Imagine a 68-year-old retiree, grappling with chronic depression, who finds themselves unable to see a psychiatrist under their Medicare Advantage plan due to a frustratingly narrow network of providers. After months of delays and denials for critical care, they make the leap to Traditional
Demand for home-based care has surged while payment models have become tangled enough to stall promising partnerships, and that tension has left providers wondering why negotiations that start with enthusiasm often end with a familiar deadlock over rates and utilization edits. The answer sits in a
The center of gravity in digital health has been drifting from episodic treatment to an always-on model that anticipates risk, enriches clinician judgment, and meets patients where they live, and three fresh financings set the tone for what comes next across software, services, and devices. Capital
A province known for policy brinkmanship now stood on the verge of testing whether a different balance between public insurance and private delivery could rescue a cherished system from its own inertia, and the implications for wait times, professional recruitment, and intergovernmental politics
The healthcare industry stands at a crucial turning point, where the traditional dependence on fee-for-service (FFS) models clashes with the growing emphasis on value-based care (VBC) principles, creating a complex challenge for hospitals. As key components of the system, hospitals grapple with a
In the quiet towns of rural Kansas, a deeply unsettling pattern has taken root, where hospitals are increasingly turning to lawsuits against patients for unpaid medical bills, some as low as $104, leaving families grappling with both financial hardship and emotional distress. This growing practice
