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New Records Reveal Problems with Medicare’s AI Prior Authorization Experiment
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…...
Best Home Care Agencies in New York: 2026 Comparison
4+ day, 11+ 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…...
Spire Healthcare and falling house prices: Markets live
5+ day, 14+ hour ago (1192+ words) Spire Healthcare (SPI) has agreed to a £1.03bn takeover by a consortium of private bidders, namely hedge fund Toscafund and private equity firms Three Hills and Ares Management (US:ARES). The 250p-per-share offer gives the private healthcare provider an enterprise value…...
UnitedHealth Falls as 30% of Approval Barriers Vanish
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…...
GoodRx offers health subscription for families, to launch as employee benefit in 2027
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,…...
Starting in 2028, More Than $1 Million in Home Equity Disqualifies You From Medicaid Nursing Home Coverage, and the Cap Never Adjusts for Inflation
1+ week, 2+ day ago (579+ words) A frozen dollar figure buried in a 2025 federal law could strip Medicaid nursing home coverage from retirees who spent decades building equity in an ordinary home, and the families most exposed are the ones least likely to see it… This…...
Shilpa Medicare: Scaling up the complexity ladder; Buy stock, says Nuvama - BusinessToday
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…...
Healthcare Billing Automation Lags as Artificial Intelligence Fails to Replace Manual Portals
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…...
Bienestar Home-Care Program Reaches 10.9 Million People
1+ week, 5+ day ago (772+ words) Mexico Business News Join our expert contributor program Mexico's Ministry of Welfare reported 22.8 million home-care consultations reaching 10.9 million older adults and people with disabilities through Health House by House between July 2025 and June 2026, with 2.25 million already registered for the 2027 Universal…...
CMS taps Mathematica, Deloitte to improve effectiveness of its healthcare models
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…...