The No Surprises Act, passed in 2020 and implemented in 2022, was designed to protect patients from unexpected out-of-network medical bills. It also established the federal independent dispute resolution (IDR) process, allowing out-of-network providers and health plans to resolve payment…
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A federal judge on July 29 denied a request from 25 states and Washington, D.C., to temporarily block parts of the Trump administration’s Medicaid work requirement rule. Six things to know: 1. U.S. District Judge Richard Stearns denied the states’…
Most AI implementations don’t fail because of the technology. They fail because organizations focus on deployment instead of behavior change. Clinicians don’t resist innovation — they resist disruption that doesn’t clearly improve patient care or make their day easier. Featuring…
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Presenters:
- Matthew Brown, DSO Partnerships, Dandy
- Dr. Layla Lohmann, Co-Founder and Clinical Director, Apex Dental Partners
Indiana Gov. Mike Braun directed the state to partake in CMS’ “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” model for GLP-1 access in Medicaid. According to a July 30 Indiana news release, under the pilot, GLP-1s will cost…
Stellarus, a healthcare technology company born out of a Blue Shield of California restructuring, is rolling out its AI-powered Customer Service Representative Chat for health plan customer service representatives. According to a July 30 news release, CSR Chat is Stellarus’…
Blue Cross Blue Shield of Michigan is moving more than 1,400 employees from its Detroit office in the Renaissance Center to other facilities downtown, the company told Becker’s July 30. “The move will improve the workplace experience for our employees,…
Elevance Health is laying off 85 employees in Washington, D.C. as part of its move to exit the district’s Medicaid managed care program. The company said the layoffs will take place between Oct. 2 and July 31, 2027 in regulatory…
EMS clinicians routinely identify and treat patients with conditions like hypoxia, hypotension, shock or sepsis before reaching the emergency department. By the time an emergency physician evaluates the patient, the initial instability may have resolved but clinical complexity, monitoring needs…
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DSO affiliation among U.S. dentists more than doubled over the past decade, rising from 7.2% in 2015 to 16.1% in 2024. That growth creates opportunity, but it also raises the operational stakes. A revenue cycle that works cleanly across two…
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A regional health system was running its urgent care network at a loss and struggling to meet patient demand. Rather than retreat, it partnered to rebuild the service line around a retail-style operating playbook attracting new patients to the system,…
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