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 I help patients get the care they need earlier, preventing late-stage cancer. That's been the throughline across three companies and almost 20 years in healthcare. At ReferralMD, we fixed broken referral networks so patients didn't fall through the cracks. At Oatmeal Health, it's lung cancer: building the diagnostic and screening infrastructure so the 85% of cases caught too late get caught early instead. Today as CEO of Oatmeal Health, I lead a team embedding AI into radiology workflows to turn routine lung CT scans into reimbursable cancer risk assessments. We partner with FQHCs to reach underserved communities, and with health systems and payers to make early detection economically sustainable. Think HeartFlow or Cleerly, but for lungs. Between companies, I advised at Techstars and Plug and Play, mentoring founders building in digital health. That experience shaped how I think about what separates companies that ship from companies that stall: distribution, reimbursement, and clinical trust, not just technology. I'm a CancerX alumnus, a 3x healthcare founder, and someone who believes the biggest problems in cancer aren't scientific. They're operational. We're hiring mission-driven builders at Oatmeal Health. If you want to work on something that matters, reach out. When I'm not working, I'm traveling, mentoring, and keeping up with one very energetic husky. 🐾 Substack - The Oatmeal Bite: Millions of patients get less care because of who they are, where they live, or how they look. I'm fighting to change that. CEO @OatmealHealth, a startup built for the underserved. The Oatmeal Bite: intel for clinicians, investors, and advocates. Jonathan Govette CEO of Oatmeal Health Substack: https://oatmealhealthjonathangovette.substack.com/

FDA Deploys Agentic AI Across Agency

By |December 19th, 2025|

The FDA just changed the game for medical innovation forever. On December 1, 2025, Commissioner Marty Makary announced something unprecedented: agentic AI deployment across the entire FDA. Not just chatbots. Not just automation. We're talking about AI systems that can plan, reason, and execute complex regulatory workflows autonomously. Think about what this means: • Pre-market device reviews that take weeks, not months • Drug safety surveillance catching signals in real-time • Biologics inspections streamlined through predictive analytics • Meeting management that actually moves approvals forward The numbers are staggering. Over 70% of FDA staff are already using Elsa, their LLM tool launched in May. Now they're scaling to full agentic capabilities with human oversight built in. 💡 Here's what healthcare ...

ACIP Ends Universal Newborn Hep B Vaccine

By |December 18th, 2025|

34 years of newborn protection, gone with one committee vote. The CDC's Advisory Committee on Immunization Practices (ACIP) just voted to end universal hepatitis B vaccination at birth, reversing a policy that's been in place since 1991. Instead of vaccinating all newborns, they now recommend birth doses only for babies whose mothers test positive for hepatitis B or have unknown status. For all other infants? Start at 2 months, with "shared decision-making." 🚨 The backlash has been swift and severe. The American Academy of Pediatrics immediately condemned the decision. Major liver disease societies called it dangerous. Leading pediatricians are publicly stating they'll continue vaccinating all newborns regardless of the new guidance. Why this matters for healthcare leaders: This creates an ...

Medicare Advantage Mass Exodus

By |December 17th, 2025|

2.6 million seniors just lost their Medicare Advantage plans. That's not a typo. UnitedHealthcare, Humana, and Aetna are pulling back from Medicare Advantage in unprecedented ways for 2026: • UnitedHealthcare: Exiting 225 counties, entering only 14 • Humana: Leaving 198 counties, entering just 5 • Coverage dropping from 90% to 80% of U.S. counties 💔 The human impact is staggering. 13% of all Medicare Advantage enrollees must find new plans, up from 6% last year. Four insurers completely exited the market citing financial challenges. Why the exodus? Insurers blame "government funding cuts and rising healthcare costs." Yet UnitedHealth still posted a $2.3 billion quarterly profit. Here's what healthcare leaders need to understand: This isn't just about insurance companies and their ...

Hospital-at-Home Extension Victory

By |December 16th, 2025|

Congress just saved hospital care at home for 5 more years 🏠 On December 1, the House passed the Hospital Inpatient Services Modernization Act, extending Medicare's Acute Hospital Care at Home waiver through 2030. This was set to expire January 30, 2026. Here's what makes this massive: Over 300 hospitals across 37 states have been delivering acute-level care in patients' homes since the pandemic. Real hospital care. Real monitoring. Real results. The data is compelling: 30% reduction in hospital-acquired infections 38% lower readmission rates 20% cost savings per episode 96% patient satisfaction scores But here's the kicker: This program almost died because Congress couldn't decide if home-based acute care was "real" hospital care. Meanwhile, patients were getting IV antibiotics, continuous ...

