Uncategorized

ACA Enrollment Surges Past 22 Million, but Sustainability Questions Linger

The Centers for Medicare & Medicaid Services (CMS) recently announced that more than 22.8 million individuals have enrolled in 2026 health insurance coverage through Affordable Care Act (ACA) Marketplaces, a record-breaking figure that surpasses all previous enrollment periods. This national snapshot captures signups from both the federal HealthCare.gov platform and state-based exchanges (SBEs), marking a clear high point in the ACA’s implementation. But behind the headline growth lies a more nuanced, and increasingly urgent, set of questions for healthcare leaders tasked with navigating cost structures, compliance shifts, and continuity of care.

January 13, 2026

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Artificial Intelligence

AI-Fueled Trial Matching Signals a Clinical Research Reboot

The launch of Mount Sinai Tisch Cancer Center’s AI-powered clinical trial matching platform, PRISM, marks a decisive shift in how large health systems may approach research participation at scale. While artificial intelligence continues to draw headlines across diagnostics, imaging, and documentation, this initiative surfaces a quieter transformation: the operational integration of trial eligibility into real-time care workflows.

January 6, 2026

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Cybersecurity & Privacy

Healthcare’s Third-Party Reckoning Begins at the Contract Table

The lawsuit fallout from the TriZetto data breach has accelerated a reckoning long overdue in healthcare IT governance: vendor partnerships are not cybersecurity strategies. As Cognizant Technology Solutions now faces multiple U.S. class-action suits over its handling of a 2020 breach affecting its TriZetto Provider Solutions platform, the liability spotlight is shifting upstream. In a sector increasingly dependent on outsourced infrastructure, cloud-based platforms, and revenue cycle management automation, enterprise buyers can no longer separate procurement from risk management.

January 6, 2026

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Telehealth

AMA: Telehealth Policy Cannot Function on Deadlines and Extensions

For nearly four years, the viability of Medicare-funded telehealth has hinged not on clinical efficacy or infrastructure investment but on arbitrary congressional timelines. The latest deadline, January 30, once again threatens to dismantle a vital pillar of modern care delivery if policymakers fail to authorize permanent legislative protections. While telehealth utilization has matured past its emergency roots, policy continues to treat it as provisional. This mismatch is not only structurally unsustainable but fiscally shortsighted.

January 6, 2026

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Artificial Intelligence

AI Sleep Modeling Raises the Bar for Predictive Diagnostics

A new artificial intelligence model developed at Stanford Medicine claims the ability to forecast risk for more than 100 diseases based on a single night of sleep data. Dubbed SleepFM, the model represents a significant leap in predictive analytics, fusing multi-modal physiological signals with longitudinal health records to detect subtle precursors of disease.

January 5, 2026

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Government

DEA & HHS Extend Telemedicine Flexibilities for Prescribing Controlled Medications Through 2026

The fourth federal extension of telemedicine prescribing flexibilities for controlled substances offers temporary relief, but not long-term certainty, for healthcare systems navigating hybrid care delivery. The joint decision by the Department of Health and Human Services and the Drug Enforcement Administration to prolong pandemic-era telemedicine allowances through the end of 2026 is framed as a move to protect patients.

December 29, 2025

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Artificial Intelligence

Fujitsu and Nvidia Work Together to Harness AI to Transform Healthcare

Artificial intelligence no longer needs to prove its potential in healthcare. It must now prove its composability. As automation efforts mature from pilot tools to enterprise-wide platforms, a new strategic question emerges: Can health systems orchestrate AI across diverse functions without introducing fragmentation, risk, or workflow redundancy?

December 29, 2025

Exploring how artificial intelligence fosters more personalized and empathetic healthcare experiences.

Cybersecurity & Privacy

$500K Fine for Capital Region Healthcare Center Patient Data Breach

The $500,000 penalty issued to OrthopedicsNY signals a strategic shift in how state regulators are treating healthcare cybersecurity negligence. The case, driven by the New York Attorney General’s investigation, underscores a rising intolerance for technical complacency in an environment where cyberattacks are not just common but systemic.

December 23, 2025

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Cybersecurity & Privacy

Three Health Data Breach Settlements Signal New Norm for Post-Breach Accountability

In an unsettling sign of healthcare’s continued vulnerability to cybercrime, three separate class action settlements were reached in December 2025 following major data breaches at Hypertension Nephrology Associates, Asheville Arthritis and Osteoporosis Center, and Intermountain Planned Parenthood. Collectively impacting more than 150,000 patients, these cases reflect not only the growing scope of patient data exposure, but also an emerging legal pattern: negotiated settlements in lieu of drawn-out litigation, with providers neither admitting wrongdoing nor facing regulatory penalties beyond civil resolution.

