David Burda

The Costly Lever of Prior Authorization

By David R. Burda – The long-running debate over prior authorization typically is framed around patient care. PA delays or denials prevent patients from receiving medically necessary care when they need it. Within that frame is the administrative burden that PA puts on physicians.

AI in Healthcare News and Updates

This month’s AI report includes news and updates from BEN, MedAdvisor Solutions, Odessa General Surgery, eClinicalWorks, Viz.ai, The SCAN Foundation, Dandelion Health, AXYS, F4CP, AION Labs, BioMedX, Azalea Health, Ontrak Health, ImagineSoftware, Maverick Medical AI, DeepScribe, Aideo Technologies, MedEvolve, & more.

Bad Billing

By David R. Burda – A short research letter recently published in the Journal of the American Medical Association supports the idea that it’s providers and payers, not patients, that have created the revenue cycle mayhem.

Medicare Advantage Is a Burst Pipe

By David R. Burda – The money flowing from Medicare into Medicare Advantage is like water gushing out of a frozen pipe. Here are the latest numbers from CMS, which released its annual national health expenditure figures on Dec. 13, 2023.

Catching Up on Alternative Payment Models

By David R. Burda – HCPLAN’s latest annual report is another reminder that the transition to APMs has stalled out. Many consider HCPLAN’s annual report as the gold standard for measuring the transition to APMs. It breaks down payment models into four categories.

Yes, Some Good Patient Safety News

By David R. Burda – Better check the byline on this blog post. It’s about patient safety improving at hospitals. Yes, I’m the author. I also try not to be a hypocrite. If I write about patient safety dropping hospitals, like I did in this monthly column, “Dead Patient Walking,” then I feel compelled to write about it when it gets better…