The proposed Requiring Enhanced and Accurate Lists (REAL) Health Providers Act—also referred to as the RHP Act—recently signed and expected to take effect for plan year 2028, represents a significant shift in how healthcare providers are regulated, credentialed, and represented to Medicare Advantage members.
The proposed requirements aim to provide health plan members with greater transparency, accessibility, and accuracy within provider directories in their member portals. Payers will need
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If the Data Center Goes Down, Patient Care Goes with It
Healthcare organizations have spent years modernizing clinical technology. All of it depends on one thing: the data center staying online. Here’s what resilient healthcare infrastructure actually looks like.
Healthcare IT leaders have spent years modernizing their infrastructure: migrating to electronic health records, deploying telehealth platforms, integrating remote monitoring devices, connecting imaging systems to clinical workflows, and more. The investment has been substantial, and the
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When Rural Maternity Care Fails: Why Bipartisan Policy Must Stabilize Obstetric Infrastructure
More than one-third of U.S. counties are now considered maternity care deserts. In 2023, the national maternal mortality rate hit 18.6 deaths per 100,000 live births. For Black women, that climbs to 50.3 deaths per 100,000, more than double the national average.
What we're missing is policy alignment, sustainable funding, and important culture changes that align maternal care teams beyond the current boundaries of what high quality and reliable maternal care looks like. And we can’t
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Building Bridges: Academic-Practice Partnerships as the Future of New Graduate Nurse Preparedness
Building Bridges: Academic-Practice Partnerships as the Future of New Graduate Nurse Preparedness
The nursing workforce is at an inflection point. As experienced nurses retire or leave the profession and care delivery continues to shift in complexity, health systems are increasingly dependent on new graduate nurses to sustain operations, ensure patient safety, and deliver high‑quality care. Many organizations are finding that today’s graduates are entering practice underprepared for the
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The Compliance Bottleneck in Connected Health: Why Cloud-Based Medical Devices Need a Different V&V Approach
Most verification and validation (V&V) frameworks in medical devices were built on a foundational assumption: the device you ship is the device that gets used. A fixed product, a fixed software version, and a defined validation cycle.
That assumption no longer holds.
Cloud-based connected health platforms operate as continuously evolving systems rather than static devices. Software updates dynamically, data flows bidirectionally between patient and infrastructure, and system boundaries
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Vocal Biomarkers: Helping Clinicians Detect What Patients Hesitate to Share
Five years into caring for a patient, a primary care physician saw her again shortly after she delivered her first child. The visit was scheduled as a routine six-week newborn evaluation. As is common in primary care, the encounter extended beyond the infant to include the mother’s well-being.
During the appointment, the new mother appeared upbeat. “I’m doing great — it’s such a joy to have my baby at home and to be through the process of pregnancy,” she said. On the surface, there were no
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The Next AI Use Case in Radiology Isn’t Diagnosis. It’s Patient Understanding
For years, the debate around AI in radiology has been framed in the biggest possible terms. Will it replace radiologists? Will it outperform specialists? Will it make diagnostic imaging faster, cheaper, and more accurate?
Those questions matter. But they can distract from a more immediate and practical opportunity. The first truly scalable use of AI in imaging may not be autonomous diagnosis. It may be helping patients understand the imaging information they already receive.
That is a
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Healthcare AI Evaluation Frameworks: Moving Beyond Accuracy to Safety and Fairness
AI adoption is rapidly growing in healthcare across everything from clinical documentation to diagnostic imaging, revenue cycle management, and patient engagement. As per the 2023-24 American Hospital Association Information Technology Supplement, predictive AI integrated with EHR systems were already used in 71% of hospitals; this has increased rapidly with the advent of generative AI.
However, many AI deployments tend to fail in the real world, and do not deliver the expected improvements
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How Remote Patient Monitoring Can Alleviate Staffing Strain and Improve Healthcare Delivery
As healthcare systems across the U.S. face unprecedented staffing shortages, overworked healthcare professionals are struggling to meet the needs of an ever-growing patient population. The pressure is mounting, and the ripple effects are being felt across the entire system, from patient outcomes to provider burnout. In this environment, hospitals and healthcare providers need innovative solutions that can help reduce the burden on clinical teams without sacrificing the quality of care.
One
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From Trial-and-Error to Data-Driven Oncology Decision Making: AI-Enabled Functional Precision Medicine Is Rewriting the Future of Cancer Treatment
When cancer treatment fails, physicians face one of the hardest questions in medicine: what should come next?
Having recently cared for a young patient whose cancer had returned despite multiple lines of therapy, it was found that although standard protocols offered several options, none could determine which drug was most likely to work against that child’s specific tumor. That is a reality oncologists face every day: two patients with the same diagnosis can respond very differently to the
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