Managing routine radiology does not require the administrative burden of prior authorization. Instead, health plans can implement post-service, pre-payment automated management based on clinical guidelines.

The post Managing Routine Radiology: An Opportunity to Control Costs and Improve Care appeared first on MedCity News.

Modern technology with AI at its center is creating unique opportunities to approach healthcare challenges in ways that weren’t possible just a few years back.

The post How Technology Is Personalizing Healthcare in 2025 appeared first on MedCity News.

Organizations need to take a proactive approach to identify, prioritize and mitigate threats in real time. This means gaining visibility and control into all physical and virtual assets.

The post A Preemptive Prescription to Cyber Exposure Management appeared first on MedCity News.

By reimagining the payment experience through transparency, flexibility, and technology, providers can drive better outcomes for both their bottom line and the patients they serve.

The post Improving Patient Payment Collections: Strategies for Success appeared first on MedCity News.

EMS data is often the earliest signal of a looming public health crisis. By tapping into it in real time, agencies can detect overdose spikes, respiratory surges, or behavioral health trends days before traditional systems catch up.

The post The Hidden Frontline of Public Health: How EMS Data Is Powering a New Era of Syndromic Surveillance  appeared first on MedCity News.

The ability to harness real-world insights at scale empowers life sciences companies and clinicians to develop more targeted therapies, improve patient outcomes, and drive evidence-based innovation in BPH treatment.

The post Harnessing Real-World Data and AI to Advance Research and Treatment for Benign Prostatic Hyperplasia appeared first on MedCity News.

President Trump’s plan to fix IVF might look bold in a headline. In reality, it doesn’t create a single new embryology lab. It doesn’t hire one more specialist. It won’t change the fact that right now, only people with plenty of money can afford IVF, and throwing subsidies at a market that’s already bottlenecked only shifts who pays.

The post Making Insurance Cover IVF Could Actually Reduce Access appeared first on MedCity News.

Researchers and policymakers must challenge the default framing and stereotypical minority myth mindset which uniformly classifies AANHPI communities as low-risk, hindering both visibility and resource allocation. 

The post Overlooked in the Overdose Crisis: Addressing Substance Use Treatment for Asian American, Native Hawaiian, and Pacific Islander Communities appeared first on MedCity News.

When an attack or other issue occurs, the main difference between being down for months versus minutes or a day is having a mature and tested incident response plan. Without a plan, your cybersecurity team is flying blind, resulting in confusion and inefficiency that significantly slows your response time.

The post How Healthcare Can Reduce Cybersecurity Response Times from Hours to Minutes  appeared first on MedCity News.

The case for modernization isn’t solely about improving efficiency. It’s about equipping hospitals with the resources necessary to manage risk proactively, respond to negative trends quickly, and prioritize patient safety with high reliability.  

The post The Hidden Cost of Disconnected Quality Systems: Why Hospitals Should Modernize Now appeared first on MedCity News.

Behavioral health doesn’t need tech that replaces people. It needs technology that respects them, amplifying what clinicians do best and helping more people get the care they deserve.

The post The Behavioral Health AI Boom Is Real. So Are the Risks appeared first on MedCity News.

Healthcare technology has shifted from a back-office function to a strategic imperative. This evolution presents a powerful opportunity to redefine organizations’ futures.

The post A CIO’s Guide to Scalable Patient Data Management appeared first on MedCity News.

Patients no longer want to rely upon only whatever snippets of information they get from their doctor at an annual or semiannual checkup. They’re looking for a fully connected patient experience. Healthcare organizations need to know what that looks like, how to build it, and how they fit into the full picture.

The post The Connected Patient Experience: 3 Tips to Empower Healthcare Delivery Through Innovation appeared first on MedCity News.

Healthcare supplies have a direct correlation to the safety and national security of Americans as any disruption to availability jeopardizes the health of our nation. Americans cannot forego access to lifesaving medications.

The post The National Security Stakes of Pharmaceutical Tariffs appeared first on MedCity News.

This is the moment to build flexible plans. Organizations that develop operational models with built-in scenario planning, ready to scale up or down as the capital environment shifts, will be positioned to take advantage of greater investment when it comes.

The post Weathering the Shifting Trial Landscape appeared first on MedCity News.

The combination of coverage awareness and care navigation powered by agentic AI has the potential to transform how older adults engage with the healthcare system.

