With more than 20 years of experience at a major health insurance company, I’ve seen firsthand how challenging provider data management can be. I’ve worked with teams reconciling files from delegated groups, fielded calls from frustrated providers, and navigated compliance pitfalls that can quickly become operational headaches. But the stakes have never been higher than they are now under the No Surprises Act (NSA).
For years, maintaining an accurate provider directory was considered a best
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CMS Proposes 2026 Physician Fee Schedule Rule: Boosting Primary Care, Cutting Waste, and Modernizing Payments
What You Should Know:
- The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule for the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS).
- The proposal aims to increase quality care for Medicare recipients while significantly reducing unnecessary spending. Key initiatives include advancing primary care management through new quality measures, reducing waste in skin substitute spending, and introducing a new payment model focused on
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Samsung Acquires Xealth to Accelerate Connected Care Vision
What You Should Know:
- Samsung Electronics Co., Ltd. today announced it has signed an agreement to acquire Xealth, a leading healthcare integration platform. Financial details of the acquisition were not disclosed.
- The strategic acquisition will significantly advance Samsung’s transformation into a connected care platform, aiming to bridge wellness and medical care for a seamless, holistic, and hyper-personalized approach to preventative health for as many people as
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WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program
What You Should Know:
- WeightWatchers today announced the successful completion of its strategic reorganization process.
- The reorganization positions the Company with significantly enhanced financial flexibility and is accelerating its transformation through key leadership appointments and product expansions, notably into women's health during menopause.
Dr. Kim Boyd Appointed Chief Medical Officer
WeightWatchers has appointed Dr. Kim Boyd as Chief Medical Officer, a
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Rock Health Report: AI Dominates Digital Health Investment in First Half of 2025
What You Should Know:
- The first half of 2025 saw a modest increase in digital health venture funding, reaching $6.4B across 245 deals for US-based digital health companies, according to Rock Health’s latest report on H1 2025 digital health trends.
- The numbers is up from $6B in H1 2024 and $6.2B in H1 2023, signaling a steady venture market that has found its footing post-pandemic. Q2 alone brought in $3.4B, exceeding the average of $2.6B per quarter since Q1 2023.
AI
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AI Agents vs. Chatbots: Understanding Agentic AI’s Role in Healthcare
As buzz around conversational AI reached a fever pitch last year, a new term began gaining traction: "AI agents."
Over the past twelve months, Google searches for AI agents have increased nearly tenfold. While the category of "agentic AI" may seem to have appeared from nowhere, it has quickly become one of the most talked-about trends in tech.
Yet, descriptions of agentic AI are still largely abstract, making it difficult to grasp what sets it apart or how it might apply in
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AI Breakthrough Reveals 2025 AI Breakthrough Award Winners
What You Should Know:
- The 8th annual AI Breakthrough Awards have been announced, recognizing the leading companies, technologies, and products in the global Artificial Intelligence market. The awards, organized by the market intelligence firm AI Breakthrough, highlight the most innovative and impactful solutions across a wide spectrum of AI categories.
- This year, the program received over 5,000 nominations from more than 20 countries, reflecting the significant and
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Healthcare’s Big Blind Spot: The Measurement Crisis in Inpatient Psychiatry
Healthcare is moving deeper into the value-based era. Metrics drive decisions, outcomes define quality, and performance data shapes reimbursement. Yet amid this transformation, inpatient psychiatry and behavioral healthcare remain the most notable outlier—excluded for a variety of reasons including stigmatization, subjectivity, and a high degree of variation in clinical operations from site to site.
Behavioral healthcare lacks the foundational standards and management models that have
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Omada Health Soars in NASDAQ Debut, Signaling Digital Health IPO Rebound
What You Should Know:
- Omada Health, a virtual-first provider for chronic conditions, made a stellar public debut on the NASDAQ today, in a move that signals renewed investor confidence in the digital health market. The company's stock, trading under the ticker "OMDA," opened at $23 per share, a significant 21% jump from its initial public offering price of $19. The offering raised $150M.
- The successful launch marks a pivotal moment for the industry, following on the heels of
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Lessons Learned from The Change Healthcare Cyberattack, One Year Later
Just over a year ago, Change Healthcare was the target of the largest medical data breach in U.S. history. The cyberattack impacted over 190 million people in the U.S. and halted the healthcare technology company’s systems, causing months of outages.
Change Healthcare provides solutions and services to hundreds of thousands of healthcare providers nationwide and processes billions of transactions each year. This attack had a massive ripple effect, preventing transactions, payments, and
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