HHS Launches Plan to Curb Psychiatric Overprescribing
Multiple federal agencies have signed a letter supporting prescribing practices
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Provider-Payer Tensions Brew in Courtrooms: 3 Recent Lawsuits
Disagreements between providers and payers have been moving into the courtroom over the past few weeks. The California Hospital Association sued Anthem over one of its out-of-network policies, Broward Health sued Florida Blue over alleged underpayment, and Jefferson Health sued Aetna over a Medicare Advantage hospital stay rule. The post Provider-Payer Tensions Brew in Courtrooms:…
UnitedHealth Group to Reduce Prior Authorization Requirements for Faster Patient Care
Only 2 percent of UnitedHealthcare services currently require prior approval
Parsley Health Wins Greater Insurance Coverage for its Functional Medicine
Parsley Health is now in-network with major insurers nationwide, including UnitedHealthcare, Aetna and Cigna. The post Parsley Health Wins Greater Insurance Coverage for its Functional Medicine appeared first on MedCity News.
St. Luke’s University Health Turns to Auxira for Cardiology Support
Joanne Fulmer, St. Luke’s director of operations, says Auxira embeds a dedicated virtual Advanced Practice Provider directly into cardiology care teams
Madrigal Pharma Adds Another Genetic Medicine to Its Drug Combo Strategy in MASH
Madrigal Pharmaceuticals has licensed rights to an Arrowhead Pharmaceuticals small-interfering RNA therapy designed to address a particular genetic mutation associated with the fatty liver disease MASH. It’s Madrigal’s fourth business development deal of the past year and the company’s second one involving siRNA therapies. The post Madrigal Pharma Adds Another Genetic Medicine to Its Drug…
How I Learned To Trust AI as a Physical Therapist
If AI is going to be used in MSK care — or any area of healthcare — it needs clear, non-negotiable rules around it. The post How I Learned To Trust AI as a Physical Therapist appeared first on MedCity News.
Kidney Care Is Value‑Based Care’s Toughest Economic Test — and It’s Working
For years, the central question was whether value-based care could work at all. Today, evidence from kidney care moves us beyond that debate. The more urgent questions are who can scale these models effectively and whether the system will sustain what’s working long enough for it to endure. The post Kidney Care Is Value‑Based Care’s…
Healthcare Doesn’t Have an AI Problem — It Has a Readiness Problem
The path to scalable AI in healthcare will not be defined by a single breakthrough or technology. It will be shaped by the industry’s ability to address the foundational challenges that have existed for decades. The post Healthcare Doesn’t Have an AI Problem — It Has a Readiness Problem appeared first on MedCity News.
States Eye Aid To Prop Up Distressed Hospitals Amid Federal Medicaid Cuts
LOS ANGELES — At Martin Luther King, Jr. Community Hospital, patients on gurneys line the hallways of the emergency department waiting for care, and overflow mental health patients are consigned to outdoor tents. The 152-bed hospital, which sits on a sprawling medical campus close to the predominantly Latino and Black neighborhood of Watts, is struggling…