3+ day, 14+ hour ago   (497+ words) EFF’s FOIA request sought records pertaining to the CMS contracts with WISeR software vendors; any tests for accuracy, bias, or hallucinations in vendors' technology; and any audits, monitoring, or evaluation of WISeR and participating vendors. CMS records obtained by EFF…...

4+ day, 10+ hour ago   (902+ words) A Queens family picked their agency off a top ten list, signed, and found out three weeks later that the agency had no aides available in their neighborhood. The coverage map said all five boroughs. The reality was two offices…...

1+ week, 1+ day ago   (206+ words) Less paperwork may improve access, but investors must watch whether faster approvals weaken medical-cost discipline. Oops, something went wrong U.S. markets close in 1h 50m UnitedHealth Falls as 30% of Approval Barriers Vanish This article first appeared on GuruFocus. UnitedHealth Group (NYSE:UNH), the…...

1+ week, 2+ day ago   (498+ words) NEW YORK – GoodRx, a prescription drug savings site, announced on Thursday a family healthcare subscription for access to common medical services and over 250 medications, and it plans to launch the program as part of employer health benefits in 2027. The program,…...

1+ week, 4+ day ago   (272+ words) Nuvama said Shilpa Medicare is moving beyond its traditional active pharmaceutical ingredient business towards a more complex, research-driven pharmaceutical model. The brokerage expects formulations and biologics to account for around 60 per cent of revenue by FY29, supported by launches including generic…...

1+ week, 4+ day ago   (472+ words) Despite industry claims of automated revenue cycle management, medical billers continue to manually navigate disjointed payer portals as artificial intelligence tools fall short. Despite pervasive industry marketing claiming that artificial intelligence has fully automated the American healthcare back office, medical…...

1+ week, 5+ day ago   (199+ words) The Centers for Medicare and Medicaid Services has launched a project to help its innovation unit scale the deployment of effective healthcare payment and service delivery models. Mathematica first announced the effort in an Aug. 24 press release, saying the agency…...

2+ week, 4+ day ago   (650+ words) HIT Consultant Hospital leadership has heard the automation promise before. Implement this platform, the pitch goes, and your revenue integrity team will finally get ahead of denied claims, underpayments, and timely filing lapses. And yet, according to the American Hospital…...

2+ week, 4+ day ago   (958+ words) Health care's real challenge isn't more data, it's activation. Arcadia's Sandy Leonard on turning real-world evidence into point-of-care action. Yet despite this explosion of data, evidence, and technology, health care outcomes have not improved at the same pace. The industry’s…...

3+ week, 1+ day ago   (306+ words) By Mukundan Sivaraj · AIM Media House A patient waits. A treatment has been ordered, but before it can happen, the provider needs approval from the insurer. That process, prior authorization, can take days or weeks depending on the case. Nearly…...