The Business Side of Healthcare Blog

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 ...

18% of eligible patients get lung cancer screening. At FQHCs, it's under 6%. Let that sink in. Lung cancer kills more Americans than colorectal, pancreatic, and breast cancer combined. This year, 235,760 people will be ...

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 ...

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, ...