Don’t Celebrate the Wrong Win: What CMS-0053-F Actually ChangesNews DeskJune 29, 20260 Three decades after HIPAA first mandated a standard for electronic claims attachments, we now have CMS-0053-F. This final rule establishes…
Dying Without a Safety NetNews DeskJune 21, 20260 America funds the crisis. It’s time to fund the care that prevents it. The post Dying Without a Safety Net…
Medicare Advantage’s Big Decision: Reset or Retreat?News DeskJune 21, 20260 The Medicare Advantage (MA) program has long occupied a unique space as a true public-private partnership in federal healthcare. Recent…
In the Age of AI, Interoperability Isn’t Enough: Why Healthcare Needs Shared Understanding, Not Just Shared DataNews DeskJune 14, 20260 Healthcare has made real progress on interoperability, but we are still solving the wrong problem. We have APIs, standards, and…
The Myth of Insurance NetworksNews DeskJune 14, 20260 Now that the federal government has finalized the rule allowing non-network plans onto the ACA exchanges, an old trope is…
When AI Becomes a Payer Advantage, Hospitals Cannot Afford to Stay ReactiveNews DeskJune 7, 20260 For decades, hospital revenue integrity teams have fought payer denials as if they were isolated transactions. A claim gets denied;…