Current Posts

By Matt Fisher – The Centers for Medicare and Medicaid Services released its proposed 2027 Physician Fee Schedule for Medicare (the 27 PFS) on July 14, 2026. The 27 PFS contained a pretty big surprise: a complete shift in approach to the two primary modes of remote monitoring: remote physiologic monitoring and remote therapeutic monitoring.

Health IT business news from CereCore, Solventum, ModMed, Nabla, Wolters Kluwer Health, ModMed, DSS, AGS Health, Definitive Healthcare, Collette Health, OMNY Health, Inovalon, PerfectServe, WellSky, ThinkSono, SafeRide Health, VirtuAlly, Impact Advisors, and more.

By Khalid Sattar – Healthcare has spent decades optimizing care delivery. It has invested billions in clinical excellence, advanced diagnostics, modern facilities, digital records, and operational efficiency. Yet one of healthcare’s greatest challenges still occurs before care even begins. Patients struggle to access the system.

By Syed Sibt-e-Hassan – Most practices judge a good month by the balance in the bank. It is the slowest and least useful way to understand revenue. By the time a shortfall shows up in the account, its causes are weeks old and often past the point of recovery.

Moving our healthcare system into the digital age, better outcomes, controlling and reducing costs, and patient access to their health data. Our monthly HIE rundown includes updates on industry interoperability news, TEFCA, HIE networks, job openings and vendor contracts.

By Theo Sakalidis – When I worked on the buy side of healthcare private equity, we underwrote a lot of physician practices. And I can tell you that the clinical work, the thing the doctors trained a decade to do, was almost never the thesis. The thesis was the back office.

The math was simple and unforgiving: the company couldn’t scale to serve new clients without physically scaling its call center, and physically scaling a call center is slow, expensive, and hard to reverse. The question isn’t whether AI can handle provider calls, it’s how much capacity is sitting on the table until it does.

Advanced practice providers (APPs) have moved from a reactive staffing solution to a foundational pillar of U.S. healthcare workforce strategy, according to a new survey of 327 healthcare facility leaders from CHG Healthcare, the nation’s leading physician and advanced practice workforce company.

By Pat Williams – When healthcare leaders talk about ambient AI scribing, they almost always picture the same setting: a primary care physician, managing a panel of 15 to 20 patients, dictating notes between appointments. That’s the benchmark the industry has built its expectations around.

Starts October 26th in San Diego – We’re in an era of rapid transformation across managed care pharmacy. Artificial intelligence, political volatility, and scientific breakthroughs have all made their mark on managed care, and AMCP Nexus 2026 is where leaders come together to make sense of what’s changing and shape what comes next.

CMS issued multiple Fiscal Year (FY) 2027 final payment rules in late July 2026. These rules update payment rates, quality programs, and reporting timelines across acute care, long-term care, inpatient rehabilitation, skilled nursing, and hospice settings, generally taking effect on October 1, 2026.

By Sanjay Subramanian – Some of the most expensive work in healthcare is the work no one counts as care. Physicians and their teams chase authorization status, resubmit records, clarify denial reasons, and explain coverage confusion to patients.

The CereCore Podcast release: On this episode of The CereCore Podcast, host Phil Sobol welcomes back Lynn Falcone, CEO of Cuero Regional Hospital, and Ismelda Garza, CIO of Cuero Regional Hospital and CereCore manager, for a candid conversation about their multi-year effort to implement MEDITECH Expanse and evolve into a high reliability organization (HRO).

By Amy Oliver – I have always cared about healthcare access and equity. But recently it stopped being just a professional conviction and became something messier and more specific, the kind of care that comes from watching the system fail someone you love and not being able to do anything about the system, only about showing up.

Health IT product news from 1upHealth, Cantata Health, CareHive Health, Caris Life Sciences, Carta Healthcare, MedeAnalytics, Trice Workspace, Teladoc Health, AGS Health, HOPPR, Luma Health, MDaudit, Pacific AI, Relatient, Revecore, SimplePractice, & Talkdesk.

