Cancer survivors enrolled in high-deductible health plans had significantly worse overall and cancer-specific survival than those in standard health plans, according to a study published Jan. 29 in JAMA Network Open. The researchers analyzed data from 147,254 adults ages 18…
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Prior authorization ranks as the single biggest burden insured Americans face when navigating the healthcare system, according to a KFF Health Tracking Poll published Feb. 2. The poll was conducted Jan. 13-20 among 1,426 U.S. adults. Five things to know:
Medicare Advantage insurers will likely continue to scale back supplemental benefits and exit certain markets if CMS finalizes its proposed 0.09% payment increase for 2027, according to a Jan. 30 analysis from Fitch Ratings. “Depending on finalized payment rate and…
Payer leaders are managing deeper downside risk, tighter margins and rising expectations for transparency, quality reporting and audit readiness. This guide outlines a practical framework for using AI in value-based care while managing compliance and operational risk. Rather than focusing…
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For too long, the healthcare system has been reactive, focused on treating illness after it occurs rather than anticipating and preventing it. At the same time, consumers have come to expect personalized, seamless experiences in every part of their lives,…
Boston Medical Center faced the same challenge many systems are grappling with: beds staying full longer than necessary because getting patients home safely took too long. BMC turned to AI to transform how teams identify patients ready for home and…
Presented by:
- Christopher Manasseh, MD, Associate Chief Medical Officer, Inpatient Operations Boston Medical Center
- Jason Cohen, MD, Chief Medical Officer, Inpatient Qventus
As more hospitals and health systems grow frustrated with Medicare Advantage plans, Ascension is among the organizations rethinking how — and whether — to continue participating. Delays in care, high denial rates and growing administrative burdens are prompting tougher contract…
Hospitals are under increasing pressure to expand behavioral health access while managing emergency department congestion, inpatient capacity and limited psychiatric coverage. Many organizations have adopted telepsychiatry to reduce boarding and improve access, yet leaders often struggle to evaluate which partners…
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Hospitals face mounting pressure to improve efficiency, control costs, and safeguard patient care—all while managing increasingly complex medical equipment inventories. This article explores four practical ways artificial intelligence (AI) can help health systems tackle these challenges today. From improving inventory…
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Preventive care significantly improves health outcomes—cancer screening alone has added as many as 16 million years to people’s collective lifespans. Yet only about 5% of adults receive the screenings recommended for their risk factors. That isn’t a gap. It’s a chasm. Preventive care detects serious illnesses early, when treatment is most effective. With 90% of the nation’s $4.5 trillion in annual health care…
