Work Requirements Put New Pressure On Medicaid Member Retention
By using existing data to better understand members and implementing retention strategies, plans can remain sustainable and members can get the care they need.
A Market, Not a Mandate, Is the Fastest Way to Bring AI Into Hospitals
The cost of waiting is not evenly distributed. Rural and critical access hospitals report under 50 percent adoption of even basic predictive tools, compared with 86 percent among top-tier system-affiliated hospitals. Every year without a bridge widens that gap, and it widens it fastest for the hospitals with the least room to absorb it.
Why Pharma Companies Should Look To Social Media For Better Patient Insight
Healthcare decision-makers, especially at pharmaceutical companies, must prioritize patient input. Data collected from social media listening is a significant step in the right direction.
Congress’s Patient Matching Fix Won’t Work — Here’s What Would
The MATCH IT Act aims to reduce patient matching errors. But a model used by vital records systems could provide a better solution.
Why SDoH Programs Fall Short — and What It Takes to Make Them Work
Throwing more money at SDoH programs isn’t going to magically fix them. Instead, plans should be focusing on building out these three specific capabilities that, together, can noticeably alter the playing field.
Your Product Works — So Why Does It Still Fail in the Real World?
A patient's automated risk score was reassuringly green. Pulling from a sparse medical record and infrequent acute visits, the model flagged him as low risk and routed him to the default, low-touch outpatient pathway — so why was the patient actively deteriorating?
The Impending End of Cross-Subsidization
There is no single solution to the cross-subsidization problem. But here are some strategic actions that can make a health system’s economics more sustainable.
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The Healthcare Payments Industry Faces a Perception Challenge
Healthcare payments are no longer about transactions. It’s about controlling the revenue cycle. And increasingly, that control is not sitting with ISOs.
How AI Is Connecting MedTech’s Data Without Compromising Compliance
The connected, agent-ready enterprise is the model that wins, where compliance and intelligence operate together.
Why the Future of Healthcare Depends on Reinventing Primary Care Access
What is needed is a fundamentally different operating model for primary care, one designed around continuous engagement rather than episodic encounters.
Why Agentic AI Works in Hospitals When You Strip It Down
Many hospitals are now trying to use AI to automate processes and free up staff time, running simultaneous pilots to perform as many tasks as possible. This quickly leads to pilot sprawl — a state where organizations can no longer even say which agents are still in active use.
What Life Sciences Commercial Teams Can Learn from Digital Health
The pace of change in digital innovation has exposed the ever-widening gap between digital health and Pharma commercial teams. As a result, Pharma is missing out on its ability to significantly improve its commercial model, by focusing on efficiencies vs. truly reinventing.
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Automation Didn’t Dehumanize Care. Bad Systems Did.
We have the opportunity to design systems that give people greater capacity for the work where human presence matters most: listening, understanding, reassuring, deciding, and caring.
The Real Gap in All of Us Isn’t Consent, It’s Conversion
Why more than 300,000 missing patient records reveal an engineering problem, not a policy one — and why that's good news.
AI Won’t Fix Social Care, But Could It Help Us Finally Make It Work?
AI could play a meaningful role in advancing social care. Not by replacing people, but by helping them and organizations doing this work move faster, see patterns earlier, and coordinate more effectively.
MedTech Commercialization Gap: Moving Beyond Technical Viability
What are the common reasons that a prototype fails to make the transition? There are several, but they all boil down to early-stage programs ignoring the business problem in favor of the technology problem.
AI Goes All In To Support Nursing Teams: Ambient Charting is Just the Start
The question is whether these AI tools will be another fragmented layer of technology or true assistants to help them spend more time on patient care.
From OpenNotes to “Doc Can I Record You?” Why Physicians Should Embrace Era of Accountability
Healthcare has a habit of embracing patient empowerment right up until patients become powerful.