Management & Administration

AI Health Decisions: Patient or Profit First?
Management & Administration AI Health Decisions: Patient or Profit First?

An algorithm, operating silently within a major health insurance system, has just determined that a patient's post-surgery rehabilitation is no longer medically necessary, despite the treating physician's strong objections. This scenario is no longer hypothetical; it is an increasingly common

Can a Bipartisan Deal Save ACA Subsidies?
Management & Administration Can a Bipartisan Deal Save ACA Subsidies?

With enhanced Affordable Care Act health insurance subsidies having expired at the close of last year, millions of Americans are confronting the stark reality of rising healthcare costs, creating a sense of urgency on Capitol Hill. A significant legislative effort to address this issue gained

Florida Enacts Sweeping Health Care Reforms
Management & Administration Florida Enacts Sweeping Health Care Reforms

Amid growing national concerns over health care accessibility and workforce shortages, Florida's legislature has enacted a series of landmark bills over the past three years, fundamentally reshaping the state's health care landscape. This comprehensive legislative overhaul, spanning the 2022, 2023,

The Hidden Revenue Crisis in Medical Billing
Management & Administration The Hidden Revenue Crisis in Medical Billing

Beneath the surface of the U.S. healthcare system's daily operations, a pervasive financial crisis is unfolding, one that has little to do with patient volumes or clinical breakthroughs and everything to do with the convoluted process of getting paid. This is not a simple problem of administrative

AI's Rapid Growth in Healthcare Poses Serious Risks
Management & Administration AI's Rapid Growth in Healthcare Poses Serious Risks

An unprecedented digital migration is underway in personal health management, with generative artificial intelligence tools like ChatGPT now fielding over 40 million healthcare-related questions every single day. This staggering volume, which accounts for more than 5% of the platform's global

Cityblock and Meridian Expand Care to Illinois Medicaid Members
Management & Administration Cityblock and Meridian Expand Care to Illinois Medicaid Members

In a state where nearly one in four residents relies on Medicaid for healthcare coverage, the challenge of delivering comprehensive and accessible services to vulnerable populations has prompted a significant new collaboration. Cityblock Health, a healthcare provider focused on serving marginalized

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