Why AI Finally Changes the Math on Fraud, Waste, & Abuse in Healthcare
The U.S. health care system loses more than $100 billion a year to fraud, waste, and abuse, and by some estimates several times that. We have known this for decades.…
Earlier Lifeline for Rural Hospitals Faces Test Under ‘Big Beautiful’ Law
A century-old rural Michigan hospital converted to a stripped-down model Congress created to help keep small facilities afloat, then it closed. The emergency hospital model, created a few years ago,…
Kennedy, Oz Contend Fraud Crackdown, Not Skyrocketing Prices, Led Millions To Leave Obamacare
Rising premiums forced many people in Affordable Care Act plans to give up their coverage. But the Trump administration claims a huge drop in enrollment is almost entirely due to…
People With Disabilities Fear Service Cuts as Trump’s DOJ Questions Legal Protections
The Department of Justice in June issued a legal opinion saying states aren’t required to provide services that help people with disabilities remain in their homes. The new position has…
The Real Truth About Zero Data Retention: What AI Coding Tools Actually Promise in a HIPAA-Compliant World
A developer on your team is debugging a scheduling algorithm. They paste a function into an AI coding tool that references a patient’s Medicaid eligibility window. Did that data just…
CMS Releases FY 2027 IPPS and LTCH PPS Final Rule: Rates, Mandatory CJR-X Model, and EHR Changes
What You Should Know The Centers for Medicare & Medicaid Services (CMS) issued its FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS final rule, enacting…
Journalists Catch You Up on Fauci Hearing, Peptides, and Kids’ Caffeine Consumption
KFF Health News journalists made the rounds on national or local media recently to discuss topical stories. Here’s a collection of their appearances.
J.D. Power 2026 U.S. Pharmacy Study: Digital Integration and Human Support Drive Customer Loyalty
What You Should Know According to the J.D. Power 2026 U.S. Pharmacy Study, overall mail-order pharmacy satisfaction rose 2 points year-over-year to 699 (on a 1,000-point scale), while brick-and-mortar satisfaction…
The Future of Pharmacy Procurement:From Purchasing Function to Data-Driven Strategy
With drug prices soaring, shortages intensifying, and government-mandated cost-sharing in question, hospital-system pharmacy procurement is becoming an increasingly fraught enterprise. Pharmacy leaders are routinely expected to deliver on critical outcomes,…
Vizient’s Summer 2026 Outlook Projects 3.39% Overall Healthcare Inflation
What You Should Know Healthcare performance improvement company Vizient released its Summer 2026 Spend Management Outlook, projecting an overall supply chain, capital, and purchased services price inflation rate of 3.39%…