The Business Side of Healthcare Blog
Discover comprehensive articles about the business side of chronic disease, medical advances, news and technology for health plans, providers, and employers
Articles
AI Health Startup Raises $100M+
Investors just bet $250M that AI can fix the doctor-patient conversation. Abridge just closed a $250 million Series D round, bringing its total valuation to over $2.8 billion. For context, Abridge builds ambient AI that ...
AI Scribes Are Everywhere. But Are They Safe?
Your AI scribe just documented something it never heard. Ambient AI is one of the fastest growing technologies in healthcare right now. Hospitals and clinics across the country are rolling out tools like Nuance DAX, ...
450K Lose Coverage: FQHCs Feel It First
🚨 FQHC CEO, is your revenue model built for what just happened? Nearly 450,000 New Yorkers just lost their health coverage. On July 1. Not a projection. Done. 📰 According to Time, those New Yorkers ...
AI Radiology: Speed vs. Accuracy Tradeoff
AI is reading scans faster. But is it reading them better? The radiology world is celebrating speed. AI triage tools now flag critical findings in seconds. Worklists are getting prioritized. Turnaround times are dropping. And ...
CMS 340B Cut: $4.85B Hospital Shock
🏥 Washington just dropped a $4.85 billion bomb on hospitals. CMS released it on July 2. Most people are still catching up. 📋 Here is the scene. CMS issued a proposed rule for Calendar Year ...
Elevance $342M MA Overbilling Settlement
I keep thinking about one number this week: $342 million. That is the wire transfer Elevance Health sent to CMS on May 27. Disclosed in a June 22 court filing. Paid to settle allegations of ...
Medicare Advantage Denial Rates Are a Scandal
CVS denied 80% of Medicare post-acute care. That is not a glitch. Let me say that again. Eighty percent. 🚨 The Medicare Rights Center published data this week showing that the largest Medicare Advantage organizations ...
Cadence: AI Agents for Chronic Care
56 million older adults in this country live with chronic disease. Heart failure. Hypertension. Diabetes. Conditions that demand daily attention, medication adjustments, and real-time clinical judgment. We do not have enough clinicians to deliver that. ...







