Can AI Reinvent Health Plan Administration?While headlines often focus on breakthrough medical treatments and digital patient tools, the true anchor weighing down the U.S. healthcare system might be found in the colossal, unseen administrative machinery that processes every claim and payment. This complex and often archaic system represents a significant portion of the nation’s soaring healthcare expenditure, prompting a critical […]
In a move reflecting the immense pressures of regulatory scrutiny and corporate realignment within the American healthcare industry, global health giant Cigna has initiated a significant workforce reduction while simultaneously resolving a…
After more than a decade of relentless pursuit, PTC Therapeutics' decision to withdraw its application for Translarna marks a watershed moment for the company and the broader biopharmaceutical landscape for rare diseases. This conclusion to a…
The once-fragmented landscape of American health data is rapidly coalescing into a unified ecosystem, with the federal government's interoperability framework serving as its powerful gravitational center. A historic milestone announced at the…
With a career spanning over 15 years in health system strategy, our guest today has a unique
A patient slips on a headset and their chronic pain scores plummet within minutes, yet the very
A significant legislative overhaul in 2025 has reshaped the landscape for thousands of Texans, transforming one of the nation’s most restrictive medical cannabis programs into a system poised for substantial growth and improved patient care. This industry report analyzes the pivotal reforms to the T
The familiar scene of a nurse rushing between patient beds, juggling administrative tasks with compassionate care, is reaching a critical inflection point where the demand for empathy far outstrips the available human bandwidth. In this environment strained by widespread burnout, a profound paradox
A New Era of Discipline Dawns for a Booming Program For over a decade, Medicare Advantage has been
From neonatal intensive care units to adolescent mental health, artificial intelligence is no
What began as a targeted therapy for type 2 diabetes has ignited a system-wide shock across the healthcare industry. Glucagon-like peptide-1 (GLP-1) receptor agonists are not merely a drug class, but a disurptive force compelling a complete reevaluation of clinical practice, pharmaceutical development, and employer-sponsored health benefits. Its unprecedented demand has led to a complex ecosystem of high costs, access challenges, and immense long-term…
Fitness trackers may count your steps, but they won’t fix a healthcare system that’s ill-equipped for chronic care. While the conversation around AI in personal health often centers around wearables and calorie counters, these tools barely scratch the surface. The real opportunity is in transforming how clinicians manage chronic disease, shifting f…
According to estimates referenced by public health experts at the Harvard School of Public Health, artificial intelligence in healthcare could improve health outcomes by around 40 % and reduce treatment costs by up to 50 %. These numbers underscore the technology’s potential to enhance care quality and affordability in the United States. These f…
It’s not the algorithms holding health systems back, but the data they rely on. Predictive diagnostics and automated clinical support may be crucial, but the true foundation of AI success is clean, connected, and accessible data. Without it, even the most sophisticated models deliver limited impact. That’s why forward-looking health leaders are shi…