By Kamya Elawadhi – When did “we believe we reached physicians” become an acceptable standard for a billion-dollar industry? Somewhere along the way, pharma marketing made peace with probabilistic targeting, inferred identities, and impression counts that looked impressive but proved little.

Find a new podcast or catch up on some of your favorites, here are all the newest episodes released this week on Healthcare NOW Radio. Have a great weekend!

We have rounded up some virtual events around our industry. They are all free to attended so register today. And check back each week for new events. Have an event we can include? Contact us.

NOW on Demand Tell Me Where IT Hurts episode with host Dr. Jay Anders and his guest Anna Dover, PharmD, Senior Director of Editorial Content at First Databank (FDB). Together they unpack pharmacogenomics, using a patient’s genetic profile to predict which drugs will work and which will cause harm, and why it’s one of the most exciting frontiers in personalized medicine.

Business and financial news from SpinSci, CliniComp, Gr4vy, Wizlo, CharmHealth, Telemynd, RevealDx, Buzz Health, Wolters Kluwer Health, Wildflower Health, Cardinal Health, H1, Novo Nordisk, WHOOP and more.

By Dr. Patricia Hayes – We spend more on children after they’re sick, in admissions and emergency visits, and far less on the proactive care that keeps them safe at home. We pay for the crisis and underfund the work that would have prevented it. That’s why adding clinicians or expanding telehealth only goes so far.

By Matt Fisher – The biggest recent news for HIPAA is the quiet reveal that updates to the Security Rule are now delayed until sometime in the middle of 2027. The update was made on an Office of Management and Budget webpage, which now shows expected final action as an undefined date in July 2027.

We are seeking out the latest developments around virtual healthcare. News from Teladoc Health, Implicity, Wizlo, Gr4vy, Telemynd, TytoCare, and more.

By Abhishek Gupta – Despite the strong investments in data and analytics, VBC’s promise remains largely unfulfilled. Most organizations have invested in analytics dashboards that surface insights but don’t drive action. A closer look reveals why.

In this week’s special edition of “News You Can Use” on Healthcare NOW Radio Dr. Nick sits down with Adam Russo, CEO and Founder of The Phia Group, to explore Fiduciary liability and what employers and brokers need to know about health plan oversight.

Latest announcements made from companies and organizations on hiring include Ellipsis Health, AllyGPO, Trialbee, OptimizeRx, AGS Health, NASCO, Carenet Health, Ebix, Nabla, Availity, AArete, Bridge Oncology, DirectTrust, Point-of-Care Partners, Pivot Point Consulting, & FINN Partners.

By George Bosnjak – As someone currently building my fourth healthcare technology company, I’ve learned to value practical, hard-working solutions over the flashy hype touted by Silicon Valley. So, when Pope Leo XIV released his encyclical Magnifica Humanitas addressing the rapid rise of artificial intelligence and its potential consequences, I paid attention.

Starts November 11th in Denver – This fall, healthcare leadership rises higher. The CHIME26 Fall Forum is a gathering at altitude, bringing together digital health’s most influential leaders in Denver, Colorado, where perspective sharpens, challenges are met head-on, and the path forward comes into focus.

ATA Action sounds alarm as CMS’ PFS Proposed Rule threatens to reverse bipartisan congressional gains on remote patient monitoring.

By Jay Anders MD – Behind the polished demos and bold promises, a large language model remains a fast, powerful next-word predictor. It reviews an enormous matrix of possibilities and generates the word it calculates should come next. It does this so well that it can appear to reason. But it does not reason as clinicians do. It predicts.

NOW on-demand, Value-Based Care Insights host Daniel J. Marino speaks with Ivan Mitchell, CEO of Great Plains Health, to discuss why his organization made the difficult decision to terminate its Medicare Advantage contracts.

