Everyone thinks MSK software is boring. Flagler Health just proved it isn't. 🔥 The conventional take on musculoskeletal health tech is that it's a sleepy, commoditized corner of the market. Scheduling tools, basic EMR plugins, nothing worth getting excited about. That take is wrong. Flagler Health just closed a $50 million Series B, bringing its total raised to $63 million. And the people who wrote the checks are not exactly known for backing boring companies. 💡 Who they are: Flagler Health is an AI-native platform that coordinates clinical and administrative workflows for musculoskeletal healthcare providers. Think orthopedics, physical therapy, spine care. They plug directly into providers' existing EMRs, which means no rip-and-replace, no massive implementation project, no reason to say ...

Everyone is celebrating the SAFFRON trial. I want to slow down. 🧬 The headlines are right that this is significant. But the most important thing SAFFRON gives us is not a drug combination. It is a decision framework for what to do BEFORE you ever reach for a salvage regimen. Here is how I think thoracic tumor boards should use this data. --- THE SAFFRON RESISTANCE EVALUATION FRAMEWORK For EGFR-mutated NSCLC progressing on osimertinib 1. CONFIRM THE RESISTANCE MECHANISM FIRST SAFFRON required prospective eligibility based on high MET overexpression and/or amplification, determined by IHC for protein expression and FISH for gene amplification, according to Pharmacy Times. That is not optional context. That is the protocol. Molecular testing at progression is ...

🔎 Everyone is calling the VA radiology collapse a policy failure. It is really a staffing architecture failure. The policy is just what triggered it. The structure was already broken. The VA OIG released its report on August 5th. According to The American Prospect, it documented that the return-to-office mandate caused a "mass exodus" of radiologists from the DC VA Medical Center, contributing to delays in completion of radiologic studies. No documented patient harm. But the OIG also found that facility leaders failed to track incomplete radiologic studies and didn't notify quality management of known problems. That second part is the part everyone is skipping. Here is the framework I use to evaluate any imaging department's structural resilience. I call ...

The radiology workforce story everyone is telling is the wrong one. 🩻 The dominant narrative is simple: we have a shortage, so we need more radiologists. Hire more, read more, fix it. But a new Medscape survey published August 14, 2026 tells a different story. According to xAID, 42% of the roughly 177 millennial radiologists surveyed said their compensation was flat (33%) or had actually fallen (9%) over the past year. Fifty-eight percent saw an increase. In a specialty supposedly starved for talent, nearly half of the youngest cohort is going nowhere on pay. Hiring does not fix that. And here is why. 📌 Introducing the 4-Force Radiology Revenue Squeeze This is the framework I use to explain why per-study ...

Nevada FQHCs are already absorbing the Medicaid fallout. 🚨 Patients are dropping off coverage before the rules even fully kick in. According to the Las Vegas Sun, leaders from eight federally qualified health centers in Nevada met with U.S. Sen. Catherine Cortez Masto this week to lay out a stark picture of what is already happening on the ground. At Hope Christian Health Center, the uninsured rate climbed from 27% to 34% since February. Not because patients became ineligible. Because patients assumed they did. As CEO Steve Flores told the senator: "Some Medicaid patients think they've already been canceled. Some are not applying because they think they won't get it." That sentence should stop every health center leader in their ...

A radiologist reads a non-contrast CT in the ED. The AI already flagged the chest and abdomen for multiple emergent conditions before the read even started. 🩺 This week, that workflow got a price tag from CMS. According to the American College of Radiology, CMS approved a New Technology Add-on Payment, or NTAP, for BriefCase-Triage: CARE Multi-Triage CT Body, Aidoc's AI tool that analyzes CT images and flags potentially urgent findings. The maximum add-on payment is $137.53 per case in FY 2027. It goes live October 1. The consensus view: this is a win for AI adoption. Reimbursement unlocks deployment. Full stop. My read is different. This is a win, and a warning shot, at the same time. Here is ...

Everyone thinks this is a healthcare ban. It is not. 📋 CMS just finalized a rule that removes federal Medicaid and CHIP dollars from gender-transition procedures for minors. But the rule itself explicitly states that it does not prohibit providers from furnishing these procedures, and it does not prevent states from covering them. That distinction matters enormously for how health systems and state agencies need to respond. Here is what the rule actually does, straight from the Federal Register: • Medicaid: federal matching funds are prohibited for these procedures for anyone under 18 • CHIP: the same prohibition applies through age 18, meaning individuals under 19 • Effective date: October 12, 2026, which is 60 days after publication • Transition ...

43.6% vs. 75.5%. That is the colorectal screening gap no one is talking about. 🔬 For noncitizens in the United States, the odds of getting screened for colorectal cancer are less than half those of US-born citizens. According to JAMA Network Open, a study of 131,501 eligible participants using National Health Interview Survey data from 2010 to 2023 found the following: - Colorectal screening: 43.6% for noncitizens vs. 75.5% for US-born citizens - Cervical screening: 57.1% vs. 71.6% - Breast cancer screening: 73.0% vs. 80.1% And the odds ratios tell an even starker story. Noncitizens had odds of 0.35 for colorectal screening, 0.41 for cervical, and 0.57 for breast cancer screening compared to US-born citizens. 📊 Cancer is the leading ...

Everyone is blaming politics for the ACA hikes. They're missing the point. 🔥 Yes, the expiration of enhanced premium tax credits made things worse. But that is not the root cause of what is happening to American health insurance right now. According to The Texas Dispatch, health insurers selling individual coverage on the ACA marketplace are asking for a median premium increase of 15% for 2027, based on a Peterson-KFF Health System Tracker analysis of 276 insurers across all 50 states and the District of Columbia. This would be the second consecutive year of double-digit increases. Let that land for a second. 📌 Here is what the numbers actually show: - Last year, insurers proposed a median 18% increase. Regulators ...