Category: Health Insurance

Efforts to modernize healthcare data advancing

LAS VEGAS – Healthcare, as a business, lives and dies on the data. The goal of public health data modernization is to move from silos, brittle public health data systems to connected, resilient and sustainable “response-ready” systems that can help to …

Large language models can flag missed diagnoses in radiologist notes 

A HIMSS25 session will show how a large language model (LLM) can monitor radiologist notes to help ensure patients are protected from medical errors and also get their recommended follow-up appointments.

Yale New Haven calls Prospect deal ‘impossible’

Yale New Haven Health appears close to calling off a proposed acquisition of three Connecticut hospitals owned by Prospect Medical Holdings, saying the deal appears “impossible.”
The health system based its decision on what it called “mismanagement” at…

HIMSS25: Know Thy Patient goes beyond disease category and the social determinants

At HIMSS25, experts will share the details of PCCI’s Know Thy Patient (KTP) algorithm, which leverages an unsupervised machine learning method called clustering to identify groups of individuals based on similar patterns of healthcare utilization and a…

Revenue cycle challenged by low collection rates, high denials

Hospitals and health systems have been challenged by lower collection rates from insured patients and higher initial denial rates, which created financial headwinds in 2024, according to data from Kodiak Solutions.

Philips partners for maternal remote patient monitoring in Georgia

Philips this week announced a new program to provide access to remote patient monitoring and personalized health coaching for pregnant and postpartum people with maternal hypertension and diabetes in an initial 50 counties across Georgia.

A Runner Was Hit by a Car, Then by a Surprise Ambulance Bill

A San Francisco man had friends drive him to the hospital after he was hit by a car. Doctors checked him out, then sent him by ambulance to a trauma center — which released him with no further treatment. The ambulance bill? Almost $13,000.

Future of Cancer Coverage for Women Federal Firefighters Uncertain Under Trump

In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It’s unclear whether the new protections will stick under Trump.

Leverage cyber threat intelligence to stay ahead of cyberattacks 

Integrating threat intelligence into a broader cybersecurity strategy is one way hospitals and other healthcare organizations can stay a step ahead of cybercriminals, according to Jon Moore, chief risk officer, SVP of Consulting Services and Client Suc…

KFF Health News’ ‘What the Health?’: House GOP Plan Targets Medicaid

The House passed a budget plan that likely would result in major cuts to the Medicaid program. But the plan now faces a battle in the Senate, where even Republicans seem reluctant to dramatically reduce a health program that covers roughly 1 in 5 Americans. Meanwhile, federal judges and the Trump administration continue to differ over whether the administration has the authority to unilaterally cancel programs approved and funded by Congress and to fire federal workers. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Victoria Knight of Axios join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more.