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.
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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.
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 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.
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.
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.
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.