Startups and Innovation

19+ hour, 45+ min ago   (144+ words) Updated on: 15 October 2026 The submission calls for information to be: Overall, the AMA supports the proposed amendments because they would improve transparency, support clinical decision-making, and help patients and practitioners better understand the status and significance of medical device reviews....

1+ day, 9+ hour ago   (253+ words) GLP-1 medications accounted for 11.4% of total annual claims in 2025 for employers that cover them for weight loss, according to the International Foundation of Employee Benefit Plans. The question most employers are still working through is not whether to cover but…...

1+ day, 9+ hour ago   (167+ words) October 14, 2026 09:00 ET | Source: iQor US Inc. iQor US Inc. “A denied claim or a missed prior authorization is rarely just an isolated issue. It can be a sign of a workflow problem somewhere upstream,” said Ben Roberts, executive vice president…...

1+ day, 11+ hour ago   (166+ words) Source: Bullets generated by AI with editorial review. Paola Peralta is an Associate Editor at Employee Benefit News and has been with the team for five years. She is a proud UCF journalism graduate who got her start through a…...

1+ day, 11+ hour ago   (157+ words) How AI supports patient access, coding, claims, denials, A/R, and revenue integrity across the healthcare revenue cycle Healthcare revenue cycle management involves hundreds of connected activities, from patient registration and eligibility checks to coding, claims, payment posting, denials, and…...

2+ day, 4+ hour ago   (300+ words) We identify the health system characteristics associated with greater or lesser documentation of patients’ social determinants of health. Study Design: Repeated cross-sectional study using Epic Cosmos data from October 2015 to December 2024. Methods: We investigated encounter-level use of Z codes across…...

2+ day, 12+ hour ago   (43+ words) Modern Healthcare Why AI could make it harder to switch EHR vendors Clover Health’s 2027 Medicare Advantage star ratings are based on different metrics than applied to the rest of the industry....

3+ day, 5+ hour ago   (296+ words) Two bills addressing biosimilar access and affordability were introduced in the House of Representatives and the Senate in late September 2026.1 “To date, biosimilars have been associated with savings of $56 billion, but with support from the administration and Congress, this number…...

3+ day, 6+ hour ago   (254+ words) Home » AHA rejects Blue Cross claim that AI coding added $942Mn in costs Americans are living longer with more chronic conditions, and many lower-acuity procedures have moved to outpatient departments, the AHA said. That leaves hospitals treating a sicker inpatient population,…...

3+ day, 8+ hour ago   (157+ words) Inflation-adjusted Medicare reimbursement for 15 categories of common dermatology procedures fell by an unweighted average of 28.9% between 2007 and 2026, with most of the reduction occurring after 2021. "These findings are directly relevant to current proposals to index physician payment to the Medicare Economic…...