December 23, 2025

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Government

Price Transparency Won’t Fix Health Care Until the Data Does

The latest proposed updates to federal price transparency regulations signal a deeper acknowledgment of an uncomfortable truth: health care pricing data is now technically public, but still functionally unusable. The Centers for Medicare & Medicaid Services (CMS), working with the Departments of Labor and Treasury, aims to correct this mismatch by simplifying data formats, reducing redundancies, and making cost tools more accessible. But unless these changes are paired with a broader shift in how price transparency is operationalized across the system, their impact may remain symbolic rather than structural.

December 22, 2025

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Government

AI Ambitions Meet Systemic Barriers in HHS Push for Clinical Adoption

The U.S. Department of Health and Human Services (HHS) has issued a sweeping Request for Information (RFI) to identify how artificial intelligence (AI) can accelerate clinical transformation across the American healthcare system. Framed as a call to harness AI for lower costs and improved care, the initiative invites input on everything from evolving reimbursement frameworks to rethinking regulatory pathways. But beneath the enthusiasm lies a complex set of operational, legal, and ethical dynamics that will shape whether these ambitions translate into scalable realities.

December 22, 2025

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Government

Botox Fraud Case Underscores Persistent Gaps in Medicare Oversight

A newly unsealed federal indictment against a Los Angeles-area physician alleges a $45 million Medicare fraud scheme involving falsified Botox claims, exposing once again the operational vulnerabilities that continue to undermine the integrity of federal health programs. The charges against Dr. Violetta Mailyan include wire fraud and obstruction of justice, centered on billing for procedures that were medically unnecessary or never performed. While the case is still pending, it signals ongoing systemic exposure to high-value, low-detection fraud.

December 22, 2025

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Artificial Intelligence

Cedars-Sinai Turns AI From Experiments Into Operating Model

Artificial Intelligence

AI Trial Screening Shifts the Bottlenecks

Imaging

AI Fetal Screening Advances Raise Both Promise and Pressure for Health IT Leaders

Government

Device Fraud and Diagnostic Failure Underscore Urgent Gaps in Health IT Accountability

Cybersecurity & Privacy

Delayed Breach Disclosures Are Quietly Eroding Healthcare’s Cyber Trust

Government

HHS AI Strategy Sets a Federal Precedent, But Stops Short of Sector-Wide Reform

Academic Research

Mount Sinai: AI That Asks Its Own Questions Could Transform Clinical Diagnostics

October 20, 2025

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A human face and a glowing AI face connect through circuitry, symbolizing harmony between human cognition and artificial intelligence in healthcare.

Emotional Intelligence Training Reveals Medical Student Unease with AI Integration

October 13, 2025

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Mount Sinai: Spatial Omics Enters the Usability Era

October 8, 2025

courtesy of The Mount Sinai Health System

Mount Sinai: AI Coding Accuracy Improves When Models Are Taught to Look First

September 29, 2025

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AI/Machine Learning

AI Liability Is Forcing a New Era of Hospital Risk Management

December 1, 2025

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Analytics & Data Science

Illustra Health Accelerates Population-Level Insight

July 20, 2025

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PACU Data Integration Redraws Federal EHR Expectations and Vendor Economics

June 25, 2025

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Why Data Strategy Now Matters More Than AI Investment

June 19, 2025

CliniComp’s PACU EHR Expansion Signals a New Frontier in Analytics Maturity in Hospitals

June 18, 2025

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Clinical IT

The Interface Architect: The Most Powerful People You’ve Never Heard Of in Healthcare IT

June 11, 2025

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Shadow Code, Part I: The Unofficial Systems Running American Healthcare

June 9, 2025

Sutter Health Deploys World’s First Wearable Doppler Ultrasound Patch to Enhance Safety of ICU Patients

July 29, 2024

Business Wire

University of Wisconsin–Madison’s N+1 Institute and GE HealthCare Collaborate for Faster Biohealth Innovation and Valuable Real-World Education for Students

May 8, 2024

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Cybersecurity & Privacy

Healthcare’s Third-Party Reckoning Begins at the Contract Table

January 6, 2026

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$500K Fine for Capital Region Healthcare Center Patient Data Breach

December 29, 2025

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Three Health Data Breach Settlements Signal New Norm for Post-Breach Accountability

