Despite genuine efforts across the industry to reduce protocol complexity, the trend line hasn’t budged. The reasons are partly scientific and operational. And they’re also deeply human.

The post Why Protocol Complexity Keeps Increasing – and How to Fix It appeared first on MedCity News.

Technology alone is not the answer to the capacity crisis facing healthcare. But when thoughtfully integrated into care delivery operations, digital tools can help healthcare organizations rebalance workloads and stabilize patient access.

The post Repurpose, Don’t Replace: Three Ways Digital Agents Are Improving Phone Access appeared first on MedCity News.

Benefits leaders have become increasingly sophisticated in managing pharmacy spend and high-cost claims. MSK deserves similar strategic attention – not only because it is expensive, but because it is largely preventable.

The post Musculoskeletal Disorders Are Draining Employer Health Budgets — The Workplace Itself May Be the Cause appeared first on MedCity News.

Layoffs tied to AI adoption will not be uniform; they will vary by sector, job function, and regulatory exposure. Nowhere is this more complex than in healthcare, where legal constraints, patient safety obligations, and labor dynamics intersect with rapid technological change.

The post AI-Driven Layoffs In Healthcare: Navigating Legal Risks and Operational Challenges appeared first on MedCity News.

Financial assistance is moving from discretionary policy to regulated infrastructure. For health systems, that shift has significant operational and financial implications.

The post Financial Assistance Reform Is Reshaping Revenue Cycle Strategy appeared first on MedCity News.

In today’s cash- and staffing-strapped, high-stakes healthcare environment, COEs are an operational necessity. The most successful organizations treat them as long-term strategic investments, or engines for scalable, sustainable transformation.

The post Beyond Support Teams: The Strategic Role of Centers of Excellence in Healthcare appeared first on MedCity News.

As biologics modalities diversify and processes grow complex, the success of tech transfer depends on integrated execution rather than each procedural completion.

The post Executing Biologics Technology Transfer through Integrated Operating Models appeared first on MedCity News.

Many health plans are discovering that even after digitizing medical policies and implementing FHIR APIs, prior authorization turnaround times remain slow and provider frustration remains high. The reason is straightforward: digitization alone does not make medical‑necessity determinations executable by automated systems at scale.

The post Digitizing Medical Policy Alone Will Not Automate Prior Authorization at Scale appeared first on MedCity News.

This is forcing brokers to rethink how they serve clients and how their businesses continue to grow without sacrificing service.

The post As Health Costs Hit Record Highs, Brokers Face a Structural Test appeared first on MedCity News.

In dental practices, where reimbursement cycles are tighter and administrative inefficiencies are immediately visible, AI is already being evaluated not for novelty, but for operational impact.

The post What Dentistry Is Teaching Healthcare About Operational AI appeared first on MedCity News.

The evolution of patient-matched medical devices represents more than just innovation in manufacturing and design. It marks a shift in clinical philosophy. Instead of shaping patients to fit implants, clinicians and device developers are harnessing technology to shape treatments around the individual.

The post How Recent Changes in ‘Patient-Matched’ Technology Are Reshaping the Future of Surgical Care appeared first on MedCity News.

As patients take to social media, in all its ungated glory and promotion of misinformation, how can they be certain that what they are getting is accurate? What voices can they trust?

The post Patients are Turning to HCP Influencers in the Age of AI and Misinformation appeared first on MedCity News.

Transportation is a vital part of the care journey, and if we are serious about improving outcomes, reducing missed appointments, and supporting healthier members, we have to be honest about where friction still exists and focus on removing it. 

The post Driving Outcomes with a Digital Transportation Infrastructure appeared first on MedCity News.

Now is the time to solve the industry’s identity crisis, and it can only be done through a combination of phishing-resistant and adaptive MFA, fine-grained access control, and standards-based interoperability.

The post Healthcare’s Identity Crisis: Why A Single Prescription Requires Multiple Logins appeared first on MedCity News.

While other areas of healthcare have been star-struck by sophisticated AI and massive infrastructure investments, safety net entities have found that the answer is much simpler. Better managing chronic conditions across populations simply requires the right connection at the right time. 

The post The Quiet Revolution Comes Full Circle: How CMS ACCESS Validates Safety-Net Innovation appeared first on MedCity News.

