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Need to Establish National Healthcare Standards for Children, Study Suggests
The study published in Health Affairs recommends standardization of benefit plans across states for children, especially those related to developmental abilities.
Instead of establishing a federal gold standard for children's health, HHS has allowed states to choose from a menu of benchmark plans, a decision that runs contrary to the recommendations from the Institute of Medicine.
As a result, the Affordable Care Act's promise of essential health benefits has not been realized, according to Aimee Grace, MD, MPH, a fellow at Children's National Health System. Dr Grace joined a panel of experts at a Health Affairs forum devoted to children's health.
In a new report, Dr Grace and her colleagues used plan summaries from the Center for Consumer Information and Insurance Oversight to compare the benefits from every state and Washington, DC, and determine which services, specifically those relevant to children, were included and excluded.
Read the complete article here: http://bit.ly/1yzWfzu
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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