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
CMS 2026 Payment Rule Disrupts Outpatient
CMS just dropped a bombshell on outpatient surgery centers. Starting in 2026, they're dismantling the Inpatient Only list over 3 years, beginning with 285 musculoskeletal procedures. But here's what nobody's talking about: 📊 ASCs get ...
40 Health Systems Drop Medicare Advantage
40 health systems just gave Medicare Advantage the boot. That's right. In 2025 alone, 40 major hospital systems have terminated contracts with at least one Medicare Advantage plan. The reason? It's not pretty. Health system ...
FQHC Funding Cliff September 2025
30 million Americans could lose their doctors in 8 months. That's not hyperbole. The Community Health Center Fund expired September 30, 2025, and Congress hasn't acted other then a basic extension until January 30th, 2026. ...
AI-Powered MRI Revolution
Not slowed them down. Cut them by two-thirds. Philips' SmartSpeed Precise MR technology just received FDA clearance, and it's a game-changer for patients and overwhelmed radiology departments. As someone who's spent years in healthcare optimization, ...
AI-Powered Liquid Biopsy Revolution
A game-changing breakthrough for cancer detection just emerged from the Korea Institute of Materials Science. 🔬 Their AI-powered optical biosensor can detect cancer from a single drop of blood in under 20 minutes with 99% ...
AI Revolution in Breast Cancer Screening
The largest AI breast cancer screening trial in U.S. history just launched, and the early data is mind-blowing. 🔍 The $16 million PRISM Trial (Pragmatic Randomized Trial of AI for Screening Mammography) is evaluating how ...
Medicare Coverage for Alzheimer’s Blood Tests
The days of expensive PET scans and invasive spinal taps for Alzheimer's diagnosis are now behind us. In a groundbreaking policy shift, CMS has finalized a $130 reimbursement rate for the newly FDA-approved blood tests ...
AI Pancreatic Cancer Detection Breakthrough
Pancreatic cancer has always been a silent killer, often detected too late for effective treatment. But a breakthrough AI system might change everything about how we fight this disease. Microsoft and collaborating researchers have developed ...







