When Congress enacted the No Surprises Act (NSA), the primary objective was straightforward: protect patients from unexpected out-of-network medical bills. Since implementation in 2022, however, the law has created a complex framework for resolving payment disputes between providers and payors through the Federal Independent Dispute Resolution (IDR) process.
What began as a well-intentioned arbitration mechanism has evolved into a system burdened by millions of disputes, operational
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Archives for 2026
Xealth Appoints Travis Moore as Chief Revenue Officer to Drive EHR-Integrated Digital Health Expansion
What You Should Know
Digital health orchestration leader Xealth has announced the strategic appointment of Travis Moore as Chief Revenue Officer (CRO).Moore brings over 25 years of healthcare industry experience, transitioning from an initial clinical career as a pediatric nurse to senior commercial leadership roles across major health tech and AI-powered behavioral health platforms.In his previous role as SVP of Sales & Growth at Kyruus, Moore successfully scaled start-up commercial
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The Alert Fatigue and EHR Friction Killing Digital Health Apps
Right at this moment, a physician is logging out of a new digital health tool for the very last time. Not because it stopped working. But it started feeling like a chore rather than a savior. The tool never worked right to keep up with the fast pace of her daily workflow.
She will eventually return to her old school ways. A sticky note, a quick phone call, and an old spreadsheet that keeps the staff on life support. That six-figure platform her health system just built? It
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Leveraging Real-World Data for Proactive Protocol Design
Clinical trials have grown more complex than ever before. Protocols are becoming more specialized, endpoints more refined, and eligibility criteria narrower and more precise. At the same time, development programs are expected to move faster and operate with greater efficiency. Despite this dual pressure, feasibility projections often rely on high-level estimates or investigator recall rather than validated assessments of patients who truly meet protocol criteria in a real-world clinical
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Alternative Funding Programs vs. In-Benefit Optimization: Designing a Sustainable Specialty Drug Strategy
Specialty medications are expanding what is clinically possible, but not without a price. The affordability gap on these therapies continues to widen, placing sustained pressure on health plan budgets. U.S. prescription drug spending reached approximately $467 billion in 2024, with projections exceeding $556 billion by the end of 2026. As costs rise, employers and pharmacy benefit managers (PBMs) face increasing pressure to ensure that high-cost therapies remain both clinically appropriate and
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Health Catalyst to Divest Vitalware Unit for $147M to Med-Metrix
What You Should Know
Healthcare intelligence leader Health Catalyst has signed a definitive agreement to divest its mid-revenue cycle business unit, Vitalware, LLC, to Med-Metrix for $147M in cash.The transaction allows Health Catalyst to shed a non-core financial software asset and sharpen its corporate focus on driving cost, clinical, and consumer performance improvements.The $147M cash injection, combined with existing capital, will be deployed to fully repay and terminate Health
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Philips and WellSpan Health Launch 7-Year Strategic AI and Imaging Partnership
What You Should Know
Philips and WellSpan Health have announced a seven-year strategic alliance establishing a comprehensive research, co-development, and advanced imaging platform across Central Pennsylvania and Northern Maryland.Moving past standard vendor transactions, the agreement marks the first joint innovation and research strategy between Philips and a U.S. community health system.The research framework focuses on validating AI and digital tools to optimize hospital throughput, cost,
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Vida Health Partners with Instacart to Launch Category-Specific Grocery Stipends for Cardiometabolic Care
What You Should Know
Virtual cardiometabolic provider Vida Health has finalized a nationwide partnership with grocery technology leader Instacart to integrate category-specific grocery stipends into virtual chronic care delivery.The collaboration utilizes Instacart Health Fresh Funds to provide members with direct financial stipends dedicated exclusively to purchasing dietitian-approved, nutritious groceries.The initiative directly targets the social determinants of health (SDOH), leveraging
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Don’t Let Legacy Data Derail Your Health System’s Growth
As health systems continue expanding through acquisitions and partnerships, many find themselves racing to bring new practices onto shared EHR platforms. The motivation is clear: unify care, streamline operations, and unlock value across the enterprise. But beneath that strategic vision lies a messy operational reality – one that too often gets overlooked until it’s too late.
At the center of this challenge is legacy data.
For every practice or partner brought into the fold, there's a
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Ilant Health Secures $15M to Expand Value-Based Precision Obesity Management
What You Should Know
Value-based obesity management leader Ilant Health has closed a $15M Series A funding round led by Cornucopian Capital, elevating its total funding footprint past $22 million.The financing round features strategic participation from naturalX, Peakbridge, Semcap AI, Evidenced, Operator Partners, and existing investors Celtic, LifeX, and AlphaLab.Founded by former McKinsey and Molina Healthcare executive Elina Onitskansky, the company bypasses fragmented weight-loss apps to
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