Digital Checkup (649)

Starting on Jan. 1, 2027, payment will move from a lump-sum payment at the end of an episode – usually lasting 40 weeks – to more of a fee for service structure, says Anu Sharma, founder and CEO of Millie.

Connecting clinical data across health plans can reduce duplicate reviews and unnecessary outreach, says Dan DeSantis, VP of commercial strategy at Cohere Health.

OnMed CEO Karthik Ganesh says rural hospitals are using federal funds to bring hybrid clinics to underserved areas. The white-label care stations have connected diagnostic tools and 65-inch screens that patients use to meet with their doctors.

In Ohio, more than half of Medicaid patients are expected to be dropped from coverage, says Casey Williams, SVP of Patient Engagement at RevSpring, who lives in that state.

Copay-only plans, without a deductible or coinsurance, represented about 10% of employer plans in 2023 but now make up an estimated one-third of employer coverage, says Charlotte West, vice president of Surest.

Ram Rajagopalan, Zoom's head of customer experience for artificial intelligence, explains how AI-enhanced virtual agents that interface with patients are helping medical providers balance multiple challenges.

Cancer draws more physician queries than any other disease area on the Medscape AI platform, says City of Hope Comprehensive Cancer Center's Dr. Maurie Markman. He explains what doctors are asking and why primary care physicians lead the way.

More than half of Medicare beneficiaries are enrolled in MA, and that number is expected to grow to 63%, says John Barkett, managing director at BRG's Healthcare Transactions and Strategy practice.

There's somewhat of a disconnect for consumers between a plan's star rating and how that plan differs from another, says John Barkett, managing director at BRG's Healthcare Transactions and Strategy practice.

Clinical data could help health plans make more precise coverage decisions while reducing friction for patients and providers, says Dr. Donald Rucker, chief strategy officer at 1UpHealth.

As cases rise, Dr. Amesh Adalja, senior scholar at Johns Hopkins Center for Health Security and an infectious disease expert, explains what it would mean for measles to become established in the U.S. again.

Cloud and artificial intelligence systems complicate tracking where sensitive data lives and moves. Adam Burns of Fortra advises providers to analyze access behaviors across all systems, services and devices in the context of staff roles.