Included Health Launches Alternative Plan Design for Employers

Included Health, a navigation and virtual care company, is launching into the insurance space with its alternative plan design for employers, the company announced last week. The San Francisco-based company provides virtual and in-person care, navigation and care coordination and 24/7 support for clinical and administrative needs. The new alternative plan design offers a “copay-first…

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AI-Based Simulation Training is Key to Solving Dentistry’s Procedural Skills Crisis

When Baltimore Dental College opened in 1837 as the world’s first dental school, students spent three years in training. More than 180 years later — despite enormous advances in treatments, case complexity, and technology — earning a dental degree still takes just four years.  Yet the demands of modern dentistry are evolving faster than traditional…

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For Many, CAR T is a Miracle Therapy – We Need to Get it to More Patients

The U.S. Food & Drug Administration (FDA) recently removed its Risk Evaluation and Mitigation Strategies (REMS) designation from CAR T immunotherapies. REMS is occasionally applied to drugs with serious potential safety issues, requiring providers to pursue and document more robust mitigation strategies. The FDA puts these designations in place to ensure patients receive the maximum…

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Bayer Menopause Drug Lands FDA Approval, Bringing Competition to an Astellas Product

A Bayer drug that hits two central nervous system targets to treat moderate-to-severe menopause symptoms has FDA approval, introducing a new non-hormonal therapeutic option that may have an advantage over an Astellas Pharma product that has a two-year head start in this market. The Bayer drug, elinzanetant, is a small molecule formulated as a soft…

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How propensity-to-pay ​​models help healthcare providers improve collections

Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that utilize machine learning and robust data offer insight into a patient’s likelihood to pay and allow staff to focus their collections efforts where they matter most. In 2024, Experian Health clients that implemented Collections Optimization…

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Leveraging artificial intelligence for claims management

Key takeaways: Manual work and disconnected claims management systems are often error-prone, resulting in delayed and denied claims. Technology, like automation and AI, can help healthcare organizations predict and prevent potential claims issues before submission. Implementing AI-powered claims management solutions should be a top priority for revenue cycle leaders. Healthcare claims denials are on the…

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