By James Pelletier – CMS’s 2025 rule focuses on refining the QPP to support improved interoperability, reducing reporting burdens, and increasing flexibility for participants. For MIPS, MVPs, and APMs, the updates emphasize quality, efficiency, and tailored reporting options.
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By John T. Bright – Medical billing inaccuracies remain a significant issue in the U.S. healthcare system, contributing to inefficiencies that negatively impact providers and patients. These errors not only affect the revenue cycle but also hinder operational productivity and reduce patient satisfaction.
By Shereese Maynard – In healthcare innovation, few areas have grown as rapidly or impacted as profoundly as Femtech. With a focus on the unique needs of women, this dynamic field continues to pioneer solutions that improve outcomes, reduce disparities, and empower women to take charge of their health.
By William Hersh MD – Although I consider artificial intelligence (AI) to be part of biomedical informatics, there is no question that AI has become very important on its own, in and beyond biomedicine and health. This is certainly reflected in the introductory course I teach to graduate, continuing education, and medical students.
By Emily Newton – Weight management medications have made tremendous strides recently. Newer options — most prominently GLP-1 agonists — show remarkable effectiveness at fighting obesity and related health conditions. At the same time, patient adherence to their prescriptions for such drugs remains an issue.
By Pete Heydt – When half of rural hospitals are operating in the red and 418 are vulnerable to closure, the data alone are a call to action for new approaches to capturing revenue. Turning up the focus on patient financial engagement in ways that meet consumers where they are is one essential step.
By Cynthia Henry – As the healthcare industry adapts to economic and regulatory changes, Medicare Advantage stands out as a cost-effective model consistently delivering value to beneficiaries. Compared to traditional fee-for-service Medicare, MA excels in financial efficiency and quality outcomes, making it a resilient choice for enrollees and a strategic asset for payers.
By Matt Fisher – The HHS Office for Civil Rights continues to pursue enforcement actions when alleged non-compliance occurs following a right of access request. Not every settlement provides the same degree of insight or ability to follow OCR’s line of thinking though. That is the case stemming from the latest civil monetary penalty announced by OCR.
By Ian Cohen – Healthcare organizations in particular are responsible for managing privacy risks resulting from third-party website functionality. Third parties can be introduced in various ways for many purposes, such as simplifying website development, adding “share” buttons like the Facebook button, or sending user data to third-party advertising services.