Medicaid

Navigating Payer Denials: A Physician Advisor’s Perspective #2

A physician advisor recently described a case that should unsettle anyone who cares about fair, clinically grounded coverage decisions: a Medicaid patient arrived comatose from an overdose, was emergently intubated, developed aspiration pneumonia, and stayed through three midnights before leaving against medical advice. By any bedside standard, this is acute, unstable care—exactly what…

Hot Takes on Rural Healthcare: Lessons from the Frontlines of a System in Decline

Across America, rural hospitals are facing an existential crisis. From physician burnout and recruitment struggles to malpractice insurance woes and shrinking OB units, the challenges facing small health systems are multiplying. According to the National Rural Health Association, roughly 190 rural hospitals have closed down or discontinued inpatient care since 2010 — and many more…

The Key to Enhancing Healthcare Delivery for Millions? Transforming Medicaid with Technology

Medicaid leaders are discovering how modernized systems can streamline enrollment and better serve vulnerable populations across the country