Colon cancer has long been considered a disease that comes with old age. However, the trend line of disease has been moving in the wrong direction for years, in a population we long assumed wasn’t at risk. And while researchers continue to investigate the why, there’s a parallel conversation we aren’t having nearly enough. One that has nothing to do with science, and everything to do with operations.

The post The Cancer Crisis We Can See Coming And Have the Tools to Change appeared first on MedCity News.

As radiopharmaceuticals continue to evolve, the convergence of scientific innovation, operational practicality, and clinical expertise is opening new possibilities in oncology.

The post Precision Delivered: How Radiopharmaceuticals Are Reshaping Cancer Care appeared first on MedCity News.

Direct-to-patient (DTP) models create a continuous loop of value, connecting seamless patient and provider experience with the strategic power of branding and data.

The post The Brand-Driven Flywheel: Igniting Growth Through a Simple Patient Experience appeared first on MedCity News.

The question is no longer whether shareback matters. It is whether the healthcare ecosystem is willing to prioritize it in practice by recognizing it in policy measurement, monitoring, and enforcement, as well as investing in the technical and governance structures needed to make shareback routine, high-quality, measurable, and reportable.

The post Why Quality Shareback is the Missing Fuel for the Healthcare Interoperability Engine appeared first on MedCity News.

Healthcare has solved for the hard part. The science, the surgery, the diagnosis: by global standards, we’re exceptional.
What we haven’t solved for is what happens when the patient goes home.

The post The Healthcare Industry Has a Last Mile Problem — It Hasn’t Realized It Yet appeared first on MedCity News.

The challenge is determining whether wearable data is reliable enough to relieve the review burden, guide care, support reimbursement, or reassure a patient who is worried about their heart rhythm at two o’clock in the morning.

The post Wearable Noise Is Exploding — Trust Is the Filter appeared first on MedCity News.

Healthcare interoperability isn’t an abstract concept; it’s about human connection, building trust and easing burden on patients and their care providers. 

The post Trust, Technology and the Future of Interoperability: Solving Problems That Impact Real Lives appeared first on MedCity News.

By using AI-powered intelligence to shift clinical and coding validation earlier in the healthcare continuum, and unlocking upstream clinical data to inform downstream payment workflows, organizations can proactively prevent errors, reduce downstream churn and friction, and support more predictable, accurate, and timely payments. 

The post The Next Era of Payment Integrity: Earlier Clinical Validation, True Transparency appeared first on MedCity News.

What matters just as much — if not more — is everything around that number: how customers adopt the product, how sales actually happen, and whether the company is building something that can scale inside a complex, regulated system.

The post Revenue Isn’t the Signal: What Early-Stage Health Tech Investors Should Be Watching Instead appeared first on MedCity News.

OSHA and NIOSH recommend that all hospitals develop comprehensive violence prevention programs. Here are some action items that provide a framework for building a legally defensible program.

The post OSHA’s Evolving Approach to Workplace Violence Prevention in Healthcare appeared first on MedCity News.

When patients disengage, preventive care is missed, chronic conditions worsen, care shifts to higher-cost settings such as the emergency department and urgent care, and patients fragment across systems, reducing continuity.

The post Stopping Patient Attrition Before it Starts: A Proactive Approach to Healthcare Marketing appeared first on MedCity News.

Care delivery doesn’t have to be binary — in-person or virtual, old model or new. It can be adaptive, team-based, and deeply human.

The post How Team-Based and Virtual Nursing Models Are Redefining Care Delivery appeared first on MedCity News.

The challenge isn’t whether AI can be used (it already is). It’s whether it can be trusted. And trust in medicine is not something healthcare professionals can afford to get wrong. 

The post Trust and AI Adoption in Medicine appeared first on MedCity News.

These day-to-day issues are directly responsible for rising rates of clinician burnout, exacerbating the serious shortage of doctors and nurses facing the US in the next decade.

The post Your Doctors and Nurses Are Burned Out. Here’s What They Need appeared first on MedCity News.

The future of social security depends on the strength of our collaboration and our unwavering commitment to the people we serve. The challenges are significant, but so are the opportunities for innovation.

The post Strengthening Social Security in a Changing World appeared first on MedCity News.