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Melissa Tran, CEO of ProsperityEHR

How Behavioral Health Providers Can Prepare for 42 CFR Part 2 Compliance

by Melissa Tran, CEO of ProsperityEHR 11/07/2025 Leave a Comment

How Behavioral Health Providers Can Prepare for 42 CFR Part 2 Compliance

The revised 42 CFR Part 2 regulations are coming. For behavioral health providers, they arrive at a time when the future feels unsteady and unpredictable. Enforcement will begin in early 2026, but the preparation window is rapidly closing. Clinics are navigating major changes in how they must collect, segment, and share patient data related to substance use disorder (SUD) treatment. Additionally, recent federal budget reforms mean the reimbursement environment is
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Beyond Proof of Concept: Integrating Generative AI Safely into Clinical Workflows

by Andrew Crowder, Vice President of Engineering at Carta Healthcare 11/06/2025 Leave a Comment

Beyond Proof of Concept: Integrating Generative AI Safely into Clinical Workflows

Generative AI is no longer a novelty, it’s a necessity. For healthcare leaders, the conversation has evolved beyond proof of concept. The real challenge now is integration: embedding these models into clinical workflows in ways that are safe, scalable, and operationally sound. Success demands more than impressive outputs. It requires systems built for healthcare’s complexity, with the agility to support frontline decisions and the clarity to preserve the human judgment at the heart of
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Rise of Deepfake HR Scams: How GenAI is Fueling the New Era of Applicant Fraud in Healthcare

by Julia Frament, Head of Global Human Resources at IRONSCALES 11/06/2025 Leave a Comment

Rise of Deepfake HR Scams: How GenAI is Fueling the New Era of Applicant Fraud in Healthcare

Every HR and talent acquisition (TA) professional has experienced a bad hire. You carefully review and assess a candidate’s skills, experience, and credentials. You evaluate them through a series of interviews with multiple stakeholders. You’re all but certain they’ll be a perfect fit for the role. And, then, three weeks into their tenure you realize you’ve made a huge mistake.  The occasional bad hire is all but inevitable. But now, HR and TA professionals have something much more
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The Agentic Workforce: 10 New AI Roles Transforming Life Sciences Operations by 2032

by Bryan Hill, Life Sciences Digital Health Innovation VP at Cognizant 11/05/2025 Leave a Comment

The Agentic Workforce: 10 New AI Roles Transforming Life Sciences Operations by 2032

As AI agents move from concept to colleague, the life sciences workforce is about to expand – no desks required. While much of the activity is still in testing phases, AI agents are already making a difference in specific, high-return areas. AI is being used for processing and sorting pharmacovigilance (PV) reports, drafting medical and regulatory documents, assisting with lab operations, inspecting product quality, and helping employees find internal information. The coming year will see
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Why Hospitals Must Prioritize Modern Network Upgrades Now

by Chuck Brooks, Director, Alliances and Ecosystems, Extreme Networks 11/05/2025 Leave a Comment

Why Hospitals Must Prioritize Modern Network Upgrades Now

The healthcare industry has faced compounding pressures for years. Between staffing shortages putting strain on employee workloads, budget constraints, and ongoing tech modernizations, a solution is needed to ease and improve workloads and improve security, without sacrificing patient experiences. But resource constraints mean many hospitals aren’t prioritizing modern IT upgrades, including the networks that are vital to running day-to-day operations, which could prove to be a costly mistake in
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Demystifying Prepay Coordination of Benefits: A Crucial Component of Payment Integrity

by Naomi Murphy, J.D., Senior Vice President, COB and Data Mining, Cotiviti 11/04/2025 Leave a Comment

Demystifying Prepay Coordination of Benefits: A Crucial Component of Payment Integrity

Coordination of benefits (COB) is a key component of any effective payment integrity program. But determining primacy for members with multiple plans and ensuring claims aren’t overpaid can be a complicated process. Whether it’s verifying employment status or sifting through complicated claims, COB takes significant time for peak accuracy. And while health plans focus on the intricacies of an effective COB strategy, many overlook the possibilities that a comprehensive prepay COB solution can
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How Conversational AI is Reinventing Healthcare Patient Access

by Kyle Howard, Enterprise Solutions Consultant, Omilia 11/04/2025 Leave a Comment

How Conversational AI is Reinventing Healthcare Patient Access

In healthcare, delivering patient-centered care isn’t just reserved to the confines of a clinic, it begins with the first phone call to schedule an appointment. But far too often, those calls are met with outdated interactive voice response (IVR) systems, long wait times, and puzzling menus that cause frustration rather than support. Alarmingly, according to Market Growth Reports, around 36% of companies still use old IVR software from before 2017, meaning many health providers are lagging
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The Double-Edged Sword: Why AI is Healthcare’s Biggest Cybersecurity Threat Yet

by Ed Gaudet, CEO and Founder of Censinet 11/03/2025 Leave a Comment

The Double-Edged Sword: Why AI is Healthcare’s Biggest Cybersecurity Threat Yet

Artificial intelligence (AI) is the ultimate double-edged sword in healthcare. On one side, AI is already driving real improvements, from accelerating diagnostic imaging to streamlining operational workflows such as delivering faster, more accurate, and more efficient patient care. And we are still only at the beginning; AI’s potential to reshape healthcare is undeniable. But that optimism is tempered by the reality that AI also introduces one of the most significant cybersecurity risks the
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Reimbursement Shift under 2026 PFS Poised to Usher in New Era for RPM

by Lucienne Ide, MD, PhD, Founder and CEO of Rimidi 11/03/2025 Leave a Comment

Reimbursement Shift under 2026 PFS Poised to Usher in New Era for RPM

The annual release of the Medicare Physician Fee Schedule (PFS) generated more attention than usual this year among practices that have considered or are already offering Remote Patient Monitoring (RPM) to their patients. CMS’s July 14 publication of the proposed rule, outlining revisions to payment policies and rates, was seen as particularly significant for RPM. Key changes to RPM under the 2026 PFS include the introduction of a code for 2-15 days of data collection and another that allows
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The ICHRA Revolution. How Flexible Infrastructure Unlocks Sustainable Growth

by Kevin Deutsch, General Manager and SVP of Health Plan Solutions at Softheon 10/31/2025 Leave a Comment

The ICHRA Revolution. How Flexible Infrastructure Unlocks Sustainable Growth

Individual Coverage Health Reimbursement Arrangements (ICHRAs) are rapidly gaining traction as an alternative to traditional group plans. What began as a niche option for small employers is now reshaping the broader health insurance marketplace — and accelerating a fundamental shift toward Individual market enrollment. As adoption grows, so do the operational demands. ICHRA doesn’t fit neatly into legacy group-based systems. It requires a decentralized, multi-stakeholder infrastructure:
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