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
Read More
Technology
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
Read More
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
Read More
The ‘Volume’ Era is Dead: Humana Data Proves Value-Based Care Cuts 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
Read More
Reimagining Care Delivery: 5 Imperatives for Operationalizing Enterprise-Wide RPM
Remote patient monitoring (RPM) has become a strategic imperative for providers, payviders, and MedTech innovators looking to reimagine care delivery. The drivers are plain enough: chronic disease prevalence continues to rise, clinical teams are under pressure from staffing shortages, and readmission penalties are mounting. At the same time, patients expect care that is continuous, connected, and responsive. Data collected by RPM devices can be a gamechanger in addressing these challenges, yet
Read More
The Invisible “Performance Drug”: Why Your C-Suite’s Brain Fog is a Facility Problem
The common mid-afternoon decline in alertness is a well-documented phenomenon. You are in a serious board meeting, the quarterly projections are up on the screen and suddenly you may experience a noticeable decline in cognitive performance. Common explanations include heavy meals, insufficient sleep or caffeine intake. But there may be another factor: suboptimal indoor air quality?
In the context of modern healthcare and corporate facilities, this is biologically plausible. We spend millions
Read More
Hepatitis B Reform Should Start with Maternal Care
The Advisory Committee on Immunization Practices’ decision to move away from recommending the universal hepatitis B at birth is being framed as a scheduling change, but it exposes a deeper problem: for more than 30 years, the United States relied on vaccinating millions of low-risk infants instead of building system that identified and cared for the small number of women who along with their babies were truly were at risk. This was performative compassion—a universal policy that looked equitable
Read More
When the Zebra Hides: How AI Ends the Rare Disease Diagnostic Odyssey
Doctors are taught a simple rule early in their training: When you hear hoofbeats, think horses, not zebras. In other words, the most common explanation is usually the right one. But for the roughly 300 million people worldwide living with a rare disease, that rule can turn into a trap. Their symptoms often look like something ordinary – until years later, when someone finally realizes it was a zebra all along.
The problem isn’t the doctors; it’s the data. Every symptom, lab result, scan, or
Read More
Price Reset 2026: How Trump’s ‘Great Healthcare Plan’ Slashes Drug Costs at Trumprx.gov
What You Should Know
- Today, President Donald J. Trump has launched "The Great Healthcare Plan," a sweeping initiative designed to lower prescription drug costs to the lowest international levels and reduce insurance premiums by over 10%.
- The “Great Healthcare Plan” shifts taxpayer-funded subsidies away from "big insurance companies" to be delivered directly to the American people, while mandating unprecedented "Plain-English" transparency standards for every insurer and provider
Read More
Innovaccer and CCNC Ink 5-Year Partnership to Scale Population Health in North Carolina
What You Should Know
- Innovaccer Inc. and Community Care of North Carolina (CCNC) have entered into a landmark five-year partnership to modernize the state's largest medical home system.
- Leveraging Innovaccer’s Healthcare Intelligence Cloud, the collaboration will empower CCNC’s care managers and CCPN clinicians with data-driven insights to manage financial risk and improve outcomes for more than one million members.
The Intelligence Cloud: Activating Data for One Million
Read More
