What the Midterms Mean for Healthcare and the Investors Betting on It
One question on everyone’s mind is what the impact of the midterm elections will be on the US healthcare system in the near and long term - here are 3 possible outcomes
A Meaningful Signal on Palliative Care – But Not Yet a Benefit
CMS asked the right questions - the ones that will determine whether any future benefit actually reaches these patients.
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From Blind Spots to Better Outcomes: How SNF Data Transparency Strengthens LTSS
What if health plans could identify member decline before an avoidable hospitalization occurs? Real-time clinical visibility into long-stay SNF members uncovers risk earlier and drives better outcomes.
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.
In a Maternity Care Crisis, CMS Undermines Efforts To Modernize Care
CMS has introduced uncertainty about whether Medicare will participate in that modernization or preserve the old system under a different name. The consequences extend far beyond billing
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.
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The Power of Real World Data to Study Women’s Health at Scale
Veradigm examines key clinical trends, comorbidity profiles, and treatment trends across adolescence, reproductive years, and peri-/post-menopause. Download it today!
Why an Independent NP Practice Requires an Undergraduate Business Foundation
Ultimately, while clinical training teaches nurses how to care for patients within a system, business education empowers them to design, protect, and scale the system.
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.
Modernizing Medicare Advantage for the Next Generation of Seniors
The Centers for Medicare & Medicaid Services (CMS) took constructive steps in its 2027 final rule and rate announcement, particularly on payment integrity and quality measurement. But those steps are not the finish line. Policymakers should further modernize MA to strengthen competition, transparency and accountability. Here’s where to start.
How to Prepare Your Hospital Before H.R. 1 Hits in 2027
A deadline many are not tracking is October 1, 2026. It’s the day federal Medicaid funding ends for refugees, asylees, and humanitarian parolees.
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.
The True Cost of Focusing on Cost Instead of Cost-Effectiveness
When payors consider only the cost of the medication and not the cost and risk to the patient, doctor, and healthcare system, the irony is that not only is this terrible for patient health, it can be more costly in the end.
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.
Stop the Revolving Door: Why Five-Year Contracts are the Key to Saving Medicare Advantage
To truly deliver on the promise of proactive, preventive care for seniors with complex, chronic conditions, we should move away from the current one-year open enrollment cycle and toward a five-year contract period.
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.