Payment integrity is focused on ensuring claims are paid. Payment accuracy is a broader operating strategy: improving upfront claim quality to get more claims right before they create downstream work.
Lisraya (brepocitinib), which the FDA approved as a treatment for dermatomyositis in August 2026, is showing promise as a ...
T cells infiltrate small cell lung cancer tumors and can kill them without the MHC-I machinery these tumors typically switch ...
Opinion
As psychedelic drugs near FDA decisions, people with HIV remain absent from trials, commentary says
Psychedelic therapies are nearing FDA decisions, but people with HIV, many covered by Medicaid, have been left out of nearly all trials, commentary authors argue.
Christopher Stanley, M.D., MBA, says Henry Ford Health now projects its 2027 employee healthcare insurance premiums to increase half as much as what had been expected, partly because of Populance’s to ...
Researchers in Lyon, France, conducted a retrospective cohort study of intensifying the dosing of biologics such as Humira, ...
David Feldshon, M.D., a Yale gastroenterologist who still performs endoscopy two days a week at 75, discusses his approach to ...
Clinicians have only four limited categories of tools for non-cystic fibrosis bronchiectasis, with little evidence for preventing exacerbations, and the resulting hospitalizations can be lengthy, ...
The second half of our conversation with Christopher Stanley, M.D., MBA, the president of Henry Ford Health's Populance and ...
After more than 20 years at Humana, Jeremy Gaskill now leads nonprofit Geisinger Health Plan. The problems are the same, he ...
Rybrevant Faspro won accelerated approval for recurrent or metastatic HNSCC after a trial showed a 42% response rate in previously treated patients.
EHRs miss many cancer deaths. Linking electronic health records with claims and third‑party death data sharply improves ...
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