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Technology

CMS Updates MIPS for 2026: Administrative Claims, TEFCA Bonuses, and AI Safety Measures

by Renée Freyer, Sr. Manager of Clinician Services MIPS VBC at Verana Health 02/24/2026 Leave a Comment

CMS Updates MIPS for 2026: Administrative Claims, TEFCA Bonuses, and AI Safety Measures

MIPS (Merit-based Incentive Payment System), a Medicare program that rewards clinicians for delivering high-quality, cost-efficient care, is by nature an evolving entity.  Much the way healthcare continually changes as new knowledge, treatments, and technologies modify past practices, MIPS is ever-changing, with program updates, revisions, and new requirements.  While these changes are well-intentioned and support value-based healthcare, they don’t necessarily make it easier for
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4 out of 5 Rural Texans Face a “Life-Threatening” Chronic Disease Crisis, PCCI Data Shows

by Jasmine Pennic 02/19/2026 Leave a Comment

4 out of 5 Rural Texans Face a "Life-Threatening" Chronic Disease Crisis, PCCI Data Shows

What You Should Know The Finding: An analysis using the Parkland Center for Clinical Innovation’s (PCCI) Community Vulnerability Compass (CVC) reveals that four out of five rural Texans live in communities highly vulnerable to life-threatening chronic diseases.The Distinction: Rural vulnerability is structurally different from urban vulnerability. While urban challenges are often driven by environmental exposures and behavioral risks, rural vulnerability is deeply tied to entrenched clinical
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The Hidden Costs Of Poor IT Infrastructure In Healthcare Organizations

by HITC Staff 02/18/2026 Leave a Comment

The Hidden Costs Of Poor IT Infrastructure In Healthcare Organizations

Healthcare runs on data. Every patient visit, lab result, prescription, and claim depends on systems that must work without pause. When those systems fail, the damage spreads fast. Many leaders focus on visible IT costs—licenses, hardware, support contracts. They often miss the hidden costs that weak infrastructure creates across the entire organization. Modern providers rely on robust it healthcare solutions to keep clinical, financial, and administrative systems aligned. When infrastructure
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How Checking Accounts Cut Cash Flow Woes in Your Clinic

by HITC Staff 02/16/2026 Leave a Comment

How Checking Accounts Cut Cash Flow Woes in Your Clinic

Cash flow instability is one of the most persistent operational pressures facing medical clinics today. Between delayed reimbursements, rising labor costs, and increasing technology investments, financial unpredictability creates stress far beyond the accounting department. For many practices, cash flow is treated as a billing issue. In reality, it is an infrastructure issue. The structure of your clinic’s checking account and banking setup directly influences revenue cycle visibility,
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Achieving Independence: Navigating the Landscape of Advanced Mobility and Recovery Support

by HITC Staff 02/13/2026 Leave a Comment

Achieving Independence: Navigating the Landscape of Advanced Mobility and Recovery Support

Restoring mobility after significant injury, illness, or limb loss is a profoundly personal journey. For individuals facing complex mobility challenges, evaluating specialized care standards can be daunting. How do you know which programs, clinics, or technologies are truly equipped to support advanced recovery? Understanding what constitutes high-quality care is essential for making informed decisions that foster independence and well-being. Defining Specialized Care in Mobility
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Assistive Mobility Technology Improving Quality of Life for Children With Special Needs

by HITC Staff 02/13/2026 Leave a Comment

Assistive Mobility Technology Improving Quality of Life for Children With Special Needs

A child’s ability to move through their world shapes play and learning, yet many families still face long waits and uneven access to the right equipment. Assistive mobility tools are now more adjustable and more connected, which helps care-teams match devices to real-life goals. Mobility support sits inside a bigger story about pediatric complexity. In the United States, around 1 in 4 children are thought to have a special healthcare need, representing between 15 and 18.5 million children,
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Healthcare Outsourcing Philippines: The 7-Stage Supplier Selection Process That Protects Both Revenue and Patient Data

by HITC Staff 02/06/2026 Leave a Comment

Healthcare Outsourcing Philippines: The 7-Stage Supplier Selection Process That Protects Both Revenue and Patient Data

Executive Summary Healthcare outsourcing to the Philippines has evolved from a cost-reduction tactic into a strategic operating capability—but only when supplier selection is executed with clinical, financial, and regulatory precision. Administrative costs now consume an estimated 25–30% of healthcare revenue, billing error rates approach 20%, and denial rates frequently reach 10–15% across provider organizations. At the same time, HIPAA violations can trigger penalties of up to $1.5
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TrumpRx.gov Launches with 80% Discounts on Ozempic and Wegovy

by Syed Hamza Sohail 02/05/2026 Leave a Comment

TrumpRx.gov Launches with 80% Discounts on Ozempic and Wegovy

What You Should Know The Launch: President Trump has officially launched TrumpRx.gov, a consumer-facing digital portal that allows patients to access "Most-Favored-Nation" (MFN) pricing on high-cost drugs. The initial rollout features deals with five major manufacturers: AstraZeneca, Eli Lilly, EMD Serono, Novo Nordisk, and Pfizer.The Prices: The platform delivers massive price cuts on blockbuster GLP-1 weight loss and diabetes drugs. Ozempic and Wegovy will drop from over $1,000/month to as
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The Interoperability Bridge: How HIEs Secure CMS 2026 Compliance for Payers

by Patrick Gordon, CEO of Rocky Mountain Health Plans 02/05/2026 Leave a Comment

The Interoperability Bridge: How HIEs Secure CMS 2026 Compliance for Payers

As healthcare costs continue to increase and patients demand more from their insurance coverage, there’s rising pressure to provide higher-quality care more efficiently than ever before. The expectations for healthcare payers to achieve the Triple Aim objectives—that is, better patient experiences and improved population health at lower costs—demand that we all become more resourceful in our approach to care. It's clear that health plans and hospital systems can’t achieve these ambitious
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The ‘Volume’ Era is Dead: Humana Data Proves Value-Based Care Cuts Admissions by 24%

by Fred Pennic 02/05/2026 Leave a Comment

The "Volume" Era is Dead: Humana Data Shows Value-Based Care Cuts Hospital Admissions by 24%

What You Should Know The Report: Humana’s newly released Value-Based Care By the Numbers Report, reveals that Medicare Advantage members in value-based care (VBC) arrangements are seeing significantly better outcomes than those in traditional models.The Data: The impact is measurable and massive: VBC patients experienced 24.3% fewer hospital admissions and 13.4% fewer emergency room visits in 2024.The Shift: The report validates the industry's transition from "reactive" fee-for-service
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