AI has moved from possibility to pressure. The question is no longer whether it matters, but which problems it should solve and how to scale without creating new clinical, financial or data risk. To understand how leading organizations are navigating…
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The Texas Medical Association has asked CMS to delay its mandatory Ambulatory Specialty Model, arguing physicians need final participation details and time to prepare before facing significant Medicare payment risk. TMA made the request in a Sept. 14 comment letter…
Nurse practitioners and physician assistants saw their median total cash compensation grow by about 2% from 2025 to 2026, according to a new report from healthcare consulting firm SullivanCotter. The “2026 Advanced Practice Provider Compensation and Productivity Survey Report” collected…
Healthcare has historically lagged industries such as financial services in digitalization and AI adoption. That is changing fast, as patients expect faster, more convenient, always-on access and providers face an administrative burden that headcount alone cannot solve. The question is…
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Rising healthcare costs are one of the biggest challenges facing employers today. For many organizations, musculoskeletal (MSK) conditions like back pain, joint injuries, and repetitive strain account for a disproportionate share of total medical spend. This drives up claims, costs,…
BGO, a real estate investment manager, has acquired a portfolio of 11 ASCs across nine U.S. markets. The 100% leased, 223,000-square-foot portfolio includes surgery centers with established affiliations with major health systems as well as relationships with national ASC operators,…
Musculoskeletal (MSK) spending keeps climbing faster than expected. Prior authorization (PA) does what it’s built to do: screen claims and stop the wrong care from being delivered at the point of service. But by the time a member is in…
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Every health system has goals it would pursue if it had the capacity: close every gap in follow-up care, get patients to the right specialist sooner, keep quality reporting complete and on time, protect the revenue it earns for care…
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A merger brought three hospitals and thousands of new employees into Wellstar Health System — including clinicians learning Epic for the first time. Support requests surged overnight. With hospital margins under pressure, adding headcount was not an option. Instead, Wellstar…
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Independence Blue Cross has agreed to pay $22.5 million to resolve allegations that it used inaccurate diagnosis codes to inflate its Medicare Advantage payments, according to a Sept. 30 Justice Department news release. The government alleged the insurer violated the…
