The CMS PFS Final Rule is out . . . early? If you’re wondering how, in the midst of the Shutdown, a 2,375-page Rule could be released, the answer is simple: most of the proposals from this summer were finalized as is. There are always exceptions, but the big takeaway is that this Rule solidifies CMS’s proposals…
For all the progress made in shifting the U.S. healthcare system toward value-based care, one of the most powerful levers for improving outcomes and reducing costs remains underused: medications. Medications influence every dimension of health outcomes. They prevent disease progression, reduce hospitalizations, and determine whether chronic conditions stay controlled or spiral into costly complications. Yet,…
For two decades, value-based care has been built upon a simple premise: if we better manage the sickest patients, total costs of care will fall. This idea catalyzed countless disease-management programs, care-coordination models, and technology innovations. And yet, as the field has matured, an inconvenient reality has emerged. Much of value-based care isn’t truly aimed at…
Closing care gaps has never been more critical as we face a shortage of over three million healthcare workers in today’s value-based care environment. Join Grapefruit Health – the first national network of clinical students providing patient outreach and care coordination support – and a panel of healthcare leaders as we explore practical, effective…
Download Slides Primary care teams face heavy admin loads—pre-auths, referrals, quality gaps, risk capture, inbox volume—with staffing and margin pressure. This webinar shows how primary care practices, IPAs, and ACOs use AI to offload routine work, surface only exceptions to clinicians, and win in value-based contracts – improving outcomes and financial performance without adding…
Healthcare’s relationships with AI and digital transformation are a mix of excitement and uncertainty. Even as hospitals begin to see returns on their technology deployments, leaders acknowledge that they’re still experimenting and learning in real time. Two health system executives discussed the rapidly developing state of digital healthcare tools last week at MedCity News’ Tête-à-tête Health…
Yesterday, I stood on stage at the historic Egyptian Theatre in Boise, Idaho, presenting a keynote on the future of generative AI in medicine. As I looked out across the audience, I couldn’t help but think back to another moment that took place just a few hundred miles west. In 1998, at Oregon Health &…
Executives from some of the nation’s top health systems took to the stage at HLTH 2025 this week to share how their newly minted technology investments are improving operations ranging from capacity management to virtual specialty care. It’s a change from last year’s HLTH conference, when many major health systems’ more ambitious AI pilots and strategies…
Across hospitals and health systems, COOs remain focused on improving patient access. As many organizations face growing demand and a need for additional capacity, they are implementing various strategies, including expanding their ambulatory networks and launching telehealth programs. How have their efforts to track access — such as new dashboards and top operational key performance indicators— evolved in 2025?…
Las Vegas – After years of hype and hope for value-based care, Dr. Chris DeRienzo sees growing momentum. The chief physician executive of the American Hospital Association, DeRiezno says that he’s optimistic about the prospects of value-based care. Health systems are going to have to find ways to keep people healthier, and ensure hospitals have the…