The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior authorization denials in Medicaid Advantage.
Payel Das, principal research staff member and manager in the Trusted AI department of IBM, and an IBM master inventor, said LLMs can help to fill gaps in distribution and generate insights based on the missing data.
AHIP has named Dr. LaShawn McIver as its new chief health equity officer, effective immediately. The insurer group is framing the hire as part of its efforts to advance health equity. McIver will lead AHIP’s health equity initiatives, setting and driving strategies to improve health equity for underrepresented and medically underserved communities. She reports to […]
The U.S. Department of Justice and the Federal Trade Commission have released draft guidelines that tighten the review of mergers and acquisitions.
The Department of Health and Human Services, through its Substance Abuse and Mental Health Services Administration, is announcing awards in five grant programs devoted to combating multiple facets of substance misuse and the nation’s overdose epidemic. The grant awards total up to $47.8 million.
Due to the financial instability of Friday Health Plans of Colorado and growing concerns about healthcare providers refusing to treat Friday enrollees, the Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), is asking the courts to move Friday Health into liquidation. Colorado marks the latest state to put Friday Health […]
Real dogs and an automated puppy tell the story of patient experience and technology in healthcare.
The staffing and skills shortages in healthcare continues as inflation pressures mount, while roles focused on mental health are among the top 50 healthcare jobs in the US. The most in-demand position is a nurse, advertising 437,168 vacancies in June 2023, followed by nursing assistant (104,275 jobs) and specialized physician (55,378 jobs), according to research […]
The Federal Trade Commission has signaled the withdrawal of two antitrust policy statements related to enforcement in healthcare markets: Statements of Antitrust Enforcement Policy in Health Care, published in August 1996, and
Dr. Amar Desai, who had previously spent years in various leadership roles at Optum Health, has returned to the company and will take over the role of CEO, according to a message Desai posted on LinkedIn.