Behind the Scenes in Medicaid
Leaders emphasize collaboration and understanding system interdependencies
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Elevance Preparing to Exit Several Medicaid States
Leaders of the parent of Anthem and Wellpoint recently agreed with D.C. officials to leave that jurisdiction and say they are focused on long-term financial sustainability.
GSK Drug From $2B Deal Sputters in Phase 3 Test in Chronic Cough
GSK said the mixed Phase 3 results for camlipixant mean this pill “is unlikely to transform patient care” in recurrent chronic cough. GSK is stopping work in this indication, a setback to a program once hoped to yield a new blockbuster product for the company’s respiratory drug portfolio. The post GSK Drug From $2B Deal…
Navigating Responsible Adoption of Agentic AI in Healthcare
Effective adoption of agentic AI in healthcare hinges on understanding its interdependent layers, implementing responsible use practices like bias mitigation and explainability, and fostering organizational trust through deliberate, human-centered strategies.
Why Specialty-Specific Measurement and Intervention Are Essential to Address Healthcare Burnout
The opportunity ahead is to treat physician well-being as a core strategic priority, measured with the same rigor and acted upon with the same urgency as any other critical performance domain. The post Why Specialty-Specific Measurement and Intervention Are Essential to Address Healthcare Burnout appeared first on MedCity News.
Why Settle for Acceptable Versus Optimal Outcomes?
New 3D printed technology makes lower extremity surgeons architects of restoration, not adaptation. The post Why Settle for Acceptable Versus Optimal Outcomes? appeared first on MedCity News.
Watch: ‘Robust’ Primary Care, Transparency Top Employers’ Reform Wish List
In this “How Would You Fix It?” interview, Julie Rovner, KFF Health News’ chief Washington correspondent and host of the What the Health? podcast, sat down with Elizabeth Mitchell, the president and CEO of the Purchaser Business Group on Health, which represents many large employers and other institutional buyers of healthcare coverage. Mitchell noted that…
Insurers Hedge on Trump-Backed Pledge To Improve Denials Process
One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t implement all the promised initiatives. Meanwhile, patients, their advocates, and clinicians say little has improved. “It has never been this bad for patients,” said U.S….
Understanding TEFCA Oversight: New Measures and Implications for Healthcare Data Exchange
TEFCA remains voluntary, with legal responsibilities primarily on data suppliers, making provider protections and breach reporting critical concerns, Melissa Soliz, attorney and partner at Coppersmith Brockelman PLC, explains
Healthcare Groups Praise Unanimous Committee Approval of MA Prior Auth Bill
The House Ways and Means Committee unanimously advanced a bill to reform Medicare Advantage prior authorization requirements. The post Healthcare Groups Praise Unanimous Committee Approval of MA Prior Auth Bill appeared first on MedCity News.