CMS 2026 Payment Rule Disrupts Outpatient

By |December 15th, 2025|

CMS just dropped a bombshell on outpatient surgery centers. Starting in 2026, they're dismantling the Inpatient Only list over 3 years, beginning with 285 musculoskeletal procedures. But here's what nobody's talking about: 📊 ASCs get a 2.9% payment increase (barely covering inflation at 3.4%) 🏥 Over 500 procedures suddenly approved for ASC settings 💰 The 340B remedy offset continues slashing payments by 0.5% annually through 2041 This creates a fascinating paradox. CMS is pushing complex surgeries into outpatient settings while simultaneously squeezing reimbursements. They're expanding ASC procedure lists dramatically but offering payment updates that don't even match inflation. The real winners? High-volume ASCs that can capitalize on the 500 new approved procedures. The losers? Rural hospitals already struggling with the ...

40 Health Systems Drop Medicare Advantage

By |December 14th, 2025|

40 health systems just gave Medicare Advantage the boot. That's right. In 2025 alone, 40 major hospital systems have terminated contracts with at least one Medicare Advantage plan. The reason? It's not pretty. Health system CEOs are calling it what it is: a broken system that underpays hospitals while drowning them in prior authorizations, claim denials, and endless negotiations. Ivan Mitchell from Great Plains Health didn't mince words: these plans are diverting resources from patient care to fighting with insurers. But here's where it gets interesting. A December 2025 Berkeley Research Group report just dropped a bombshell: traditional Medicare could have saved $7 billion between 2019 and 2023 if it adopted Medicare Advantage's utilization controls. $7 billion. Think about that ...

FQHC Funding Cliff September 2025

By |December 13th, 2025|

30 million Americans could lose their doctors in 8 months. That's not hyperbole. The Community Health Center Fund expired September 30, 2025, and Congress hasn't acted other then a basic extension until January 30th, 2026. This fund provides 70% of federal funding for FQHCs. Without it, community health centers face an existential crisis. Here's what's at stake: 📊 The numbers tell a devastating story: • 1,400+ FQHCs serving vulnerable communities • 34 million patients annually, 91% below 200% poverty line • $5.8 billion in annual funding disappearing overnight • 51,000 healthcare workers potentially losing jobs But the real tragedy? Congress knows this deadline. They've known for years. Yet here we are, 8 months away, with no long-term solution. Just political ...

AI-Powered MRI Revolution

By |December 11th, 2025|

Not slowed them down. Cut them by two-thirds. Philips' SmartSpeed Precise MR technology just received FDA clearance, and it's a game-changer for patients and overwhelmed radiology departments. As someone who's spent years in healthcare optimization, I can tell you this is revolutionary. Here's why this dual-AI breakthrough matters right now: 🔍 The tech combines two AI systems - one that accelerates image acquisition and another that enhances image quality 🏥 Early adopters are completing brain scans in under 10 seconds (not minutes) ⏱️ Radiology departments can see up to 2 additional patients per day with multi-parametric whole-body exams 👨‍⚕️ One-click operation makes it accessible to all technologists, not just AI specialists The timing couldn't be more critical. With radiology departments ...

AI-Powered Liquid Biopsy Revolution

By |December 10th, 2025|

A game-changing breakthrough for cancer detection just emerged from the Korea Institute of Materials Science. 🔬 Their AI-powered optical biosensor can detect cancer from a single drop of blood in under 20 minutes with 99% accuracy. Here's why healthcare leaders should pay attention: • It's 1,000x more sensitive than previous biosensors, detecting methylated cancer DNA at concentrations as low as 25 fg/mL • Requires only 100 μL of blood (essentially a drop) and delivers results faster than your morning coffee break • Can distinguish between cancer stages (I-IV), crucial for early intervention • Uses plasmonic materials to amplify DNA signals by over 100 million times For imaging centers and hospital executives, this represents both opportunity and disruption. The technology bypasses ...