For years, payment integrity was built around simple assumptions: errors can be fixed after payment. In today’s environment of rising medical costs and accelerating claims volume, that approach isn’t sustainable. …
Category:
Health
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UnitedHealthcare is expanding its rural health initiatives, including exempting rural providers from most medical prior authorization requirements by the fall of 2026, it announced on Monday. The prior authorization exemption …
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At the annual Medicarians conference in Las Vegas on Monday, an analyst on Medicare Advantage policy research sounded the alarm about how there’s a fundamental shift in attitude towards MA …
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Eli Lilly is expanding its reach in genetic medicines with a multi-billion dollar deal to acquire Kelonia Therapeutics, a startup whose most advanced drug candidate is a cell therapy in …
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Workplace violence is a persistent and worsening problem in healthcare. According to the Bureau of Labor Statistics, healthcare workers are five times more likely to experience workplace violence than those …
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Across the country, nurse leaders are rethinking how care is delivered and what it means to lead through transformation. The past few years have shown us that traditional nursing models …
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Obsidian Therapeutics is merging with Galera Therapeutics to advance clinical development of a pipeline led by a next-generation cell therapy for melanoma that could offer advantages over the only cell …
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In May 2024, Shah Capital, a hedge fund in North Carolina, withdrew from its proxy fight against Novavax’s board of directors when the vaccine maker announced a billion-dollar deal with …
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Knee, hip and ankle replacements are among the most frequent surgeries for people with Medicare. That’s why since 2016, the Centers for Medicare and Medicaid Services has been experimenting with …
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There is strong industry optimism about AI’s potential to transform healthcare operations this year, though some areas are more ripe for near-term impact than others. Many experts believe that the …