The Business Side of Healthcare Blog

The drug program keeping free clinics alive is on the chopping block. And most people outside of healthcare have never heard of it. The 340B Drug Pricing Program requires pharmaceutical manufacturers to sell outpatient drugs ...

Medicaid work rules could hollow out your FQHC patient base. Here is what no one is talking about loudly enough. The Senate's reconciliation bill doesn't just cut Medicaid dollars. It restructures who qualifies entirely. The ...

Lung-RADS was never designed for AI. That's the problem. For years, we've used a 1-to-4 categorical scoring system to decide who needs follow-up after a chest CT. It works. But it was built for human ...

Prior authorization is breaking healthcare. AI is fixing it. Every week, physicians and their staff spend an average of 14 hours per provider navigating prior auth requests. That is more than two full working days ...

Safety-net hospitals are about to lose a financial lifeline. And most people outside of hospital finance have no idea what Medicaid DSH even is. Let me explain why that matters right now. DSH stands for ...

Health AI just had its biggest funding month of 2026. And the money is not going where most people think. Let me break down what happened in the last few weeks and why it matters ...

The Medicaid funding trick 49 states use is on the chopping block. And almost nobody outside of state budget offices is talking about it. Here is what is happening. Most states fund their share of ...

7 million kids could lose health coverage this year. Not because they no longer qualify. But because the system processing their eligibility can't keep up. The House-passed reconciliation bill, moving through Congress in late May ...