Our monthly round up of nurses news, from the associations, providers, hospital systems, and nurses themselves.

What makes marketing in the health IT space unique? Who are the movers and shakers? What’s working, what’s trending? Where can you learn more? News from Swaay.Health, anthonyBarnum, Brafton, Sōvyn, Unlock Health, Innsena, Klick Health, O’Dwyers, Privia Health, & more.

By Lauren Barca MHA RN BSN – Health plans are reaching more members than ever before, but that has not necessarily translated into better engagement or better outcomes because most of that effort stops after the first interaction.

Marking the one-year anniversary of the Health Tech Ecosystem Initiative when the private‑sector health‑tech companies pledged to help CMS modernize data exchange. So what is the progress? There has been some meaningful progress, some lagging areas, and need for continue multi-stakeholder coordination.

Health IT business news from Heidi, Nexus, Arcadia, Commure, MedScout, The BRAIN Foundation, ShelterZoom, WellSky, Inovalon Inc., Ardent Health, Arbital Health, deliverz.ai, Relatient, Veritas Association Management, Net Health, Imagine Pediatrics, Implicity, Carta Healthcare, Ebix, and more.

By Gurkan Camok MSc – Healthcare AI is often introduced through a performance metric: accuracy, sensitivity, specificity, or speed. Those measures matter, but hospital adoption is determined by a different question. Can the system deliver useful, understandable guidance inside a real clinical workflow without creating new delay, confusion, or risk?

By Rafiq Ahmed – For decades, one of the most consequential numbers in healthcare was effectively invisible to the providers delivering care: what a payer actually reimburses a hospital for a given service. Health systems negotiated contracts based on internal assumptions, historical precedent, and incomplete intelligence about what the market was actually paying.

Looking for a conference to attend this Fall? Check out these five events to consider: Civitas Annual Conference, 2026 Health Policy Conference, AMCP Nexus, CHIME26 Fall Forum, and HLTH 2026.

By Tyler Cobb – A certificate of insurance is a one-page summary issued as a convenience. It is not a policy, it confers no rights, and it says almost nothing about whether the endorsements behind it actually match what the contract requires. Third-party risk has become a primary exposure pathway for provider organizations.

By Jazmin Orozco Rodriguez – As the Trump administration’s January deadline looms for states to enforce new Medicaid work requirements, some state lawmakers are turning the tables by pushing to publicly name the largest companies that have employees enrolled in the government program covering low-income and disabled people.

By Felicia Sadler MJ BSN RN CPHQ LSSBB – According to a 2026 Nursing Outlook study, the societal cost of losing a Minnesota specialty nurse reached nearly $3.7 million, highlighting why workforce retention should be viewed as an infrastructure investment rather than simply a staffing concern.

By Jerry Smith – Drug affordability conversations often center on manufacturers and their high list prices. This focus overlooks the real cost driver: the complex pharmaceutical ecosystem.

Starts September 28th in Atlanta GA – The 2026 AvaSure Symposium brings together nurse leaders, IT innovators and operational executives who are actively modernizing care delivery. This is where strategy meets implementation. Where outcomes matter. And where leaders share what’s working and what’s next.

By Adam Wong – What started as a challenge to tame unwieldy single patient electronic health information (EHI) exports, often hundreds of pages long and hard to use, quickly became a nationwide surge of ingenuity, with nearly one hundred proposals pouring into the ONC EHIgnite Challenge.

By Anita Nayak – Across hospitals, health systems, and provider organizations, leaders are exploring how AI can support documentation, predictive analytics, patient engagement, revenue cycle management, administrative workflows, and clinical decision making.

NOW on-demand, Value-Based Care Insights host Daniel J. Marino speaks with Dr. Angel Martino-Horrall, anesthesiologist, consultant, and perioperative operations expert, to discuss the evolving role of anesthesia leadership in surgical services governance.

