CATEGORIES

Healthcare

LATEST

TRENDING

EDITORS CHOICE

Time for Health Industry to Deliver Value-Based Equitable Care

Our health system extends into every aspect of our lives in ways that we never considered before. Value based, equitable healthcare is desperately

“Investigational” Is Payer Code for “Coverage Denied”

Outside the pandemic, “investigational” remains payer code for denying reimbursement. In the case of treatment for chronic conditions, even FDA-approved digital-health and connected devices languish on waitlists for formulary inclusion.

From The Appeals Desk: Know Your Sepsis

Among the many types of denials from insurance companies that come across my desk, one I have been seeing more frequently is the "DRG...

Never-Before-Seen COVID-19 Data Report Released by HHS

HHS has just released the "COVID Community Profile Report," a daily updated snapshot of how COVID-19 is affecting our states and communities