Tennessee-based Ballad Health said it's tried for years to resolve the issues with the insurer but now has 'no choice' but to take legal action, as denied claims are leading to longer hospital stays and higher expenses.

The patient reported chest pain multiple times and had a family history of heart disease. According to the lawsuit, however, he was never referred to a cardiologist. 

Researchers with two academic health systems recently tried a new approach to increase LDCT uptake, reaching patients electronically outside of a regular appointment and asking them to request a screening. 

The two companies said their model for exchanging payer and provider data will be “easily replicable” and could be adopted across the healthcare space. The initial rollout of the system will be focused on automatically identifying Medicare Advantage patients. 

Up to 72% of CT requisitions from ED providers could be considered inadequate according to RI-RADS, which was developed to evaluate the clinical reasoning quality of imaging orders.

Nearly 90% of adults are believed to already have at least one risk factor of CKM syndrome. The American Heart Association hopes patient education and physician collaborations can help increase awareness about this dangerous condition.

University of Chicago Medicine believes it's the only provider in the Windy City to offer biopsies the same day as a breast imaging exam. 

Physician-founded Counsel Health said it will use the funds to hire more doctors as it expands the userbase for its AI, which allows patients to ask questions and get answers from a real doctor.