Coverage, quality, and the economics of how care gets paid for.
This cohort study compares adoption of remote patient monitoring among Medicare beneficiaries who continued a fee-for-service plan vs those who switched to a Medicare Advantage plan.
Regulators say the telehealth company illegally shared patient health data with advertisers and misled its customers. Hims & Hers hit back, calling the claims “baseless.”
Work, practice, expense and liability relative value units (RVUs) are updated annually through the Centers for Medicare and Medicaid Services' (CMS') Physician Fee Schedule (PFS) rulemaking. In response to the recently released 2027 Medicare PFS proposed rule, your ACC has developed a PFS calculator so clinicians and practice managers can estimate the potential impact of changes to their practices.
A 2024 state law reclassified misoprostol and mifepristone as controlled substances. That affects how hospitals can access the drugs in non-abortion emergencies, and other states appear to be taking note.
The Democratic candidate for governor says he would make Iowa the second state to drop private Medicaid management companies, which he calls “a disaster.”
With the merger, Processa’s new lead asset is a Vidya Therapeutics immunology drug that offers pipeline-in-a-product potential addressing a target that has clinical and regulatory validation from a recently approved Novartis drug. Vidya’s molecule is a next-generation drug that could have advantages over Novartis’s pill. The post Processa Acquisition Lands Immunology Drug That Could Rival a New Novartis Product appeared first on MedCity News .
In June, NCQA brought together leaders from more than 50 healthcare organizations to discuss the future of credentialing. One theme emerged consistently throughout the discussion: the industry is ready to modernize credentialing processes while maintaining the trust, rigor and accountability that protect patients. “Credentialing is an important process to protect patient safety and prevent healthcare […] The post NCQA Credentialing Collaborative Explores the Future of Credentialing appeared first on NCQA .
Background The mental health of medical students has been widely discussed, with studies reporting a high prevalence of mental health issues, including depression, anxiety, suicidal ideation and burnout. Yet, few have explored the relationship between material, social and health deprivation and these outcomes in medical students, despite the higher risk of psychological disorders when exposed to precarious living conditions. Objective Our study aimed to explore longitudinal associations between experiencing deprivation and mental health outcomes among Swiss medical students while adjusting for…
Processa Pharmaceuticals has made a push into the autoimmune space via the acquisition of Vidya Therapeutics, which delivers a potential rival to Novartis’ Rhapsido.
While acknowledging that changes must be made to the hospice industry, health policy researchers and providers worry that negative attention and the potential for overly punitive regulations could put patients at risk.
Congress appropriated $345 million for the Agency for Healthcare Research and Quality for the 2026 fiscal year, but the agency has spent less than $15 million on grants. AHRQ hasn’t issued a new one in over a year.
When surgery became unavoidable, a man with no insurance shopped around for the best price for a hernia repair — and saved thousands by traveling out of state.
Caldera Therapeutics has struck a reverse merger with the publicly traded Synlogic and inked a $278 million financing deal, continuing the meteoric rise of the inflammatory bowel disease startup.
Included Health announced plans to acquire Firefly Health to accelerate its alternative health plan strategy for employers. The post Included Health to Acquire Firefly Health to Expand Alternative Health Plan Offering for Employers appeared first on MedCity News .
California lawmakers gave public school teachers 14 weeks of paid leave in the state’s new budget, a long-sought benefit for the largely female workforce. Gov. Gavin Newsom previously opposed similar measures.
The government will cap how much graduate students may borrow in federal loans. The new policy could leave many at the mercy of private lenders with higher interest rates. The borrowing limits will affect students pursuing expensive healthcare careers, and some worry they may impede efforts to diversify the healthcare workforce.
California lawmakers gave public school teachers 14 weeks of paid leave in the state’s new budget, a long-sought benefit for the largely female workforce. Gov. Gavin Newsom previously opposed similar measures.
Health Policy
This cohort study examines associations of Medicaid expansion and place-based disparities in insurance coverage, early-stage diagnosis, and 3-year overall survival among patients with non–small cell lung cancer.
Argenx’s first acquisition is the buyout of Forte Biosciences, a company with a lead drug that has early clinical validation in celiac disease and vitiligo. Argenx executives say this antibody complements its blockbuster product Vyvgart, offering a different mechanism of action but similar pipeline-in-a-product potential. The post Argenx’s $2B Forte Bio Acquisition Brings Autoimmune Playbook to Prevalent Disorders appeared first on MedCity News .
In this reflective essay, a primary care physician describes practicing within the Department of Veterans Affairs during a period of workforce reductions, policy shifts, and changing institutional priorities. Drawing on frontline experience, the essay illustrates how these changes shape care for veterans with complex medical, psychological, and social needs. The narrative traces the cumulative effects of staffing shortages, administrative burden, and diminished support on both patients and clinicians. It culminates in the death by suicide of a veteran, prompting reflection on missed…
When staff are overextended and patients face delays or abandon care, the issue is no longer a narrow administrative burden. It becomes a business, financial, and access challenge that demands a different operating model. The post Prior Authorization Is Draining Revenue: Why Automation Has Become a Strategic Imperative appeared first on MedCity News .
Background: Canadian emergency staff have been dealing with record patient attendances, long wait times, bed blocking, and department overcrowding. We sought to report temporal trends in Canadian emergency physician burnout, and describe the impact of emergency medicine practice on physician well-being. Methods: We undertook a longitudinal study on Canadian emergency physician wellness that enrolled participants in April 2020. Participants were invited to 3 follow-up surveys in November 2020, September 2022, and January 2025. The primary outcomes were emotional exhaustion, depersonalization…
KFF Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.