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

California Prop. 44 FQHC Spending Mandate

By |October 14th, 2026|

Could a ballot measure close hundreds of California clinics right when they need every dollar to survive? 🤔 California's Proposition 44 is on the November ballot. On its face, the pitch sounds reasonable: require nonprofit FQHCs to spend at least 90% of their total annual revenue on program services, or face a financial penalty equal to the shortfall. But the numbers behind it are brutal. According to Patch, an analysis commissioned by the California Primary Care Association estimates that clinics could face about $1.7 billion in first-year penalties if their spending patterns do not change. A separate Berkeley Research Group analysis finds that 88% of clinics across the state would operate at a loss under the measure. This is hitting ...

AIRS Medical AI Body Comp MRI Cleared

By |October 13th, 2026|

AI just turned a routine MRI into a full body composition report. 🧠 No new scanner. No technologist manually measuring tissue slices. Five minutes. AIRS Medical received FDA 510(k) clearance this week for SwiftSight Body Composition, an AI-powered platform that extracts quantitative body composition data directly from standard MR images. SimonMed Imaging is already lined up as the first customer to deploy it. What it actually measures: 🔹 Visceral and subcutaneous fat 🔹 Abdominal and thigh muscle quantity, quality, and bilateral balance 🔹 Liver fat via proton density fat fraction (PDFF) with automated region-of-interest mapping 🔹 Percentile rankings benchmarked against age- and sex-matched reference populations All of it delivered in a structured Body Composition Report, produced through automated AI segmentation, ...

No Surprises Act Arbitration Overhaul

By |October 12th, 2026|

A law meant to protect patients is now funding a $1.3B arbitration machine. 🔍 Picture a 2021 hospital discharge. A patient gets their explanation of benefits, no surprise bill in sight. The No Surprises Act worked exactly as promised. Six years later, that same law is powering something its authors never intended. This week, Rep. Frank Pallone (D-N.J.), one of the original authors of the No Surprises Act, introduced the Lower Premiums, Faster Payments Act. His own verdict on the arbitration system he helped create: "clearly not working." The numbers behind that conclusion are worth sitting with. According to Holland & Knight's analysis of the announcement: 🔹 15 arbitration firms received $1.3 billion in fees in 2025 alone, compared with ...

Lung Screening: Only 1 in 6 Get the Talk

By |October 11th, 2026|

Lung cancer kills more people than any other cancer. We still can't get patients screened. 🫁 According to The Spokesman-Review, lung cancer is projected to kill more than 120,000 Americans this year. A low-dose CT scan can catch it early. The test exists. Insurance must cover it. And yet the conversation between clinician and patient almost never happens. New research published in the American Journal of Surgery tells us exactly how broken this is. University of Cincinnati researchers surveyed roughly 1,500 people eligible for lung cancer screening. Only around 220 had spoken to a healthcare professional about it in the past year. That is about 1 in 6. Not 1 in 6 who got screened. 1 in 6 who even ...

AI vs. Doctors: Six Societies Say No

By |October 10th, 2026|

I read that quote three times before it landed. 🧠 Health Secretary Robert F. Kennedy Jr. told attendees at the Make America Healthy Again Summit this week that AI can provide "a second opinion that is much better informed than any doctor in the country." The summit was sponsored by OpenAI and Anthropic. Let that sink in for a second. This week, six of the most powerful physician organizations in the country issued a formal joint statement pushing back. According to Chief Healthcare Executive, those six groups are: 🔹 American Medical Association 🔹 American Academy of Family Physicians 🔹 American Academy of Pediatrics 🔹 American College of Obstetricians and Gynecologists 🔹 American College of Physicians 🔹 American College of Surgeons ...

Tiny Health $33M Series B Microbiome

By |October 9th, 2026|

Everyone calls microbiome testing a wellness trend. This round says otherwise. When most people hear "gut health startup," they picture wellness influencers and kombucha. Tiny Health is building something fundamentally different. 🔬 Tiny Health just closed a $33 million oversubscribed Series B led by B Capital, bringing its total funding to $46 million. Existing investors Spero Ventures, The Venture City, and Overwater Ventures all returned. New backers include Black Opal Ventures, Denver Ventures, Pave Health Ventures, Alumni Ventures, Gaingels, and Pari Passu Ventures. According to HIT Consultant, the round was announced October 1, 2026. This is not a supplement brand with a test kit bolted on. Here is what makes the technology actually credible: 🔹 Shotgun metagenomic sequencing across more ...

SAC Health FQHC Layoffs: 101 Gone

By |October 7th, 2026|

A community health center just laid off 101 people. ⚠️ This is not a headline about a health system. It is a headline about the safety net. According to the San Bernardino Sun, SAC Health, a nonprofit FQHC in San Bernardino affiliated with Loma Linda University Health, completed what it called the final round of a two-phase restructuring. The organization laid off 52 workers in this last round, after cutting 49 nonclinical workers earlier in the month. That is 101 people gone in a matter of weeks. The stated reason: a multimillion-dollar budget gap. 🔹 Phase one: 49 nonclinical workers cut 🔹 Phase two: 52 additional layoffs 🔹 Two clinics in San Bernardino closed 🔹 Organization described it as a ...

GLOBE Drug Pricing Model: $12B vs $440M

By |October 5th, 2026|

CMS said this drug pricing model would save $12 billion. The final rule puts that number at $440 million. 💊 On September 30, CMS finalized the Global Benchmark for Efficient Drug Pricing Model, known as the GLOBE Model. According to the American Hospital Association, it is a mandatory Medicare payment model that replaces the domestic benchmark for manufacturer rebates under the Medicare Part B Inflation Rebate Program with one derived from international pricing. In plain English: the U.S. is now benchmarking what drug companies owe Medicare against what those same drugs cost in other countries. That is a big structural shift. But here is the part most people are glossing over. CMS originally estimated $12 billion in savings over the ...

Lung Cancer Screening Gap in HIV Patients

By |October 4th, 2026|

Fewer than 3 in 10 people living with HIV who qualified for lung cancer screening ever got a scan. 🎯 Eligibility nearly tripled. Utilization stayed flat. That gap should stop you cold. According to The American Journal of Managed Care, a study published in the International Journal of STD & AIDS looked at people living with HIV at a Southeastern HIV clinic. Lung cancer screening eligibility jumped from 6% to 15% between 2018 and 2023. But fewer than one-third of eligible patients ever received a low-dose CT scan during that same period. Let that land. More people qualified. The scan was covered. The clinic was already seeing these patients regularly for antiretroviral therapy management. And still, the screening did not ...