Payment Integrity is a Systems Problem, not a Data Glitch
As our healthcare system has evolved to provide higher quality care to more — and…
Payment Integrity is a Systems Problem, not a Data Glitch
As our healthcare system has evolved to provide higher quality care to more — and increasingly clinically complicated — people, the disconnect between what’s billed, what’s documented, and what’s actually true has deepened. The post Payment Integrity is a Systems Problem, not a Data Glitch appeared first on MedCity News.
ChatGPT for Medical Use Is a Cry for Help. We Need Better Medical Triage
The growing use of AI chatbots for medical questions should not be seen as a threat to the healthcare system, but as a signal that patients aren’t trying to replace their physicians; they’re trying to find them. The post ChatGPT for Medical Use Is a Cry for Help. We Need Better Medical Triage appeared first…
What Direction is Healthcare Navigation for Self-Insured Employers Moving?
[Sponsored] The 2025 Benefits Sentiment Index finds that self-insured employers are shifting their positions on healthcare navigation, GLP-1 drugs and more. The post What Direction is Healthcare Navigation for Self-Insured Employers Moving? appeared first on MedCity News.
La administración Trump investiga el gasto de estados demócratas en Medicaid para inmigrantes
SACRAMENTO, California — La administración Trump ha extendido su política de mano dura en inmigración a la red de atención médica pública, iniciando investigaciones sobre el gasto de Medicaid en al menos seis estados liderados por demócratas. Estos estados brindan cobertura médica integral a inmigrantes pobres y con discapacidades que viven en el país sin…
Trump Administration Investigates Medicaid Spending on Immigrants in Blue States
SACRAMENTO, Calif. — The Trump administration is taking its immigration crackdown to the health care safety net, launching Medicaid spending probes in at least six Democratic-led states that provide comprehensive health coverage to poor and disabled immigrants living in the U.S. without permanent legal status. The Centers for Medicare & Medicaid Services is scouring payments…
He Built Michigan’s Medicaid Work Requirement System. Now He’s Warning Other States.
It was March 2020, and Robert Gordon was about to kick some 80,000 people off health insurance. As the Michigan state health director, he had spent the past year, and some $30 million in state tax dollars, trying to avoid that very thing. Gordon was a Democrat, a veteran of the Obama administration, and he…
Dr Kaelee Brockway on AI for physical therapy training
Dr Kaelee Brockway is a professor of education and physical therapy who has built a series of AI based “patients” for her PT students to train on. Kaelee is a pioneer in using these tools for training. She showed me the personas that she has built with LLMs that are now being used by her…
Healthcare Experts Slam Florida’s Plan to End Vaccine Mandates
Florida plans to end all vaccine mandates, drawing sharp criticism from health experts who warn it threatens public health and could lead to preventable disease outbreaks. The post Healthcare Experts Slam Florida’s Plan to End Vaccine Mandates appeared first on MedCity News.
What Did Lawmakers Discuss at the House Hearing on Health AI?
Lawmakers and health experts convened on Capitol Hill this week to discuss the use of AI in healthcare. They highlighted the technology’s potential to reduce administrative burdens and boost care access in rural areas — while also warning about oversight gaps and the risks of AI-driven prior authorization. The post What Did Lawmakers Discuss at…
How healthcare prices and utilization in the United States compare to peer nations?
This updated chart collection compares indicators of health care utilization and prices in the United States and 11 similarly wealthy countries to investigate whether higher prices or higher utilization of healthcare services drives the high healthcare expenditures in the U.S. relative to peer nations.
