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2025 exposed hard truths: Denials surged. Trust collapsed. And affordability became the dominant barrier to care, not just on the Exchange and among the uninsured, but across Medicare Advantage and commercial plans alike. This 2026 outlook unpacks the forces reshaping…
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Academic health systems are entering a defining decade. Many are expanding rapidly through mergers, affiliations and new service lines. But with scale comes risk: fragmentation, mission drift and uneven progress on access and equity. This whitepaper features insights from 11…
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Orthopedic and musculoskeletal (MSK) practices are entering a new era of revenue cycle pressure — one defined by coding complexity, chronic staffing shortages, and rapidly shifting payer requirements. These forces are converging to create a perfect storm: rising denial rates,…
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EHRs are no longer just systems of record — they’re becoming engines of automation, clinical insight and patient engagement. But meaningful transformation takes more than technology alone. Health systems like Tufts Medicine, Houston Methodist, Jupiter Medical Center and Rush University…
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AI does not just summarize healthcare information — it decides which brands to surface, cite and trust. As patients increasingly turn to Google AI Overviews, ChatGPT and other AI platforms to research symptoms and compare options, many health systems are…
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Static credentialing can no longer keep up with regulatory complexity. As workforce and vendor access expand, periodic checks are no longer enough and hospitals are increasingly exposed. In 2026, credentialing won’t be a checkbox. It will be a board-level issue,…
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AI is no longer theoretical in revenue cycle operations. Healthcare organizations are already seeing measurable gains: faster payer payments, fewer denials and improved workforce efficiency. The challenge is knowing how to measure success. This whitepaper outlines the specific KPIs healthcare…
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Ambulatory organizations face tightening margins, staffing volatility and increasing regulatory scrutiny — all while patient expectations rise. Just staying compliant isn’t enough anymore. To grow sustainably, ASC leaders must build systems that drive engagement, elevate care and free up bandwidth…
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Musculoskeletal spend is a top driver of healthcare costs—but it’s also one of the few areas where plan-year savings are realistic when AI-care is applied early. New research shows that when members begin MSK care through an AI-enabled, virtual-first care…
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Medical loss ratios are crossing 90%, and traditional payment integrity models can’t keep up. Teams waste months digging through CMS policies and contracts, only to generate rules that may never yield savings. Meanwhile, improper payments keep climbing. This whitepaper outlines…
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