The post The Age of Action: Seizing CMS’s Call to Reimagine Medicare appeared first on MedCity News.

The “One Big Beautiful Bill” would codify Individual Coverage Health Reimbursement Arrangements (ICHRAs) — the personalized insurance model that has transformed how employers offer health benefits — into law as CHOICE Arrangements, or Custom Health Option and Individual Care Expense arrangements.  

The post A Defining Moment for Employer Health Benefits: How the “One Big Beautiful Bill” Could Transform Healthcare for Employers appeared first on MedCity News.

The bottom line is that while recognizing there is an issue is vital, too many healthcare organizations are counting on solutions that cannot and will not provide a sufficient line of defense.

The post HIPAA’s Blind Spot: It’s Time to Address Client-Side Attacks appeared first on MedCity News.

What if the kind of cuts we should be talking about are the ones that actually make care better? Like cutting confusion. Because for many people, the biggest barrier to healthcare access isn’t cost or availability – it’s complexity.

The post A Call for Healthcare Cuts — But Not the Kind You’re Thinking Of appeared first on MedCity News.

This is a great opportunity to align your strategies with CMS’s evolving framework by refining care models to focus on impact, investing in digital capabilities that support data use, and continuing to build infrastructure that addresses disparities in care.

The post CMS’s Final Rule Impacting Star Ratings Puts Outcomes In Focus — Are Health Plans Ready to Take Action? appeared first on MedCity News.

By treating model governance as a proactive, integral part of operations rather than a box to check after the fact, life sciences organizations can uphold compliance, better allocate their resources, and gain a competitive edge.

The post Innovate or Stagnate: Overcoming Model Governance Challenges in Life Sciences appeared first on MedCity News.

Workplace violence prevention is an ongoing and organic process. Federal and state regulations change frequently, so employers may consider regularly reviewing and updating their prevention plans and training programs on a scheduled timeline.

The post Workplace Violence Prevention in 2025 appeared first on MedCity News.

The women’s health market offers enormous potential for investment and innovation. While challenges related to systemic inequalities remain, progress in venture capital funding is encouraging. Likewise, the overall increase in patent filings related to breast cancer, endometriosis, and other conditions appears to reflect a growing interest in women’s health.

The post Latest Patent News In Women’s Health appeared first on MedCity News.

Allowing hospitals to repair the equipment they depend upon daily is not a step backward, but a reaffirmation of trust in the skilled and deeply committed professionals who already maintain the integrity of our healthcare systems.

The post Rebuttal: Medical Device Right to Repair is the Wrong Approach appeared first on MedCity News.

It’s time to debunk sustainability myths in health care and get to the heart of why sustainable supply chain practices are not only the right step forward, but also offer inherent advantages on the financial savings and patient satisfaction front.

The post Sustainability as a Supply Chain Business Strategy: What Leaders Should Know appeared first on MedCity News.

Application rationalization shouldn’t be a cleanup project — it should be a pillar of the M&A investment thesis, with clear ROI tied to cost savings, risk mitigation, and innovation readiness.

The post The Strategic Power of Application Rationalization in Healthcare M&A appeared first on MedCity News.

Healthcare and benefits leaders must step up to provide menopausal women with the full-spectrum care they need to protect musculoskeletal and metabolic health for lifelong strength and well-being.

The post Menopausal Women Deserve Better Obesity Care appeared first on MedCity News.

As speculation about whether Medicaid cuts will be part of the solution to our national debt problem continues, no one can predict how much the Medicaid rollback will be, or its impact on the one in five Americans who rely on it. 

The post When Medicaid Cost Cutting Is Simply Cost Shifting appeared first on MedCity News.

Healthcare workers are already navigating issues with lack of interoperability between systems, staff and providers, and concerns about patient data privacy and security. IT teams and healthcare systems can alleviate some anxiety by giving workers the best performing digital user experience, including physicians and other staff that share responsibility for patient care.

The post Healthcare Staff are Digital Workers Now: They Need a Better Experience appeared first on MedCity News.

While health plans may consider the additional costs, long-term savings from reduced complications and hospital admissions can offset these expenses. Not only that, but transportation benefits can reduce health disparities and improve patient and caregiver lives.

The post The Case for Patient Transportation Coverage for Health Plans appeared first on MedCity News.