3+ day, 16+ hour ago   (358+ words) Over 700 hospitals shuttered their maternity wards between 2010 to 2024, according to a new report. Maternity wards are common targets for financially strained hospitals looking to cut costs, as they’re expensive to maintain and rely heavily on reimbursements from Medicaid, which providers…...

5+ day, 14+ hour ago   (284+ words) No assets are changing hands as a result of the deal, which is expected to close this October with Cambia assuming control of the Arkansas Blue plan’s operations. Arkansas Blue Cross — the largest insurer in the Natural State, serving members…...

1+ week, 4+ day ago   (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology, orthopedic and musculoskeletal procedures and genetic and lab testing. Providers generally loathe prior authorization, a controversial process requiring them to get an insurer’s OK before…...

1+ week, 5+ day ago   (390+ words) Some 7.6% of emergency department visits are currently paid in cash, up from 5.5% in 2022, according to a new study from the EHR giant’s research division. Medicaid grew to a record size during the pandemic, covering some 1 in 4 Americans as states halted…...

2+ week, 4+ day ago   (230+ words) Providers might choose the tool when documenting complex surgical procedures or medical codes to ensure the highest level of precision, Suki says. Suki says its new AI-powered dictation tool, which providers can deploy on its own or alongside Suki’s ambient…...

2+ week, 5+ day ago   (433+ words) Dr. Patrick Fox, a forensic psychiatrist and health plan executive, will lead Carelon Behavioral Services effective immediately. Name: Dr. Patrick Fox Previous title: President, Wellpoint New Jersey New title: President, Carelon Behavioral Health Fox is assuming the top role at…...

2+ week, 6+ day ago   (353+ words) There's a lot of conversation right now about transparency in pharmacy benefit management. While transparency has always been an important topic, new regulations and mandates have increased the focus for all stakeholders. I understand the urgency. The affordability pressures on…...

2+ week, 6+ day ago   (482+ words) Healthcare is organized around specialties, organ systems, and diseases. Patients experience it as one personal journey. A person with diabetes that is managed by an endocrinologist may also see a cardiologist, fill prescriptions at multiple pharmacies, work with a behavioral…...

3+ week, 2+ day ago   (251+ words) Corporate entities, including hospitals and health plans, now employ more than 80% of physicians nationwide, according to the Physicians Advocacy Institute. As more physicians are employed by corporations, they’re facing roadblocks that conflict with their duty to provide care, the report…...

3+ week, 5+ day ago   (329+ words) Ochsner Health, Froedtert ThedaCare Health, Denver Health and Summit Health are the first to adopt the prior authorization checks. Prior authorization, which requires patients and their doctors to request coverage for a medical item or service before it’s provided, has…...