By Mark Coetzer – The pace of healthcare modernization is accelerating. With value-based care becoming the norm, organizations across the care continuum are under pressure to improve outcomes, reduce administrative burden, and meet increasingly complex reporting requirements.
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By Phil Galewitz & Stephanie Armour – Doctors, hospitals, and health insurers for weeks issued dire warnings to Republican lawmakers that millions of people would lose health coverage and hospitals would close if they cut Medicaid funding to help pay for President Donald Trump’s big tax and spending bill.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of June that we think deserve sharing again.
By Steven Posnack – As we roll into the second half of 2025, we wanted to state our TEFCA™ priorities and plans for the remainder of the year.
By Keavy Murphy – The adoption of AI within healthcare to improve and streamline workflows and inform clinical decision-making has grown exponentially within the last three years. While the potential is clear, questions around data privacy, compliance, and clinicians’ trust in the technology continue to slow progress.
By Brian D. Handspicker – This post builds upon a recent blog by Lisa Nelson, Fractional Chief Technical Officer, “FHIR Over Direct: Accelerating the Pace toward Trusted, Scalable Interoperability,” by exploring how the same approach of FHIR Over Direct can be applied to socialcare — a critical but often underrepresented component of health and well-being.
By Alan Vitale & Donald Searing PhD – In the digital age of healthcare, data is abundant, but structure is not. Payer organizations are inundated with clinical notes, scanned forms, faxes, and handwritten appeals. These “unstructured” data types – which lack uniformity – slow operations, obscure insights, and increase administrative burden.
By Matt Fisher – The drumbeat of settlement agreements for alleged HIPAA violations by the Office for Civil Rights is continuing along with the consistent finding that the required risk analysis did not occur. The consistent announcement of settlements offers regular reminders to the healthcare industry that OCR is watching and expecting compliance to improve.
By Arun Hampapur PhD – The U.S. healthcare industry is once again in the spotlight—this time, with the scrutiny on UnitedHealth. The Department of Justice has launched a civil fraud investigation into UnitedHealth Group, which highlights the ethical challenges and complexities around risk adjustment in Medicare Advantage.