Archive - Thoughts on Healthcare Markets & Technology

The CY2027 Physician Fee Schedule Proposed Rule Cuts the Conversion Factor, Rewires Practice Expense, Kneecaps Outsourced RPM, and Reworks…

16 hrs ago

The CY2027 Physician Fee Schedule Proposed Rule Cuts the Conversion Factor, Rewires Practice Expense, Kneecaps Outsourced RPM, and Reworks…

CMS dropped the CY2027 physician fee schedule proposed rule on July 14th.

16 hrs ago

7:20

The HTI-5 Deregulation Rule Just Told EHR Vendors That AI Agents Count as Users Under Information Blocking, and Here Is the Startup Map for…

Sep 10

Part II: The HTI-5 Deregulation Rule Just Told EHR Vendors That AI Agents Count as Users Under Information Blocking, and Here Is the Startup…

HTI-5 just told every EHR vendor: you can no longer claim a bot is not a covered user under information blocking.

Sep 10

9:25

Part I: The HTI-5 Deregulation Rule Just Told EHR Vendors That AI Agents Count as Users Under Information Blocking, and Here Is the Startup…

HTI-5 just told every EHR vendor: you can no longer claim a bot is not a covered user under information blocking.

Sep 10

7:24

The AMA’s CPT Code Monopoly: How One Trade Association’s Copyright on Medical Billing Codes Nets 300 Million Dollars a Year, Shapes…

Sep 9

The AMA's CPT Code Monopoly: How One Trade Association's Copyright on Medical Billing Codes Nets 300 Million Dollars a Year, Shapes…

A private trade association earns roughly $300M/year charging rent on a billing dictionary federal law requires everyone in healthcare to use.

Sep 9

7:58

How non-clinicians and 1.2 second algorithms overrule attending physicians on medical necessity, why the appeal math makes denials…

Sep 8

Part II: How non-clinicians and 1.2 second algorithms overrule attending physicians on medical necessity, why the appeal math makes denials…

Medicare Advantage plans process 50 million prior auth decisions a year.

Sep 8

9:01

Part I: How non-clinicians and 1.2 second algorithms overrule attending physicians on medical necessity, why the appeal math makes denials…

Medicare Advantage plans process 50 million prior auth decisions a year.

Sep 8

8:58

ChatGPT Plugged Into Epic Without a Partnership: What the September 1 EHR Integration Actually Is, Who Holds the Liability, and Why CIOs Now…

Sep 7

ChatGPT Plugged Into Epic Without a Partnership: What the September 1 EHR Integration Actually Is, Who Holds the Liability, and Why CIOs Now…

OpenAI plugged ChatGPT into Epic EHR on September 1.

Sep 7

6:05

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