Insurers of qualified health plans (QHPs) sold on Healthcare.gov denied an average of 20% of all claims in 2023 – 19% of in-network claims and and 37% of out-of-network claims, finds a new KFF survey. The in-network denial rate ranged widely, with significant variation by insurer and by state from 1 to 54%.
There’s always been personalization for every patient, said Mudit Garg, CEO and cofounder of Qventus. But personalization at scale requires technology. Over the last 10 to 20 years, many technical systems have been built that allow for mass personalization. For instance, every customer has a personalized experience with Amazon.
Providence Health embraces change and a more fluid way of working as compared to standard project management, say Rachele Watts, Joel Bond and Evgeny Shekhtman, who work in the health system’s Agile Practice Office.
Advocate Health Care is closing 47 clinics it operates inside Walgreens in Illinois.
Prisma Health, headquartered in Greenville, South Carolina, will triple patient access to outpatient behavioral health services in upstate South Carolina with the opening of its new $3.7 million Behavioral Health and Wellness Pavilion. The opening took place this week.
Ty Greenhalgh of cybersecurity company Claroty and Mike Powers of St. Luke’s University Health will speak at HIMSS25 about the importance of sharing knowledge when patching and rebooting devices to ensure patient care is not compromised.
The National Community Pharmacists Association has submitted comments to the Centers for Medicare and Medicaid Services warning that more than 90% of independent pharmacies may decide, or have already decided, to not stock drugs in the Medicare Drug Price Negotiation Program because of the potential financial losses.
A group of 10 bipartisan representatives this morning have introduced a bill to stop the 2.8% payment cut to physician pay. The Medicare Patient Access and Practice Stabilization Act of 2025, introduced this morning in the House by Representatives, would stop the payment cut that went into effect on January 1, according to MGMA, the […]
Commure’s acquisition of Augmedix allows for a coherent platform solution for the technology, says Ian Shakil, chief strategy officer at Commure.
Robert F. Kennedy Jr. was grilled for a second day in the Senate on his views on vaccines, autism, Medicaid and more. Senator Bill Cassidy R-La., chairman of the Senate Committee on Health, Education, Labor and Pensions wanted Kennedy to answer “yes or no” questions, especially around his views on vaccines for measles, COVID-19 and […]