FridayFeb 14, 2025 10:00 am

Analysis Uncovers Key Insights About Insurers’ Medical Advantage Prior Authorization Decisions

Nearly all people who enroll for Medical Advantage plans are expected to secure prior authorization when they need certain services, such as skilled nursing facility care, in-patient stays at hospitals and services that cost a lot, such as chemotherapy. A recent analysis revealed critical insights about MA prior authorizations in 2023. We share some of them in the discussion below. 50 million applications were made for prior authorizations The data submitted to CMS shows that insurance firms providing MA coverage made 50 million determinations with regard to prior authorization requests. This number conforms to a pattern of steady growth that…

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ThursdayFeb 13, 2025 10:00 am

Ongoing Trial Seeks to Avert Alzheimer’s Decades Before it Strikes

An ongoing clinical trial aims to test a drug that is hoped to avert Alzheimer’s disease decades before it is expected to manifest in an individual. This study is being conducted by a team at the School of Medicine at Washington University. The drug in question, remternetug, was formulated by Eli Lilly and is intended to clear plaque from the brains of young people that have been found to have a genetic predisposition to developing Alzheimer’s disease. The study subjects are young people, some of them 18 years old, expected to develop the disease early (from their 30s onwards). In…

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TuesdayFeb 11, 2025 1:35 pm

How Adageis Uses Data to Drive Value-Based Care Adoption and Boost Revenue for Healthcare Providers

Value-based care models prioritize proactive, high-quality patient care, and, if done correctly, can significantly enhance financial outcomes. Healthcare organizations adopting a value-based care approach can see increased revenue through efficiency, reduced hospitalizations and incentive payments. Adageis provides AI-driven solutions that help providers transition to and optimize value-based care models. The company’s data analytics features play a critical role in identifying high-risk patients, closing care gaps and controlling costs. Healthcare is undergoing a major transformation as more organizations shift from fee-for-service to value-based care. Under value-based care models, providers are reimbursed based on patient outcomes rather than the volume of services…

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TuesdayFeb 11, 2025 10:00 am

Biomaterial Modification Could Yield Better Cancer Therapies, Study Finds

Altering the physical attributes of tiny biomaterials to enable them to interact more seamlessly with the tissues of the body could result in more effective and safer treatments for cancer. This is according to a team of researchers at Virginia Tech. DaeYong Lee, the head of the team that conducted this research, revealed that making modest changes to biomaterials and nanoparticles used in therapy could one day result in better clinical outcomes for patients. The review focused on an area that has been understudied; the physical attributes, such as particle shape, size and stiffness. These properties play a role in…

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FridayFeb 07, 2025 10:00 am

Donald Trump’s Shock at Autism Figures Triggers Discussions on Possible Causes

Writing on Truth Social, President Trump expressed shock at the fact that the current prevalence rate of autism in the U.S. stood at one in thirty-four kids. This is in contrast to the 1 in 1000 kids two decades ago, according to the figures he cited. Why is the prevalence escalating so fast? While it has been suggested that the surge in ASD cases may be due to increased awareness about the condition and improved diagnostics, others point to additional factors that could be causing the uptick in autism cases. Some research posits that increasing chemical contaminants in water and…

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ThursdayFeb 06, 2025 10:00 am

4 Best Practices Your e-Commerce Site Should Implement

The e-commerce space is becoming increasingly competitive with each passing year, and success can only come when deliberate measures are taken to stand out from the crowd. We discuss some best practices that can put your e-commerce site on the path to success. Incorporate AI Chatbots Adding AI chatbots to your e-commerce site can be a force-multiplier that makes communicating with customers not just easier but faster too. Timely communication with customers can be the difference between your leads going on to become paying customers or exiting your site and taking their business to your competitor. AI chatbots leverage data…

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TuesdayFeb 04, 2025 10:00 am

Connecticut Hack Compromises Health Records of a Million Patients

On January 30, Community Health Center in Connecticut revealed to the Attorney General of Maine that it had suffered a data breach which resulted in the theft of the medical records of more than a million patients. Community Health Center’s CEO Mark Masselli then wrote a letter to the affected patients informing them that a skilled criminal actor accessed their system and obtained data that could possibly include the personal information of the patients. Since no data was encrypted or deleted, the CEO believes that the attack wasn’t a ransomware attack. Additionally, the operations of the center weren’t affected by…

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FridayJan 31, 2025 10:00 am

Study Reveals Insights into How Needed Treatments Can Bypass the Blood-Brain Barrier

A new study conducted by University of Liverpool scientists together with collaborators from around the world has revealed the most suitable ways through which the blood-brain barrier can be bypassed while treating neurological conditions. The blood-brain barrier has been a major challenge that has stood in the way of getting needed medicines into the brain, and this study’s findings offer solutions that could result in conditions like Alzheimer’s, Parkinson’s, epilepsy and brain tumors being treated effectively. The blood-brain barrier is a very selective shield protecting the brain from any harmful substances carried in blood. However, this protective feature has proven…

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FridayJan 31, 2025 10:00 am

Adageis Leveraging Data-Driven Solutions to Advance Value-Based Care and Drive Financial Performance

Adageis, with its AI-centric software ProActive Care Platform, supports healthcare providers in making the important shift toward effective value-based care models. Significantly, the company’s advanced patient healthcare data solutions are designed for seamless implementation across ACOs, CINs, and IPAs, integrating with existing electronic health records (“EHRs”) to identify high-risk patients and care gaps. The company helps providers navigate the financial incentives tied to value-based care by tracking performance metrics, as its Patented Risk Engine (“PRE”) enables proactive interventions, reducing costs and improving patient outcomes. Healthcare providers are under increasing pressure to transition from fee-for-service models to value-based care, where reimbursement…

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ThursdayJan 30, 2025 10:00 am

New Study to Explore the Link Between Sleep Disorder and Parkinson’s

Funded by the U.S. Department of Defense, a new study will be conducted to examine why individuals, especially veterans, who suffer from a certain sleep disorder often end up developing Parkinson’s disease. The DoD awarded $4 million to researchers at Oregon Health and Science University (OSHU), the VA Healthcare System at Portland, the VA Sound Healthcare System at Puget, and the University of Washington to conduct this study. The research aims to establish why most people who develop a sleep disorder that causes them to thrash in their sleep later develop Parkinson’s. The team wants to know why this happens…

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