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.
Medicare Policy Shouldn’t Be Made in the Shadows
Medicare policy should be transparent and include appropriate notice and stakeholder input. And when a contractor gets it wrong, there should be a clear and rapid way to stop the harm to patients, their relationship with their doctor and the doctor’s practice.
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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!
Fifty Years of Pediatric Rheumatology, but Children Still Can’t Access the Treatments They Need
As a country, we have developed treatments capable of improving the quality of life and preventing long-term damage for children with rheumatic conditions, yet many children cannot obtain them when they need them most. This needs to change.
How is Oracle Health’s Nurse AI Agent Different?
The Oracle Health Clinical AI Agent is unique in the way it’s embedded directly in the Oracle Health Foundation EHR, making it easier for nurses who don’t have to shift between tools used for separate tasks.
Two Years After the Change Healthcare Cyberattack, Healthcare Still Has a Clearinghouse Redundancy Problem
What happened was not just a cybersecurity failure, it was an infrastructure failure.
The Missing Piece in Lowering the Cost of Care: Predictability
When the healthcare system defaults to uncertainty, people delay care because it feels safer for their wallets. In some cases, people wait too long, leaving an ER visit as the path of least resistance.
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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.
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A Partnership-driven Approach to Waste and Abuse Prevention
Discover how payers can shift from costly post-payment recovery to intentional prevention through data-driven oversight, accountability, and partnership.
Modernizing Payment Integrity in an Era of Systemic Fraud
Gaps in reimbursement oversight and recovery will only widen, unless plans modernize how they detect, investigate, and recoup improper payments.
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.
From Friction to Fix: Measuring What’s Breaking Payer-Provider Trust
Tolerance for this abrasion is gone. It wastes time, drains staff capacity, drives up costs, and affects the patient experience.
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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.
Which Health Tech Companies Are Getting Customer Experience Right?
A new report from Forrester offers a score card assessing health tech vendors on customer experience for healthcare organizations considering adopting them.
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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.
The Code Gets You Paid — The Variant Gets You Treated
The between a code that satisfies a payer and the information a physician needs to treat a person, is what nearly every healthcare AI tool is racing past. As we push these systems toward precision medicine and genomics, that gap stops being an annoyance and becomes a patient safety issue.
Moving Beyond Reactive Healthcare: 5 Traits of Successful Healthcare Organizations
A new whitepaper by League highlights examples from collaborations with Baptist Health.
Why Value-Based Care Only Works If You’ve Tamed Costs
VBC aligns reimbursements to outcomes, emphasizing the quality and effectiveness, not quantity, of healthcare activities. But the same cost constraints driving interest in VBC can also turn it into a liability.