About the Author: Jonathan Govette

CEO/Co-Founder @ Oatmeal Health | AI Lung Cancer Screening | Almost Became a Doctor | Engineer | Follow to Share What I’ve Learned Along the Way

Rush-Endeavor Merger: Scale Is Not Strategy

By |October 24th, 2026|

Bigger hospitals are not automatically better hospitals. 🏥 But the industry keeps acting like they are. This week, Rush University System for Health and Endeavor Health announced plans to merge into what would be one of the largest health systems in Illinois. According to Healthcare Dive, the combined entity would control 12 hospitals and 400 outpatient clinics across Chicagoland, with the transaction expected to close in early 2027, pending regulatory review. The headline number is striking: Endeavor plans to funnel a $1 billion investment into research, community care, quality, and innovation initiatives as part of the deal. That sounds generous. But before we applaud, look at the actual financial picture. 🔹 Endeavor brought in more than $663 million in net ...

Suki $90M Series E: AI Agents in Healthcare

By |October 23rd, 2026|

190% encounter growth. $90M raised. Suki is done being a scribe. 🤖 That number, patient encounters supported by Suki growing more than 190% year over year in 2026, is the kind of traction that makes a Series E look obvious in hindsight. According to Healthcare Dive, Suki closed a $90 million Series E on October 13, 2026. New investors Healthier Capital, Crosslink Capital, and Hercules Capital joined existing backers including Venrock, Flare Capital Partners, Hedosophia, Philips Ventures, and Zoom Ventures. Aman Mahajan, MD, PhD, MBA, of Healthier Capital is joining the board. The headline is the AI agent pivot, and it deserves your attention. Suki already serves more than 450 healthcare organizations and has embedded its tools inside more than ...

BRELT3 Mobile LDCT Screening Framework

By |October 22nd, 2026|

18 lung cancers found. One mobile CT unit. Four cities. 🔬 The BRELT3 trial just showed what a mobile LDCT program can actually deliver in underserved communities. According to ILCN, 2,018 people completed LDCT screening across four cities in Northeast Brazil, with 87% of participants identifying as nonwhite and 64% holding only primary-level education. These are the populations most likely to be missed by traditional fixed-site screening programs. The results are worth studying closely. 🔹 0.84% of screened participants received a lung cancer diagnosis 🔹 33% of those diagnoses were stage III or IV disease 🔹 12% of participants had suspicious findings based on Lung-RADS categories 3 or 4 🔹 66% of participants had an estimated 6-year lung cancer risk ...

FQHC Financial Sustainability Crisis

By |October 21st, 2026|

Everyone calls FQHCs resilient. The numbers say something else. 📊 Synergy Billing just released The FQHC Benchmark Report, a national analysis combining HRSA Uniform Data System data with verified IRS Form 990 filings from 1,139 health centers. The research universe covers 1,356 HRSA-funded centers serving 32.7 million patients. Three numbers stood out to me immediately. 🔹 0.6%: The median operating margin among eligible health centers. 🔹 45.9%: The share that reported an operating loss. That is 523 of 1,139 centers. 🔹 168: The number of centers operating at a loss with fewer than 30 reported days of cash on hand. Nearly half of these organizations are in the red. Right now. Not as a future projection. And yet the public ...

CMS Removes 189K Duplicate ACA Enrollees

By |October 19th, 2026|

CMS just removed 189,000 people from ACA coverage. Here is what that means. This is not a small audit finding. It is a signal that the rules of federal healthcare enrollment enforcement are being rewritten in real time. According to a CMS press release published October 14, the agency identified 189,000 people in 2026 who had subsidized Obamacare coverage through the Federal Marketplace while also enrolled in Medicare, Medicaid, or CHIP, or who were listed as deceased. CMS ended their subsidies. The projected savings: approximately $1.5 billion over the next year. That number gets bigger when you zoom out. CMS Administrator Dr. Mehmet Oz stated the administration has already saved nearly $6 billion since restoring duplicate enrollment enforcement in 2025. ...

Pope Leo XIV: Lung Screening’s Missed Millions

By |October 18th, 2026|

A surgeon in Rome removes the lower lobe of a pope's right lung. 🫁 The Vatican calls the surgery successful, no complications, cancer caught at a very early stage. That news traveled around the world in hours. And buried inside it was the statistic that keeps me up at night. According to Managed Healthcare Executive, only 18.7% of U.S. adults eligible for lung cancer screening are up to date. That is fewer than 1 in 5. Out of 12.76 million people who qualify, the vast majority never get the scan designed to find this disease early. Pope Leo XIV is 71 and reportedly not a smoker. His nodule was found incidentally during routine medical checks. He had access, follow-through, and ...

Medicare Advantage Mass Exit 2027

By |October 17th, 2026|

193 counties will have zero Medicare Advantage prescription drug plan options in 2027. 😳 That number was 123 counties in 2026, and it will keep climbing. According to reporting by Quartz and KFF data published this week, the average Medicare beneficiary can now choose from 35 plans for 2027, down from 39 in 2026. The typical beneficiary looking specifically for a prescription drug plan will see just 28 options, down from 32. Those numbers sound like minor rounding. They are not. Look at the county-level carnage: 🔹 UnitedHealth Group is exiting 228 counties and entering just 9 new ones 🔹 Health Care Service Corporation is leaving 498 counties and entering none 🔹 Centene is exiting 359 counties and entering 15 ...

Healthleap $38M: AI Flags Hidden Diagnoses

By |October 16th, 2026|

Revenue up 10x. Sequoia and First Round both said yes. 🔬 When I read that Healthleap's revenue grew more than tenfold over the past year, I sat with that number for a minute. That is not typical Series A traction. That is a signal that hospitals are not just piloting this platform. They are paying for it at scale. Healthleap just closed $38 million in combined seed and Series A funding, according to TechCrunch. The $8 million seed was co-led by Sequoia Capital and First Round Capital. The $30 million Series A was led by Hummingbird Ventures. The company is not disclosing its valuation. Founded in South Africa in 2022 by siblings Jemima and Josiah Meyer, Healthleap started as a ...

2026 Radiation Oncology Coding Overhaul

By |October 15th, 2026|

Most radiation oncology programs missed the most expensive coding change of the decade. They are still reading the 2026 Medicare fee schedule. The real threat lives in commercial payer contracts that have not caught up. According to ECG Management Consultants, the AMA and CMS implemented the most significant overhaul of radiation oncology treatment delivery and image guidance coding in over a decade, effective January 1, 2026. These changes affect how EBRT, IMRT, and IGRT services are reported and reimbursed across all plans. That last part matters. Across all plans. Not just Medicare. 🔍 Here is what actually changed: 🔹 EBRT delivery codes were restructured into three complexity tiers: 77402, 77407, and 77412. The old structure was based on technical criteria ...