By Victoria Mendonca MS MBA & Shane Bell – If you’ve spent any time around clinicians, you’ve probably heard names like CHA₂DS₂-VASc or HAS-BLED thrown around. These are not secret codes but examples of clinical calculators—tools that help healthcare professionals evaluate risks, guide diagnostic decisions, and determine appropriate treatments.
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By Heather Bassett MD – Our patients can’t afford to wait on officials in Washington, DC, to offer guidance around responsible applications of AI in the healthcare industry. The healthcare community needs to stand up and continue to put guardrails in place so we can roll out AI responsibly in order to maximize its evolving potential.
By Jordan Everson & Brett Andriesen – The Direct Project created Direct Secure Messaging, a simple, secure, scalable, and standards-based method to send health information between partners and to provide a straightforward pathway to acquire unique provider and organizational addresses to engage in exchange that resembles secure email.
By Dr. Jin Hyung Lee – What if the signs of cognitive decline could be caught while the brain is still healthy, opening the door to early interventions that could prevent years of devastating symptoms? This possibility is no longer a distant dream — it’s becoming a reality with the power of artificial intelligence and EEG technology.
By Elisabeth Rosenthal – The No Surprises Act, which took effect in 2022, was rightly heralded as a landmark piece of legislation, which “protects people covered under group and individual health plans from receiving surprise medical bills,” according to the Centers for Medicare & Medicaid Services. And yet bills that take patients like Chen by surprise just keep coming.
By Jim Younkin – While Americans have generally embraced consumer technologies like smartphones and social media, healthcare AI is proving to be different. Consumer technologies typically gain widespread adoption despite initial concerns, but healthcare AI faces deeper skepticism from both providers and patients.
By David Van Houtte – With a recent increase in rules and regulations from CMS, health plans are feeling the pressure of more scrutiny, and the fear of penalties looms. For example, the No Surprises Act, passed in 2022, has already resulted in healthcare facilities, payors, and providers paying more than $11 million in penalties.
By Kathryn Eshelman MD MPH – Unlike Medicare Advantage, risk adjustment in Medicaid is a zero-sum game. Medicaid is managed at the state level with fixed budgets, and the slice of the pie your health plan receives depends on the effectiveness of its risk adjustment program.
By Greta Barnes – Imagine Jane, a mid‑level project manager, powering through another flare‑up of her rheumatoid arthritis. Her joints ache, fatigue drapes over her like a heavy blanket, and she knows she needs to take a day or two away from her desk. When she checks her company’s PTO policy, however, she’s met with rigid accrual tiers and a “use it or lose it” deadline.