The Business Side of Healthcare Blog

I keep thinking about one number this week: $342 million. That is the wire transfer Elevance Health sent to CMS on May 27. Disclosed in a June 22 court filing. Paid to settle allegations of ...

CVS denied 80% of Medicare post-acute care. That is not a glitch. Let me say that again. Eighty percent. 🚨 The Medicare Rights Center published data this week showing that the largest Medicare Advantage organizations ...

56 million older adults in this country live with chronic disease. Heart failure. Hypertension. Diabetes. Conditions that demand daily attention, medication adjustments, and real-time clinical judgment. We do not have enough clinicians to deliver that. ...

I keep thinking about this headline from this week. "New Rural Health Funding Only a Bandage for Medicaid Wound." That is not hyperbole. That is the operating reality for every FQHC and community health center ...

I keep thinking about what happened this week in radiology. The FDA granted Breakthrough Device Designation to two generative AI tools that do not just detect findings on a chest X-ray. They draft the radiology ...

Medicare just did something it has never done before. 🚨 I keep thinking about what this actually means. Starting July 1, 2026, CMS is launching the Medicare GLP-1 Bridge Program. For the first time in ...

Unpopular opinion: AI scribes are a bandage on a bullet wound. Every major health system is racing to deploy ambient AI documentation tools. Epic, Oracle Health, Microsoft, Nuance, and a dozen well-funded startups are all ...

I keep thinking about why AI still can't change a doctor's mind. Not because the models are bad. Some of them are genuinely impressive. But impressive models and useful tools are not the same thing. ...