Pediatric Innovation Isn’t a Small-Market Problem, It’s an Incentive Problem
Investing in pediatric care is not simply a moral imperative. It is one of the most practical long-term investments the healthcare system can make.
Hidden Risks and Costs of Maternal/Infant Health that Health Plans Miss
A new report from ProgenyHealth offers a window into how the business works with commercial and Medicaid plans to close gaps in maternity and NICU care management that traditional programs overlook.
The Power Behind Enterprise EHR Software for Large Healthcare Systems
Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems.
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Compliance Alone Won’t Fix the Home Health Fraud Problem
With home health fraud growing more sophisticated through AI, post-pay audits are no longer enough. Payers must shift to proactive, tech-driven prevention to catch improper claims before paying them.
Democratic Senators Urge Withdrawal of Interim Final Rule on Medicaid Work Requirements
Democratic senators are urging CMS to withdraw its Medicaid work requirements rule, arguing it will create administrative burdens and cause eligible beneficiaries to lose coverage.
Medicaid’s Next Performance Test: Can Plans Reach the Members They’re Accountable For?
For many of Medicaid’s highest-need members, the problem isn’t that services don’t exist. It’s that the system can’t consistently reach the people who need those services most.
Modernizing Program Integrity in Medicaid Self-Directed Care
States must rethink how program integrity is designed and delivered by focusing on four key priorities that enable oversight to scale alongside these programs.
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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.
MedCity Pivot Podcast: The Evolution of Palliative Care at Home
In this month's pivot podcast, I speak to the chief medical officer of San Francisco-based Vynca, an innovative company in the world of palliative care that is providing serious disease management at home.
Dying Without a Safety Net
America funds the crisis. It’s time to fund the care that prevents it.
Healthcare Leader to CMS on New Medicaid Eligibility Requirements: Give States an Extension
At AHIP 2026, healthcare leaders raised concerns about CMS’ new Medicaid eligibility requirements, with one urging the agency to give states more time to implement them.
Building the Backbone of Rural Health: Meeting the Reality on the Ground
Rural healthcare has always run on ingenuity, resilience, and community trust. What has too often been missing is the infrastructure strong enough to match that and sustain it at scale. That is what makes this moment different.
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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.
Why Ob-Gyns, States, and Plans, Should Care About Oral Health
While there are growing efforts to link dental health with overall health, the urgency should be felt strongly not only by pregnant women but, more importantly, by their care providers and health insurance companies. For instance, pregnant women with gum disease are 3-4 times more likely to develop pre-eclampsia, an emergency condition.
Medicaid’s Housing Problem Isn’t Placement — It’s What Happens Next
If we focus only on placement, we will continue to see cycles of progress and regression. If we focus on stability — on what happens after the keys are handed over — we have an opportunity to change those trajectories more permanently.
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.
Lack of Trust, Not Technology, is What’s Stopping Health Plans from Meeting Their Mission and Financial Objectives
Healthcare often expects consumers to contort themselves around processes that were never built with them in mind — and that’s where the trust issue begins. With the looming arrival of HR1, how to fix it.
Startup Enabling Aging at Home Raises $6M, Gains New MA and Medicaid Partnerships
Rosarium Health's seed round was led by Kalos Ventures, with support from ResilienceVC, Rock Health Capital, Symphonic Capital, American Family Insurance Institute for Corporate and Social Impact, Black Tech Nations Ventures and The Council.