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
Latest Articles
Medicaid Managed Care Overhaul Hits CHCs Hard
Medicaid managed care is being quietly rewritten. Here is what that means. When people talk about the House reconciliation bill, the conversation jumps to work requirements, DSH cuts, and ACA subsidies. But buried inside the ...
ACA Subsidy Cliff Threatens Marketplace Coverage
3.8 million people could lose health coverage next year. And it has nothing to do with Medicaid. The enhanced premium tax credits introduced under the Inflation Reduction Act have been one of the most impactful, ...
Medicaid DSH Cuts Threaten Safety-Net Hospitals
The Medicaid cuts nobody is talking about just passed the House. Everyone is focused on work requirements. And yes, those matter enormously. But buried inside HR 1, the reconciliation bill that passed the House on ...
FQHC Section 330 Funding Under Fire 2026
32+ million patients. One budget line. One vote away from a crisis. Federally Qualified Health Centers are the backbone of primary care for America's most vulnerable populations. Rural families. Uninsured workers. Medicaid enrollees. Immigrants. People ...
CMS Pays for AI Heart Detection on Chest CT
AI just found heart disease hiding in your chest CT scan. And now, for the first time, hospitals can actually bill Medicare for it. As of April 1, 2026, CMS created a reimbursement pathway for ...
AI Diagnostic Tools Reach Rural Hospitals
Rural hospitals are finally getting radiologists. Just not human ones. Across the United States, roughly 60 million people live in rural communities where access to a radiologist on staff is nearly impossible. Recruiting is brutal. ...
Hospital Price Transparency Enforcement 2026
Hospital price transparency just got real. And hospitals are not ready. When CMS first rolled out price transparency rules in January 2021, most health systems complied on paper, buried machine-readable files no patient could ever ...
Medicaid Work Requirements Risk Coverage Loss
5.2 million people may lose Medicaid. Not from cuts. From paperwork. The Senate is advancing a reconciliation bill that includes mandatory work requirements for Medicaid recipients. On the surface, it sounds reasonable. Work to receive ...
GLP-1 Digital Health Tools Change Obesity Care
GLP-1 drugs work better with AI. Here is the proof. Semaglutide and tirzepatide are already rewriting the rulebook on obesity treatment. But the real story in 2026 is not just the drug. It is what ...








