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“Investigational” Is Payer Code for “Coverage Denied”

Gil Bashe, Medika Life Editor -
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.

Follow The Money in Healthcare – It Will Lead You to Chronic Diseases

Stephen Schimpff, MD MACP -
Chronic disease is transforming health, medical costs and the delivery of care. Diseases such as diabetes, heart failure, emphysema, and cancer are chronic. Once developed, they usually last a lifetime, are challenging to manage and are expensive to treat.

When It Comes to Medicine – The Smartest Person in the Room Is the Patient!

Gil Bashe, Medika Life Editor -
Move over chatbots! It’s time to recognize that the smartest person in the room may not be the robot, rather patient experience creating a new type of dialogue through conversational AI. Conversational AI is a cutting-edge form of artificial intelligence enabling consumers to interact with computer applications the way they would with other humans.

Nearly 1.7 million Texans lose Medicaid as state nears end of “unwinding”

Medika Life -
Texas has booted the most people from Medicaid of any state in the country. A majority of those removed lost their health insurance coverage because of procedural errors.

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