December 23, 2025

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Breach Notices Expose the Real Cybersecurity Gap

December 15, 2025

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Editor’s Picks & Featured Content

Mount Sinai’s CHIME Digital Maturity Signals the Next Phase of AI-Driven Care Delivery

December 22, 2025

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courtesy of The Mount Sinai Health System

Interoperability Is a Value-Based Imperative

October 28, 2025

Fast Health Care Interoperability Resources

AI Trial Matching Moves From Proof-of-Concept to Institutional Mandate

October 27, 2025

Cedars-Sinai Turns to Synthetic Data to Scale Research and Protect Privacy

October 27, 2025

Photo 168903999 | Algorithms © Anatoly Stojko | Dreamstime.com

Government

DEA & HHS Extend Telemedicine Flexibilities for Prescribing Controlled Medications Through 2026

January 5, 2026

Read Article

ID 209680455 © Transversospinales | Dreamstime.com

Price Transparency Won’t Fix Health Care Until the Data Does

December 22, 2025

ID 147819612 | Background © Yota Nik | Dreamstime.com

AI Ambitions Meet Systemic Barriers in HHS Push for Clinical Adoption

December 22, 2025

Botox Fraud Case Underscores Persistent Gaps in Medicare Oversight

December 22, 2025

Imaging

AI Fetal Screening Advances Raise Both Promise and Pressure for Health IT Leaders

December 8, 2025

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Overimaging in Bell’s Palsy Undermines Clinical Guidelines and Escalates Systemic Waste

November 18, 2025

AI Risk Stratification for Breast Cancer Screening Still Lacks Operational Alignment

November 3, 2025

AI Reporting Tools Now Carry RSNA’s Institutional Voice

October 15, 2025

Interoperability / HIE

TEFCA’s Strategic Crossroads: Governance, Payment Levers, and the Real Market Reordering

May 12, 2025

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Payer Workgroup Publishes Payer-to-Payer FHIR API Compliance Readiness Checklist Ahead of CMS Deadline

April 15, 2025

Industry Leaders Are ‘All In’ On Pharmacy Interoperability

March 20, 2025

ONC Publishes HTI-1 Certification Final Rule

December 20, 2023

Population Health Management

Health Systems Must Prepare for the Operational Reality of Social Needs Screening

December 2, 2025

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Predictive AI Is Advancing Faster Than Hospitals Are Ready to Act

December 1, 2025

A man in glasses looks thoughtfully at a glowing AI brain orb, surrounded by circuit-like digital elements, symbolizing ethical contemplation in AI development.

Population Health Data Strengthens Memorial Healthcare’s Fight Against Medication Non-Adherence

August 11, 2025

Value-Based Care Is Finally Coming for Specialists

July 28, 2025

A nurse in hospital warehouse, a warehouse full of medical devices image.

Revenue Cycle Management & Finance

Closing Financial Gaps: How Texting Strengthens Every Stage of Patient Collections

December 9, 2025

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Hippocratic AI lands $126M series C

November 3, 2025

AI-Driven Diagnostics and the Strategic Stakes of Tempus AI’s Surge

October 14, 2025

Microsoft Backs Revenue Cycle Fix for Rural Hospitals

October 13, 2025

Q&A

SYNERGEN Health’s Sunil Konda Explores AI’s True Role in Revenue Cycle Strategy

July 15, 2025

Read Article

George Pappas Explains What AI Means for Cybersecurity Leadership

July 11, 2025

Burnout to Breakthrough: How Elemeno Health Redefines Frontline Training

July 1, 2025

Kent Dicks on Making Virtual Care Invisible and Building Infrastructure for Predictive, Equitable Health Delivery

June 24, 2025

AI-Fueled Trial Matching Signals a Clinical Research Reboot

Healthcare’s Third-Party Reckoning Begins at the Contract Table

AMA: Telehealth Policy Cannot Function on Deadlines and Extensions

AI Sleep Modeling Raises the Bar for Predictive Diagnostics

DEA & HHS Extend Telemedicine Flexibilities for Prescribing Controlled Medications Through 2026

Fujitsu and Nvidia Work Together to Harness AI to Transform Healthcare

$500K Fine for Capital Region Healthcare Center Patient Data Breach

Three Health Data Breach Settlements Signal New Norm for Post-Breach Accountability

