The Business Side of Healthcare Blog

CMS just dropped a bombshell on Medicare Advantage plans. On April 2, they finalized sweeping changes to Star Ratings for 2027, cutting administrative measures like appeals tracking and provider complaints. The message is clear: Stop ...

Medicare just split physician payments into two classes. Winners and losers? For the first time ever, Medicare is paying physicians differently based on their business model. Starting January 2026, CMS created two conversion factors: • ...

Missouri just voted to let doctors prescribe groceries. Not vitamins. Not supplements. Actual food. The Missouri House just passed bipartisan legislation creating a Medicaid "Food is Medicine" program. Doctors can now prescribe tailored meals, fresh ...

"We're ready to replace radiologists with AI tomorrow." That bombshell came from Mitchell Katz, CEO of NYC Health + Hospitals, at a recent healthcare panel. His plan? Let AI handle first reads of mammograms and ...

CMS just handed Medicare Advantage a 5% raise. Here's what it means. The final numbers are in: Medicare Advantage plans will see a 5.06% payment increase for 2026, jumping from CMS's initial 2.23% estimate. That's ...

Medicare just opened the door to CBD. This changes everything. On April 1, 2026, CMS quietly dropped a bombshell: Medicare pilots will now cover hemp and CBD products in certain alternative payment models. Think about ...

The White House just proposed the biggest HHS cut in recent memory. $15.8 billion slashed from HHS in the FY 2027 budget proposal released April 3rd. That's a 12.5% reduction from current funding levels. Here's ...

CVS just deployed 100,000 AI twins to solve medication non-adherence. And they're achieving 85-95% accuracy in predicting patient behavior. Here's what makes this revolutionary: These aren't generic AI models. CVS built "agentic twins" using real ...