By Megan Schmidt – Healthcare is spending billions to modernize the future while ignoring one of its most expensive operational failures. Provider data, the foundational information that determines who gets paid, where patients receive care, and how networks function, remains inaccurate across much of the industry.

We have rounded up some reports and surveys from around the industry that we thought were of interest from Fortified Health Security, Surescripts, PerfectServe, BioLongevity Supplements, Royal Philips, Sage Growth Partners, Atlas Systems, Experian Health, mPulse, Nurse.com, and more.

By Russell Teague – Healthcare is getting better at seeing its risk. The hard part is now what we do after the finding. During the first half of 2026, organizations have been identifying more risk than ever, but they are remediating less of it according to Fortified Health Security’s rolling risk assessment data.

The CMS Innovation Center released the third annual evaluation report and early results ahead of the fourth report for ACO REACH that shows the model improved healthcare quality and reduced gross spending during its first four performance years.

Business and financial news from IKS Health, ZeOmega, XRHealth, Bunkerhill Health, OpenEvidence, Nordic Consulting Partners, AllyGPO, BioCareSD, SpinSci, Luma Health, and more.

By Tharun Kumar Nallamothu – Healthcare organizations are investing heavily in artificial intelligence, but in practice, only a small number of systems make it past the initial rollout and actually get used at scale. The gap isn’t coming from a lack of innovation. If anything, the pace of model improvement has been impressive.

In this monthly report you will find news and highlights in the Applied Life Sciences from Orphan Therapeutics Accelerator, Intermountain Health, Clearmind Medicine, BioMed X, Telum Therapeutics, ModeX Therapeutics, Icosagen, Neurizon Therapeutics Limited, Single Use Support and more.

Reported payers and health insurance industry news from UnitedHealthcare, RevSpring, PatientGenie, Anthem Blue Cross and Blue Shield, CareFirst BlueCross BlueShield, Aetna, GoHealth and more.

By Michael Ford – A growing share of the problem hospitals face today doesn’t come from denials at all. It comes from claims that sit unresolved without ever receiving a formal denial. Why do these claims fall through the cracks?

Latest announcements made from companies and organizations on hiring include Element Care, Aledade, HealthTree Foundation, Syra Health, Mantra Health, Protocol Behavioral Health, AGS Health, Parkview Health, Colorado Permanente Medical Group, RHA Health Services, Tower Health, & Bamboo Health.

CMS is proposing transformational reforms to Medicare’s physician payment and value-based care programs that would expand accountable care, modernize physician payment, reduce administrative burden, and help shift the healthcare system’s focus from treating illness to preventing it.

By April Miller – Healthcare organizations face financial pressure as operating costs and administrative demands increase. At the same time, patients expect clear pricing and greater transparency throughout the billing process.

By Cheryl Cruver – For the better part of the last three years, healthcare has been fascinated by artificial intelligence (AI). Conferences, board meetings, and strategic plans have all focused on AI’s capacity to reshape everything from clinical documentation to revenue cycle management. At this year’s HFMA Annual Conference, however, something interesting happened.

Can the RHT initiative turn the deepening decline of rural healthcare around? Who will take on the challenges to not just spend the $50B but change the rural healthcare landscape? Here is what’s in the news this month.

By Sanjeev Menon – Automation was always the floor, not the ceiling. The next phase of patient access depends on two capabilities the first generation was never built to deliver.

Newly released FINN Voices episode with Beth Friedman and Bobby Reddy Jr., leading Prenosis, a precision medicine company redefining how hospitals understand and treat their most critically ill patients. Reddy explains why decades of clinical trials for sepsis, acute heart failure, and pneumonia have failed and why the solution lies in the unique biology of each patient.

By Shawn Spurlock and Liz Turi – We are excited to announce the 2026 standards approved by the National Coordinator through ONC’s Standards Version Advancement Process (SVAP). This year, we highlight two important groups of standards.

