Imagine picking up the phone during the busy fall season, only to hear a polished voice claiming to represent Medicare with an urgent update about your coverage or a tempting offer for free medical supplies. For many seniors and beneficiaries, this scenario is all too common, marking the start of a
Imagine a patient in a country with a government-run healthcare system, eagerly awaiting approval for a groundbreaking cancer treatment that could extend their life, only to learn that the therapy has been denied due to its cost. This scenario plays out frequently in single-payer healthcare systems
The landscape of health technology is undergoing a seismic shift, and at the center of this transformation is a contentious legal battle that could redefine innovation and competition in the sector. Particle Health, an emerging health tech startup, has launched a significant antitrust lawsuit
Imagine a state pouring millions of dollars into a policy that risks stripping healthcare from tens of thousands of vulnerable residents, only for it to collapse under its own weight just before a global health crisis hits. This isn’t a hypothetical scenario but the reality Michigan faced in early
In the evolving landscape of healthcare, home health providers face a unique set of challenges and opportunities under the Home Health Value-Based Purchasing (HHVBP) Model, a payment framework introduced by the U.S. Centers for Medicare & Medicaid Services (CMS). This system, which ties Medicare
The U.S. healthcare system, burdened by an expenditure of $4.9 trillion in 2023, stands at a crossroads due to the fundamentally flawed nature of commercial negotiated rates for health benefits, which exhibit staggering inconsistencies. These rates, shaped through shadowy dealings between payers,
