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As a wave of agentic AI solutions sweeps into healthcare enterprises, healthcare leadership is determined to harness its full power. AI promises to transform health enterprises. But whether the results meet expectations depends crucially upon how it is implemented. As Stuart Winter-Tear recently warned, we are not installing agents, we are redesigning work.a If we…

The 2027 proposed rule for the Medicare Physician Fee Schedule includes a provision that would require hospitals to submit 340B Drug Pricing Program data to a centralized repository. Providers would submit 340B-related Medicare Part D claims data to the repository starting Jan. 1. CMS intends to assess whether the data can be used to exclude 340B…

David Nosacka, MHA, was recently appointed executive vice president and CFO for Atlantic Health, a nonprofit health system based in Morristown, New Jersey, with eight hospitals, more than 550 care sites, 26 urgent care centers and the Atlantic Medical Group. Nosacka had previously served as senior vice president and CFO for Virginia Mason Franciscan Health,…

During my tenure at the Medicare Payment Advisory Commission (MedPAC), the Commission recommended that Medicare implement site-neutral payment for certain services and procedures in defined circumstances. The premise was sound at the time, but ideas about this approach have evolved in recent years — to the point that it may have led CMS to the…

Some performance management situations are straightforward: They typically are about keeping good people engaged or having tough conversations with underperformers. But then there are those talented, high-performing staff members who can be, shall we say, challenging. I call them “high-maintenance-but-worth-it” employees. Overall, they make positive contributions, but they have habits you’d like them to overcome.…

There is no shortage of uncertainty in healthcare right now. Regulatory and reimbursement changes are creating new questions for health systems, AI is advancing rapidly and supply chain and other economic concerns add another layer of complexity. Amid all this uncertainty, healthcare finance leaders must keep setting strategy, often without knowing what the environment may…

Healthcare inflation has come roaring back. PwC projects that commercial medical costs will increase 9% in 2027, the highest rate in 17 years.a For a family with a $25,000 annual health insurance premium, 9% inflation adds $2,250 in just one year. Compounding does the rest. At that rate, the cost of health insurance will double…

The core tension in the policy debate around GLP-1 drugs is whether to view the products merely as a high-cost pharmacy benefit or more holistically through the prism of population health. In some ways, the choice is tilted: The ultimate payoff of the drugs formally known as glucagon-like peptide-1 receptor agonists is uncertain and subject…

In healthcare technology discussions, the electronic health record (EHR) is often positioned as the centerpiece of organizational transformation. For independent and rural hospitals, the reality tends to be far more complicated than for typical implementation conversations focusing predominantly on concerns about clinical integration, interoperability, provider workflow optimization and patient safety.a Impacts of ineffective EHR implementations…

As some immigrant healthcare workers were fired from their jobs recently due to loss of Temporary Protected Status (TPS), the U.S. Immigration and Customs Enforcement (ICE) agency began equipping many former TPS recipients with ankle monitors pending their possible deportation. The monitors are a tragic but apt symbol at a time when the U.S. government…