Category: Healthcare & Interoperability

Last week, the Centers for Medicare & Medicaid Services (CMS) finalized a regulatory push to modernize outdated healthcare administration. The final rule introduces new standards for electronic exchange and signatures as an alternative to hardware fax machines and snail mail for healthcare claims attachment. Unlike the 2022 proposal, the new rule does not include the...

For health leaders on both the payer and provider sides, the term prior authorization has long been synonymous with administrative friction, fax machines, and clinical delays. However, the regulatory landscape is changing in 2026; prior authorization is undergoing a total identity shift.According to recent AMA surveys, 94% of physicians report that prior authorization causes significant...

AI adoption in healthcare is surging, growing from 3% two years ago to 22% in 2025, according to research from Menlo Ventures. But adoption is vastly different from success.The harsh reality is that too many healthcare providers struggle to move their AI initiatives past the pilot phase. Newly released data from Black Book Research shows...

In a world of diagnostic imaging, producing a clinically clear, high-quality scan is often seen as the finish line. But for the patient – and for your imaging center’s bottom line – the scan is just the beginning. Data reveals a staggering disconnect in the continuum of care: nearly half of all radiology follow-up recommendations go...

A client comes into your behavioral health practice complaining of constant fatigue and brain fog. You hear them out, ask a few questions, and decide it’s time to loop in their primary care provider (PCP). After the session, you fax over a referral.From there, you’re left in the dark. Did the other office get the...

Behavioral health providers want the same thing every care team wants: more time with clients, less buried in paperwork. Yet the general-purpose electronic health records (EHRs) that many small practices adopt weren’t created with therapy-first workflows in mind. Instead, they were designed for structured data like billing codes and compliance checkboxes, not the long-form narrative...

The information provided on this website and the resources available for download are for informational and educational purposes only. The content does not constitute legal or other professional advice. A lot of commentary has been written about the One Big Beautiful Bill Act (OBBBA), which was signed into law in 2025. As I’ve written about before,...

For imaging centers and radiology groups, competition for referrals is more intense than ever. National quality measures, such as those outlined in the CMS “Closing the Referral Loop” (eCQM CMS50), highlight persistent gaps in referral communication and set explicit targets to ensure the referring clinician receives a specialist report.In this landscape, success depends not just...

When the continuity of patient records breaks down between a hospital and a Skilled Nursing Facility (SNF), the consequences are severe: medical errors rise, readmission rates soar, and an already fragile system is strained by the hidden cost of uncompensated care. For patients, particularly those affected by a quickly evolving Medicare Advantage landscape, these transitions...