Why AI Still Isn’t Fixing Patient Referrals—And How It Could
By NAHEEM NOAH A Call from the Black Hole Three months into building Carenector’s facility-to-facility…
Why AI Still Isn’t Fixing Patient Referrals—And How It Could
By NAHEEM NOAH A Call from the Black Hole Three months into building Carenector’s facility-to-facility platform, I got a call that crystallized everything wrong with healthcare referrals. A hospital social worker, who was already using our individual patient platform to help families find care, had been trying to coordinate an institutional placement for an 82-year-old…
Payers Made a Bold Prior Auth Commitment in 2025. Here’s What to Expect in 2026
More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or delays in care. The post Payers Made a Bold Prior Auth Commitment in 2025. Here’s What to Expect in 2026 appeared first on MedCity News.
Why Are Aidoc’s AI Tools Winning Over Radiologists?
Clinical decision support startup Aidoc has become a major player in healthcare AI thanks to its focus on acute, life-or-death cases and its R&D-first approach. As Aidoc continues to innovate, Chief Business Officer Tom Valent thinks its commitment to patient safety and transparency will be key contributors to future success. The post Why Are Aidoc’s…
Mind The Gaps: Closing the Digital Divide to Improve Behavioral Healthcare
The shortfalls that accompany this technology gap touch everything from continuity of care and outcomes to the patient experience. The post Mind The Gaps: Closing the Digital Divide to Improve Behavioral Healthcare appeared first on MedCity News.
CMS Proposes New Mandatory GUARD and GLOBE Models
The proposed models intend to test a payment model that modifies the inflation rebate using international drug pricing information
The Referral Is Broken: Why Healthcare’s Last Bottleneck Still Lacks Innovation
We’ve automated everything but the one workflow that most directly determines whether patients actually get the care they need. The gap between knowing what works and implementing it at scale reveals the real problem that healthcare treats referrals as an administrative burden to manage, not a critical workflow to optimize. The post The Referral Is…
My Top 10 Favorite Quotes of 2025
A look back at some of the most intriguing statements from Healthcare Innovation interviews in the past year
Journalists Zero In on ‘Certificate of Need’ Laws and Turbulent Obamacare Enrollment Season
KFF Health News senior correspondent Renuka Rayasam discussed gun violence in Bogalusa, Louisiana, on KALW’s Your Call on Dec. 19. Click here to hear Rayasam on Your Call. Read Rayasam’s “Guns, Race, and Profit: The Pain of America’s Other Epidemic,” co-reported with Fred Clasen-Kelly. KFF Health News rural health correspondent Andrew Jones discussed the implications…
Key Data on Health and Health Care for American Indian or Alaska Native People
AIAN individuals experience significant health disparities compared to their White counterparts. People who identified as AIAN alone have shorter life expectancies (70.1 vs 78.4 years at birth), higher rates of chronic diseases, and higher rates of suicide deaths and substance use disorder.
Health and Health Care for American Indian or Alaska Native People: Key Issues
Due to a combination of lower coverage rates, additional access barriers, and historical and ongoing discrimination, AIAN people continue to face significant disparities in health and health care.