Price Transparency Won’t Fix Health Care Until the Data Does

AI Ambitions Meet Systemic Barriers in HHS Push for Clinical Adoption

Botox Fraud Case Underscores Persistent Gaps in Medicare Oversight

Cedars-Sinai Turns AI From Experiments Into Operating Model

AI Trial Screening Shifts the Bottlenecks

AI Fetal Screening Advances Raise Both Promise and Pressure for Health IT Leaders

Device Fraud and Diagnostic Failure Underscore Urgent Gaps in Health IT Accountability

Delayed Breach Disclosures Are Quietly Eroding Healthcare’s Cyber Trust

HHS AI Strategy Sets a Federal Precedent, But Stops Short of Sector-Wide Reform

Mount Sinai: AI That Asks Its Own Questions Could Transform Clinical Diagnostics

Emotional Intelligence Training Reveals Medical Student Unease with AI Integration

Mount Sinai: Spatial Omics Enters the Usability Era

Mount Sinai: AI Coding Accuracy Improves When Models Are Taught to Look First

AI Liability Is Forcing a New Era of Hospital Risk Management

Mount Sinai Health System Will Roll Out Microsoft Dragon Copilot

AI Adoption in Healthcare Is Surging, but Clinical Readiness Is Still Lagging

JAMA: AI Tools in Health Care Are Spreading Faster Than We Can Govern Them

Illustra Health Accelerates Population-Level Insight

PACU Data Integration Redraws Federal EHR Expectations and Vendor Economics

Why Data Strategy Now Matters More Than AI Investment

CliniComp’s PACU EHR Expansion Signals a New Frontier in Analytics Maturity in Hospitals

The Interface Architect: The Most Powerful People You’ve Never Heard Of in Healthcare IT

Shadow Code, Part I: The Unofficial Systems Running American Healthcare

Sutter Health Deploys World’s First Wearable Doppler Ultrasound Patch to Enhance Safety of ICU Patients

University of Wisconsin–Madison’s N+1 Institute and GE HealthCare Collaborate for Faster Biohealth Innovation and Valuable Real-World Education for Students

Healthcare’s Third-Party Reckoning Begins at the Contract Table

$500K Fine for Capital Region Healthcare Center Patient Data Breach

Three Health Data Breach Settlements Signal New Norm for Post-Breach Accountability

Breach Notices Expose the Real Cybersecurity Gap

Mount Sinai’s CHIME Digital Maturity Signals the Next Phase of AI-Driven Care Delivery

Interoperability Is a Value-Based Imperative

AI Trial Matching Moves From Proof-of-Concept to Institutional Mandate

Cedars-Sinai Turns to Synthetic Data to Scale Research and Protect Privacy

DEA & HHS Extend Telemedicine Flexibilities for Prescribing Controlled Medications Through 2026

Price Transparency Won’t Fix Health Care Until the Data Does

AI Ambitions Meet Systemic Barriers in HHS Push for Clinical Adoption

Botox Fraud Case Underscores Persistent Gaps in Medicare Oversight

AI Fetal Screening Advances Raise Both Promise and Pressure for Health IT Leaders

Overimaging in Bell’s Palsy Undermines Clinical Guidelines and Escalates Systemic Waste

AI Risk Stratification for Breast Cancer Screening Still Lacks Operational Alignment

AI Reporting Tools Now Carry RSNA’s Institutional Voice

TEFCA’s Strategic Crossroads: Governance, Payment Levers, and the Real Market Reordering

Payer Workgroup Publishes Payer-to-Payer FHIR API Compliance Readiness Checklist Ahead of CMS Deadline

Industry Leaders Are ‘All In’ On Pharmacy Interoperability

ONC Publishes HTI-1 Certification Final Rule

Health Systems Must Prepare for the Operational Reality of Social Needs Screening

Predictive AI Is Advancing Faster Than Hospitals Are Ready to Act

Population Health Data Strengthens Memorial Healthcare’s Fight Against Medication Non-Adherence

Value-Based Care Is Finally Coming for Specialists

Closing Financial Gaps: How Texting Strengthens Every Stage of Patient Collections

Hippocratic AI lands $126M series C

AI-Driven Diagnostics and the Strategic Stakes of Tempus AI’s Surge

Microsoft Backs Revenue Cycle Fix for Rural Hospitals

SYNERGEN Health’s Sunil Konda Explores AI’s True Role in Revenue Cycle Strategy

George Pappas Explains What AI Means for Cybersecurity Leadership

Burnout to Breakthrough: How Elemeno Health Redefines Frontline Training

Kent Dicks on Making Virtual Care Invisible and Building Infrastructure for Predictive, Equitable Health Delivery

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