[Sponsored] Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems.

The post The Power Behind Enterprise EHR Software for Large Healthcare Systems  appeared first on MedCity News.

Legacy payers have had decades to readjust their approach. Costs continue to climb, patients still face denials, and physicians remain mired in bureaucracy. It’s time to replace a system built on restrictions with one built on trust — trust in clinicians to practice medicine and in patients to make informed choices.

The post Fixing Healthcare Means Trusting Doctors and Patients — Not Payers appeared first on MedCity News.

Reducing unnecessary utilization, expanding timely access to care and easing workforce burdens can help providers and health plans deliver improved healthcare for complex patient populations in the year ahead.

The post Closing Behavioral Care Gaps: Three Ways Providers And Health Plans Can Reimagine Care  appeared first on MedCity News.

Healthcare can transform only when strategy, workflow, data, and human connection operate together with a single purpose: strengthen the relationship at the center of care.

The post Weaving a Unified Fabric of Care Will Heal the Patient-Provider Relationship appeared first on MedCity News.

[Sponsored] A recent webinar, sponsored by Overjet, offered insights from Affinity Dental Management executives on how AI-driven clinical intelligence software can transform dental service organizations.

The post How One Leading DSO Used Analytics to Drive a 26% Increase in Crown Treatment Planning Rates appeared first on MedCity News.

I lived for nine years with ALS while navigating a healthcare system that routinely obscured my own medical reality. But I know that pain is only amplified for individuals without medical expertise like mine.

The post We Have a Problem: Even Doctors Struggle to Navigate our Healthcare System appeared first on MedCity News.

A quick conversation about coverage, availability and pricing can help patients make informed decisions.

The post The Future of Pharmacy Access: The Impact of Putting Rx Information in Patients’ Hands appeared first on MedCity News.

Here are three things providers should consider when it comes to Medicare.

The post Changes Are Coming to 2026 Medicare Benefits appeared first on MedCity News.

It doesn’t have to be this way. For the medical groups that lay the right foundation for patient collections, January is simply business as usual. Here are four ways to get ahead of the inevitable deductible reset.

The post Is Your Medical Group Ready for the January Cash Flow Crisis? appeared first on MedCity News.

[Sponsored] How can AI benefit and improve patient outcome in the emergency department? Watch the latest episode to find out.

The post MedCity News Pivot Podcast: How Emergency Departments Are Using Real-Time Data to Improve Outcomes appeared first on MedCity News.

Open enrollment 2026 marks a turning point in U.S. healthcare. The cost pressures are no longer cyclical; they are structural. For payers and providers alike, the challenge is clear: we must modernize operations, not just manage costs.

The post Open Enrollment: Why Rising Premiums Are Forcing Healthcare Organizations to Bet on AI and Automation appeared first on MedCity News.

The MedTech giants remain indispensable in driving large-scale adoption and validating the market, but the smaller players are increasingly showing us what the future of robotics care can look like.

The post Precision vs. Power: How Nimble Innovators Are Expanding Possibilities in Surgical Robotics appeared first on MedCity News.

Too often, providers handle all military claims the same way — sending them to the VA and hoping for the best. But there are multiple payer types, and they function very differently.

The post Not All Military Payers Are the Same — And That Matters More Than Ever appeared first on MedCity News.

[Sponsored] Turn complex healthcare data into clear, context-rich insights that drive faster, smarter decisions.

The post Transforming Healthcare Through Contextualized, Decision-Ready Insights appeared first on MedCity News.

Picture each patient with a computational model of their health where each treatable parameter (like weight, blood pressure, heart rate, exercise, inflammation, and blood chemistry) serves both as a marker for diagnosis and as an opportunity for treatment.

The post APIs in Healthcare – Magic in the Air appeared first on MedCity News.

A family vacation with 25 relatives was interrupted by a trip to an ER in Rome.

The post ER In the EU: Anxiety, Relief and Realization on Summer “Vacation” appeared first on MedCity News.

The real issue isn’t one payer, one policy or one bad actor. It’s a deeply fragmented system built on competing incentives, misaligned responsibilities and layers of administrative friction. 

The post Caught in the Middle: Unraveling Payer-Provider Blame in United States Healthcare appeared first on MedCity News.

Too often, the very systems meant to provide flexibility and control are undermined by delayed reimbursements, fragmented data, and a lack of transparency across the ecosystem. Solving this isn’t about tweaking the status quo, it requires a full redesign.

The post Innovative Strategies to Enhance Financial Predictability for Self-Funded Employers appeared first on MedCity News.

[Sponsored] Explore how integrated workflow solutions—powered by Veradigm’s suite of products—can transform your operations into a more efficient, connected healthcare system.

The post From Data Silos to Integrated Care: Driving Provider Engagement appeared first on MedCity News.

[Sponsored] Is your provider data holding you back?

The post Discover the Hidden Costs of Siloed Systems appeared first on MedCity News.

[Sponsored] Healthcare is drowning in chaos—from scattered data to burnout-inducing tasks. Discover how smarter workflows and real-time insights can rescue care teams and transform patient outcomes.

The post Why Workflow Chaos Is Undermining Care – and What Providers Can Do About It. appeared first on MedCity News.

[Sponsored] Megan Zakrewsky, vice president of product at Veradigm talks about how the company is utilizing tech among providers, payers and patients. Watch now!

The post MedCity Pivot: How Veradigm Aims to Close the Information Gap appeared first on MedCity News.

Health insurance claims are a growing headache for providers; many say their employers could do more to help them address the daily demands of insurers

The post How Healthcare Employers Can Do More To Help Providers Manage Payer Frustration appeared first on MedCity News.

How do we tip the scale to lower the rate of denials? While AI has been the initial decision-maker for years, it must become better trained. And to do that, it needs help.

The post Better AI + Correct Provider Guidance = Fewer Denials  appeared first on MedCity News.

For too long, the behavioral health industry has lacked the accountability mechanisms required to deliver on the high quality care that patients deserve. Provider organizations are proving day in, day out that when strong accountability becomes the standard, patients benefit, and the system as a whole grows stronger. 

The post It’s Time for Health Plans to Hold Behavioral Health Providers Accountable for Outcomes appeared first on MedCity News.

We now have the ability to diagnose and treat with data-driven insights and deliver measurable outcomes. It’s on us as providers to ensure that we are consistently adopting the latest, proven technology and treatment modalities that can benefit our patients.

The post The Keys to Better Mental Healthcare in 2025? Precision, Personalization, and Progress appeared first on MedCity News.

There are a number of important ways AI will impact patients, providers and pharmacies in the coming year. They break down into three key areas.

The post How AI Will Change the ePrescribing Experience for Patients, Providers and Pharmacies appeared first on MedCity News.

The impact of private equity investments in healthcare under the new administration is multifaceted. While deregulation and business-friendly policies could stimulate investment and drive innovation, there are significant concerns about the potential negative effects on healthcare quality and access.

The post Will A Second Trump Term be a Financing Boon for Healthcare? appeared first on MedCity News.

While AI has the potential to streamline processes, its current use in the revenue cycle is resulting in more claim denials, payment delays, and a greater need for appeals, particularly because payers often use AI to retroactively review medical necessity determinations.

The post How Payers are Using AI to Deny Claims and Dent Provider Revenue appeared first on MedCity News.

To overcome challenges and ensure that RPM reaches its full potential, both providers and payers need to implement several key strategies — and technology is a key component to making everything easier on all organizations. 

The post Remote Patient Monitoring Works … What are Payers and Providers Waiting for? appeared first on MedCity News.