Healthcare providers are heading into another year where financial uncertainty remains a top concern. While many for-profit and nonprofit organizations reported improved margins in 2024, industry analysts warn that rising expenses and process inefficiencies could put those gains at risk. Home-based care agencies, in particular, continue to face workforce shortages, changing reimbursement structures and administrative challenges – making revenue cycle management (RCM) a critical tool for
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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant
How Rural Providers Can Leverage Code Updates and APCM to Boost Health Equity and Sustainability
The care management code updates in the 2025 Final Physician Fee Schedule from Centers for Medicare & Medicaid Services (CMS) could have far-reaching implications for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Organizations serving underserved areas are expected to benefit from the changes, which introduce enhanced reimbursement structures that will enable them to elevate patient services and accelerate their transition to value-based care models. Among the
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The AI Hype Cycle in MedTech: Navigating the Trough of Disillusionment
The emerging technologies hype cycle had multiple AI applications at the peak of inflated expectations in 2023 and were just beginning the ride down to the Trough of Disillusionment in 20241 2. For years, it’s been said that “the use of data and algorithms is going to transform healthcare.” While true to a degree, we see that MedTech companies that invest in trends like artificial neural networks, analytics, big data analytics, and now AI, often struggle to yield a significant return on
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The Case for Healthcare-Specific Large Language Models
Large language models (LLMs) like ChatGPT and other general-purpose artificial intelligence (AI) systems have demonstrated remarkable versatility, excelling in tasks such as summarization, content generation, and conversational interfaces. However, when it comes to medicine, the limitations of general-purpose AI become glaringly apparent.
Healthcare is uniquely complex, requiring a specialized approach to AI development. In fact, there is overwhelming evidence from academic research and
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Defending Healthcare from the Growing Email Threat Landscape in 2025
Healthcare organizations remain prime targets for cybercriminals, with email-based attacks evolving in complexity and scale. As cybercriminals become more sophisticated, leveraging artificial intelligence and advanced deception tactics, health systems, insurers, and their vendors must beat back these threats to safeguard patient data, ensure data security compliance, and maintain operational integrity.
Perhaps the most alarming trend we face now, in healthcare and other vital sectors, is the
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Beyond Demographics: Using Big Data to Personalize Healthcare
Healthcare is entering a new era,one where patient engagement isn’t just a buzzword but a fundamental driver of improved outcomes. Yet, for many organizations, effectively connecting with patients remains a challenge. Traditional outreach methods, often built on broad demographic assumptions, struggle to foster meaningful engagement. Messages may be sent, but are they received, understood and acted upon?
The key to breaking through this engagement barrier lies in reliable people-based data
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The Imperative of Health Equity: Why Data and Intention Matter
As the daughter of Nigerian immigrants who are both social workers, I observed how dedicated they were to their careers of service. Following in their footsteps, I am privileged to serve patients and families as a physician, and I have also become all too familiar with the undeniable truth about the impact of health inequities on specific populations.
The health care industry has made strides in addressing health inequities – but there is plenty of work to be done.
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Doctors and Debt: Why Short Visits Create Long-Term Challenges
Doctors aren’t just healers—they’re involuntary lenders. Every time a physician treats a patient, they’re fronting the cost of care and hoping to get reimbursed. If the insurer underpays or denies the claim, the financial burden falls on the patient. And if the patient can’t pay? The doctor eats the loss.
No other profession operates like this. Imagine a contractor building a house and only finding out months later whether they’ll be paid, and how much. That’s how American healthcare works.
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5 Value-Based Care Strategies to Control Patient Care Costs
The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a curated value-based care approach. Here are the fundamentals you need to know and five strategic steps to
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Heart Failure’s Hidden Price: Understanding the True Cost of Cardiac Events and AI’s Role in Reducing Expenses
Cardiovascular disease (CVD) is a leading cause of death and a growing financial strain on the U.S. healthcare system, costing an estimated $252.2 billion annually. With one in every eight healthcare dollars spent on cardiac care, the urgency to control costs while improving patient outcomes has never been greater.
As traditional care models struggle to keep up with demand, we are faced with an important question: How can we make cardiac care more sustainable, ensuring the healthcare
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