Program integrity efforts work to prevent and detect fraud, waste, and abuse, to increase program transparency and accountability, and to recover improperly used funds. This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.
We need to embrace a more holistic, integrated approach to mental healthcare: one that combines the best of human expertise with rapid innovations of technology, all while being mindful of the real-world challenges faced by marginalized and underserved communities. The post Reimagining Mental Healthcare: We Need A New Road, Not A Bigger Truck appeared first…
In 2019, Cristina Iglesias filed a lawsuit that changed the course of treatment for herself and other transgender inmates in federal custody. Iglesias, a trans woman who had been incarcerated for more than 25 years, was transferred from a men’s prison to a women’s one in 2021. And in 2022, she reached a landmark settlement…
By MICHAEL MILLENSON Four days after emergency surgery and barely able to walk, Heather Sherman flew from Chicago to Washington for first-day-of-work onboarding at the Agency for Healthcare Research and Quality. Fourteen months later, Sherman suddenly became one of the thousands of federal employees summarily dismissed by a weekend email telling them they were “not…
That is according to a paper by Wolff et al. (2025). They use 2011-2022 data from the National Health and Aging Trends Study (NHATS) linked to data from the National Study of Caregiving (NSOC). Using these data, they find. …the numbers of family caregivers providing help to older adults increased by nearly six million between…
An estimated 750,000 to 2 million people would lose health insurance with proposed rule, with the potential to further burden EDs
Lantern has publicly released its methodology for calculating surgical savings, and is inviting others to do the same. The post Lantern Unveils Savings Methodology to Increase Transparency for Specialty Care Pricing appeared first on MedCity News.
The American Cancer Society struck a multi-year collaboration with Layer Health, a healthcare AI company that uses LLMs to improve data abstraction and generate insights. The partners will abstract data from thousands of medical charts of patients enrolled in the American Cancer Society’s research studies, with the ultimate goal of shortening research timelines. The post…
AstraZeneca’s EsoBiotec acquisition is the latest in a series of deals struck by the pharma giant to secure a place in the next wave of cell therapies for cancer and immune-mediated diseases. EsoBiotec’s allogeneic cell therapies are made by the in vivo reprogramming of a patient’s immune cells. The post AstraZeneca Aims to Make Cell…
President Trump’s pick to lead the CMS, Dr. Oz, promises to fight healthcare fraud and push to make Americans healthier