The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of June that we think deserve sharing again.

By Nathan Elliott – When NCQA validated its first ten clinical data streams in late 2021, Data Aggregator Validation looked like an experiment. Four years on, it looks like infrastructure.

In this week’s special edition of “News You Can Use” on Healthcare NOW Radio Dr. Nick sits down with Adam Russo, CEO and Founder of The Phia Group, to explore the company and its benefits program and rethinking the way you offer benefits to your employees. This is part 3 of a 6 part series “Straight Talk, Better Benefits”.

Health IT business news from Caris Life Sciences, Doctronic, Simple HealthKit, Carta Healthcare, CliniComp, Cantata Health Solutions, IMAT Solutions, MedeAnalytics, CareHive, 1upHealth, RevSpring, PatientGenie, Intermountain Health, Bassett Healthcare Network, Inovalon, Trice Imaging and more.

By Christine Chasse – Artificial intelligence is no longer a future concept in health care; it is already shaping documentation, triage, utilization review, patient communications, clinical decision support, and digital health products. Used well, AI can reduce administrative burden, organize complex information, and help clinicians and patients move through the system more efficiently.

AdvaMed, the Medtech Association, welcomed next steps in the Medical Device User Fee Amendments reauthorization process following clearance by the White House Office of Management and Budget of the draft MDUFA VI agreement.

This month’s AI report includes news and updates from BCC Research, Viz.ai, PatientGenie, emtelligent, CliniComp Qventus, HAPPI Health, Clarity RCM, EnableComp, Arcadia, Doctronic, Simple HealthKit, AGS Health, Pacific AI, HOPPR, SimplePractice, Talkdesk, Revecore, Philips, & more.

By Tharun Kumar Nallamothu – Lessons from Real Clinical Environments – Artificial intelligence in healthcare has reached a point where technical capabilities are no longer the primary limitation. Models can transcribe clinical conversations, extract insights, and support decision-making with increasing accuracy.

A new international survey of physicians highlights strong enthusiasm for wearable health technologies and their potential to improve patient care. Physicians recognize the value of data from smartwatches, fitness trackers, and biosensors, and many are using wearable technologies in their own lives to monitor and support their health.

Latest announcements made from companies and organizations on hiring include Pivot Point Consulting, Acorn Health, Omnicell, Inc., IGEL, Strive Health, Modivcare, ATA, Doceree, MedReview, EnableComp, Surescripts, symplr, & Komodo Health.

By Zac Amos – Artificial intelligence (AI) is helping healthcare organizations automate administrative tasks, improve workflows and support better decision-making. However, implementing AI without careful planning can create new challenges for employees, leading to AI burnout instead of greater efficiency.

Starts September 2nd in San Diego CA – RISE West is the most anticipated Medicare Advantage senior leadership event of the year, but it’s more than an event. It’s a reunion of industry trailblazers where the conversations are meaningful, the connections feel like family, and the peer-to-peer exchange happens in a truly intimate setting.

Currently the Centers for Medicare & Medicaid have announced the following open proposed rules, They include prospective payment rules, drug pricing, and drug negotiations. Proposed rules are open to comments once they have been printed in the federal registry.

By Sujay Jadhav – In the complex, high-risk business of pharmaceutical research and development, sponsors face a challenge of picking target products with high therapeutic potential and acceptable safety profile. Then they must efficiently manage costs and timelines.

NOW on-demand, Value-Based Care Insights host Daniel J. Marino speaks with Dr. Marty Lucenti, a nationally recognized emergency medicine physician and operational performance expert, about the evolving role of the emergency department and the factors driving persistent overcrowding.

By Amit Bhatnagar – A 53-year-old woman moved through the ordinary processes of modern medicine in precisely the way the system demands. She had imaging done after suspicious findings appeared on a mammogram, then a biopsy, followed by a pathology report confirming malignancy. The result existed and had not been…