When the Referee Owns the Team — and Tennessee Changes the Rules
At the center of this issue is a simple question: should the entities responsible for managing prescription drug benefits also own the pharmacies that profit from those decisions?
How AI & CMS are Solving the $4 Trillion Healthcare Crisis
The message to the industry is clear: If your business model is optimized only for FFS, you are the legacy. The future of healthcare belongs to those who can trade hours spent for improved patient lives.
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Top 7 Modern AI-Powered EAP Providers for Global Workforces in 2026
Discover the top AI-powered EAP providers for 2026. Compare platforms like Kyan Health and Spring Health on triage speed, global reach, and clinical quality to transform workforce wellbeing.
New Investment Firm Launches to Back Healthcare Companies That Have ‘Earned the Right to Scale’
Fountain Health Partners announced its launch, with plans to back companies approaching or already at profitability, with a clear three- to five-year path to a strategic exit. The investment firm was founded by Joey Campanelli, a former executive at Shields Health Solutions, and Jack Euston, a healthcare investment banker with more than a decade of experience in M&A.
The Future of Healthcare Screenings: The Power of Vocal Biomarkers
What sets vocal analysis apart is its simplicity and scale. Through a single 40‑second voice sample, multiple conditions can be screened simultaneously — no needles, no lab visits, and no physical presence required.
48 Groups Want Trump Administration To Improve Process to Resolve Payer-Provider Disputes
A coalition of employer and consumer groups is urging the Trump administration to crack down on alleged abuse of the No Surprises Act’s independent dispute resolution process.
Healthcare Doesn’t Need More Companies Managing Unnecessary Costs – It Needs a System Designed to Eliminate Them
Cost management strategies need to focus on simplifying the system, doing away with the outdated processes that inflate costs, and building and deploying tools that allow organizations to control their spending.
The Power Behind Enterprise EHR Software for Large Healthcare Systems
Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems.
Could Cigna Exiting the Individual Market be an Indictment of ICHRA?
Cigna's exit from the ACA individual market is causing one healthcare expert to question the long-term potential of ICHRA.
Anomaly Raises $17M for AI-Powered Payer Intelligence Platform
Anomaly's $17 million round was led by Sound Ventures and included participation from Alumni Ventures, Link Ventures, Redesign Health and RRE Ventures.
Only 33% of Physicians Believe Health Plans’ Prior Auth Commitments Will Make a Difference
A new American Medical Association survey found that most physicians remain skeptical that insurers’ recent prior authorization reform commitments will meaningfully reduce delays, administrative burdens or patient harm.
How Value-Based Care Could Finally Fix What’s Broken in Autism Treatment
The clinicians working in this system are often deeply committed to their patients. The problem is the system itself which rewards the quantity of time and largely ignores the quality of the treatment’s impact.
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Inside an Automated Healthcare Practice: Redesigning Care Around People, Not Paperwork
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
How Healthcare Leaders are Reacting to the White House’s Proposed Fertility Benefit Rule
Healthcare leaders are divided over the Trump administration’s proposed rule to expand employer-sponsored fertility benefits, with some praising broader access and others saying it falls short of guaranteeing comprehensive coverage.
About 67% of Employers Cover GLP-1s for Weight Management; That Could Decline in 2027
A new Business Group on Health survey found that while many employers currently cover GLP-1s for weight management, rising costs are prompting some to reconsider that coverage and adopt strategies to control spending.
The Most Consequential Healthcare Market Structure Question of the Next Decade Is Sitting in a Comment Docket — It Closes June 9
A comment docket dominated by hospital lobby framing produces a rule that reflects that framing. A comment docket that includes documented employer cost analysis, physician ownership experience, and market structure argument produces a different rule.
DOJ Doubles Down on Healthcare Fraud Enforcement with New West Coast Strike Force
The Department of Justice’s new “West Coast” strike force targets Arizona, Nevada and Northern California — regions flagged for rising Medicaid, hospice and tech-enabled fraud risks. Legal experts say the effort signals a broader shift toward data-driven enforcement, as regulators ramp up their scrutiny of telehealth companies and billing automation software.
States are Advancing Homecare’s Next Big Step — Paying Caregivers for Skill, Not Just Time
By investing upfront in a more highly trained homecare workforce, states can avoid the massive costs associated with acute interventions and admissions to hospitals and residential facilities.