Business Resources2026-02-14T22:44:21+00:00

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

ACR Radiology AI Governance Standard

By |May 20th, 2026|

Radiology just got its first-ever rulebook for AI. 🧠 For years, hospitals and imaging centers have been adopting AI tools with very little structure around how to evaluate them, monitor them, or hold them accountable. ...

CMS $1.3B Medicaid Withhold Alert

By |May 18th, 2026|

CMS just froze $1.3B in Medicaid payments to California. And if you lead a health center, run a clinic, or oversee Medicaid billing for any provider organization, this story should be on your radar right ...

Medicaid Work Requirements Start Now

By |May 17th, 2026|

Medicaid work rules are now live. Here is what that means. On May 1, 2026, Nebraska became the first state in the country to enforce Medicaid work requirements under the federal reconciliation law. Here is ...

CMS Prior Auth Revolution 2026

By |May 15th, 2026|

72 hours to approve or deny. CMS just rewrote the rules. Starting this year, health plans must respond to prior authorization requests within 3 days for urgent cases. Seven days for standard requests. No more ...