B. Clay Dorenkamp, DO, believes one of the biggest problems in healthcare is happening in places patients never see. The public conversation around AI in medicine has largely centered on dramatic predictions, algorithms outperforming physicians, robotic surgery systems replacing surgeons…
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No matter how diligently health systems plan, they cannot control the many external factors that create volatility in supply chains for vital healthcare resources. However, health systems can build resiliency into their organizations to mitigate the impact supply chain fluctuations…
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Two forces are reshaping orthopedic care faster than almost any others: the steady absorption of independent practices into hospital systems and private equity platforms, and a debate over what value-based care actually delivers for patients. Increasingly, orthopedic leaders see the…
Picture a radiology revenue cycle where prior authorization issues get caught before claims go out, documentation gaps get flagged in real time and denial trends actually inform the next intake conversation. That’s the operating model the strongest radiology RCM teams…
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Spine and orthopedic practices that use the federal Independent Dispute Resolution process to challenge out-of-network underpayments are about to see a significant fee reduction. HHS, CMS, the Department of Labor and the Department of the Treasury finalized a rule May…
Patient trust in healthcare has fallen sharply — only 24% of Americans now believe providers prioritize care over profits, down from 77% in December 2021. For a growing share of patients, that judgment is forming online, before they ever schedule…
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Imagine a revenue cycle where likely denials are flagged and corrected before the claim ever leaves the building — where downstream issues are resolved without landing in a manual work queue, and where every transaction processed makes the system smarter…
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As care delivery for rare cardiac diseases evolves, many health systems are working to establish more programmatic, systemwide approaches to recognition, diagnosis and management. But fragmentation across clinical decision pathways remains a persistent challenge. A December 2025 Becker’s Healthcare survey,…
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Children’s Hospital Los Angeles uses an enhanced recovery protocol for pediatric patients undergoing spinal fusion surgery that aims to reduce pain, shorten hospital stays and speed recovery. The protocol is used for conditions including adolescent idiopathic scoliosis and combines preoperative…
Operations leaders see the promise of AI in credentialing — faster onboarding, lower administrative burden, accelerated time to revenue. They also see the risk: AI doesn’t absorb liability. Healthcare organizations do. NCQA standards still require human oversight for committee review,…
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