In most non-emergency medical transportation programs, the claim is the first complete record of a trip — created before anyone independently verifies the trip happened. This report highlights an accountability gap in NEMT that auditing after the fact cannot resolve.…
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Health systems have spent years expanding access through more appointment availability, shorter wait times, and easier scheduling. That work remains essential. But as access improves, a new opportunity is emerging: designing connected care journeys that help ensure patients not only…
Cardiology, gastroenterology and primary care are losing independent practices at a pace that separates them from the rest of the field, driven by a combination of Medicare payment erosion, private equity consolidation and hospital acquisition pressure. Between 2012 and 2024,…
Physician partnership disputes can be detrimental to ASC ownership models — are rarely discussed during the courtship phase of a merger or acquisition. “The issues that break partnerships are almost never clinical,” Scott Freer, clinical administrator of ASC Bala Cynwyd…
Every health system has the same gap. The work care teams do each day doesn’t always fully make it into the final chart, and the system pays for it twice: in revenue that never gets billed, and in patient severity…
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Greenville, S.C.-based Prisma Health has broken ground on a $180 million medical park in Fountain Inn, S.C., a project designed to expand specialty care access across the fast-growing southern Greenville County region, CBS-affiliate 7 News reported June 30. The 50-acre…
A Georgia nurse practitioner who owned two telemedicine companies has been sentenced to 120 months in prison for orchestrating a scheme that submitted more than $136 million in fraudulent Medicare claims for medically unnecessary orthotic braces and prescription drugs, the…
Private equity’s decade-long consolidation of anesthesiology has produced two documented outcomes: higher prices for payers and worse working conditions for physicians, according to a June 2026 white paper from AMGA Consulting. The market share shift has been significant. A 2020…
This webinar is on-demand and can be viewed at your convenience. Nearly 30% of new hospital hires leave within the first year, and more than 60% of all exits happen within the first two. For public sector healthcare systems already…
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The HHS Office of Inspector General has issued an unfavorable advisory opinion finding that a home health agency’s payment to a software vendor for referral management services would violate the Anti-Kickback Statute, according to a June 25 opinion. Under the…
