first on…
A hantavirus outbreak linked to a Dutch cruise ship in early May was followed by false health claims that mirror patterns documented in previous outbreaks. The Monitor also examines a new analysis of Americans’ relationship with health and wellness influencers.
May 28 Jackie Fortiér [FOR-tee-ay] reads this week’s news: Suicide prevention experts argue that improving Americans’ financial well-being could save lives. Plus, the Trump administration proposes looser artificial intelligence safeguards to speed innovation in healthcare. The KFF Health News Minute is available every Thursday via direct download or the RSS feed. KFF Health News is a…
James Mu had braced for the call that came in late January. A patient from his rural Northern California county had measles, a disease so rare there that many physicians have never treated a case. While California has some of the strictest vaccine laws in the country, conservative Shasta County’s approach during the covid pandemic…
Bayesian Health became the first company to receive FDA clearance for a continuous AI-powered sepsis monitoring system. The clearance follows years of clinical validation studies and real-world deployments across multiple health systems. The post How Bayesian Health’s Sepsis AI Tool Is Decreasing Alerts & Saving Lives appeared first on MedCity News.