By Arielle Zionts – Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers.
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By Zac Amos – Artificial intelligence has grown ubiquitous, infiltrating various industries including healthcare. With rising prices and increasing demands for service, professionals are keenly interested in how AI can supercharge workflows and reduce expenses.
By Arthur Allen – In recent years, the opaque business practices of PBMs have drawn fire. The Federal Trade Commission is conducting a lengthy investigation of the three biggest companies and sued them in September, accusing the firms of driving up insulin prices.
By Jay Eisenstock – The shocking execution of the CEO of America’s largest health insurer has reignited widespread criticism of the health insurance industry, often viewed as primarily responsible for the high cost of healthcare. While these companies bear some responsibility, the issue is far more complex with blame shared across the entire system.
By Molly Castle Work – Californians with medical debt will no longer have to worry about unpaid medical bills showing up on their credit reports under legislation signed recently by Gov. Gavin Newsom, adding the nation’s most populous state to a growing effort to protect consumers squeezed by unaffordable medical bills.
By Phil Galewitz – Facing an ultracompetitive market in one of the nation’s fastest-growing cities, UF Health is trying a new way to attract patients: a combination emergency room and urgent care center.
By David R. Burda – I thought of my dad’s approach to fishing when I was reading a new report from Agency for Healthcare Research and Quality (AHRQ) and why we fail to take the same approach to reducing healthcare costs.
By Phil Galewitz & Holly K. Hacker – At least two-thirds of Medicare enrollees have two or more chronic health conditions, federal data shows. That makes them eligible for a federal program that, since 2015, has rewarded doctors for doing more to manage their health outside office visits.
By Eric Demers – In 2022, 20% of adults said they or their family received an unexpected medical bill. The No Surprises Act, which went into effect last year, is better late than never. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes…