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
Medicare Telehealth Cliff Threatens Rural Access
Congress just gave rural America 40 days of telehealth. Then what? Let that sink in. After extending Medicare telehealth flexibilities through January 30, 2026, we're staring down another cliff that threatens to abandon rural patients. ...
AI Predicts Breast Cancer Risk from Mammograms
The mammogram that tells your future just got FDA approval. In 2025, we crossed a remarkable threshold. The FDA authorized Clairity Breast, the first AI system that predicts your five-year breast cancer risk from a ...
FDA’s Framework for AI Mental Health Chatbots
Your AI therapist needs a prescription now. The FDA just dropped a bombshell on mental health tech companies. At their November 2025 Digital Health Advisory Committee meeting, they outlined something unprecedented: generative AI chatbots for ...
FDA Deploys Agentic AI Across Agency
The FDA just changed the game for medical innovation forever. On December 1, 2025, Commissioner Marty Makary announced something unprecedented: agentic AI deployment across the entire FDA. Not just chatbots. Not just automation. We're talking ...
ACIP Ends Universal Newborn Hep B Vaccine
34 years of newborn protection, gone with one committee vote. The CDC's Advisory Committee on Immunization Practices (ACIP) just voted to end universal hepatitis B vaccination at birth, reversing a policy that's been in place ...
Medicare Advantage Mass Exodus
2.6 million seniors just lost their Medicare Advantage plans. That's not a typo. UnitedHealthcare, Humana, and Aetna are pulling back from Medicare Advantage in unprecedented ways for 2026: • UnitedHealthcare: Exiting 225 counties, entering only ...
Hospital-at-Home Extension Victory
Congress just saved hospital care at home for 5 more years 🏠 On December 1, the House passed the Hospital Inpatient Services Modernization Act, extending Medicare's Acute Hospital Care at Home waiver through 2030. This ...
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 ...