Better Prescribing, Not Less Prescribing, Is What Behavioral Health Needs
The policy conversation needs to shift from just deprescribing alone to building the clinical infrastructure that delivers consistent, high-quality behavioral health care.
Building AI-Ready Public Health Data Systems for Faster, Safer Decisions
For years, the healthcare industry treated data collection as the main challenge. The next phase is about interpretation, coordination, and operational usability.
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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.
To Solve the Nursing Shortage, Our Leaders in Washington Must Invest in Higher Education
If we want more nurses, we need more nursing students, which means creating the educational infrastructure needed to help them succeed.
The Foundation Is Built — Now We Must Secure the Future of Interoperability
Patients, providers, and innovators all benefit from secure, trusted, nationwide data exchange. But this trust cannot sustain itself on fragmented governance or competitive enforcement dynamics.
Why the Office of Personnel Management Needs Access to Government Employee Health Plan Claims Data
Without knowledge of the exact amount providers billed and middlemen charged in fees, OPM can’t fix payment discrepancies.
Headache Disorders Have Been Part of the American Story for 250 Years
More than 40 million Americans live with migraine and other headache disorders. They include children trying to stay in school, workers trying to remain employed, parents caring for their families, veterans and first responders living with post-traumatic headache, and more.
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Closing the Quality-Affordability Gap in Workplace Mental Health
In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable.
Federal Loan Policy Is Pricing Women Out of Healthcare’s Most Critical Roles
The July 1 changes are being framed as student loan policy. But they raise a larger question about what kind of labor, and whose labor, America is willing to invest in.
Don’t Celebrate the Wrong Win: What CMS-0053-F Actually Changes
We aren't killing the problem that fax created. We are migrating it into a format that carries a higher expectation of automated processing — without yet having solved the underlying challenge that made automation hard in the first place.
UnitedHealthcare Threw Open Its HQ to Journalists and Influencers. Why?
UnitedHealthcare CEO Tim Noel, Optum CEO Dr. Patrick Conway, and other top executives and employees gave unprecedented access to journalists and others in order to show how the company is trying to reduce friction in healthcare. The goal was to change hearts and minds. Did the insurance behemoth succeed?
Shifting Our Focus to Sample Sensitivity: The Metric That Deserves More Attention in Respiratory Care
The positive ripple effect of high specimen sensitivity influences the clarity of diagnoses, the timing of treatment and the efficiency of care delivery across systems, while also protecting communities from further disease spread for stronger outbreak control.
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New Webinar: The Payer AI Readiness Gap: Why Better Data Will Define the Next Era of Health Plan Performance
We'll explore why the next era of payer performance will depend on building a trusted data foundation that connects people, providers, and relationships across the enterprise.
Kill the Clipboard Tax
Replacing a paper clipboard with a QR code on your phone doesn’t kill the clipboard; it’s just a better clipboard. Why? The burden is still on the patient. It's the digital version of carrying a manila folder of records across town. This is a half-measure. It's not true interoperability.
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?
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.
Too Many Prescriptions, Too Many Fatal Falls
The phenomenon of taking five or more medicines at the same time has become so common that it now has its own term – polypharmacy – and there is no doubt that it increases the risk of dizziness, confusion, and loss of balance.
‘Prior Authorization’ Has Become a Dirty Word in Healthcare, But it Might Be Medicare’s Smartest Path Forward
Since its inception, AI in prior auth has only been at work in the commercial healthcare marketplace. Now new innovative approaches that reframe prior auth as a resource instead of a roadblock have come to Medicare via the WISeR model.