Care has already moved into the home. Your workflows have not. Congress extended the hospital-at-home waiver through 2030, and programs are already scaling. The model works. The money works.
You put in significant effort to look after your patients. But do you get paid for all that work?
Initial claim denial rates hit 11.8% in 2024 across large U.S. providers. This means rising payer friction. Reimbursements slow down.
CMS reduced payments for drug administration at off-campus clinics. Rates now sit at about 40% of OPPS.
At the same time, CMS has removed around 285 procedures from the inpatient-only list. This allows more procedures to be performed in outpatient settings and Ambulatory Surgical Centers (ASCs).
A national study flagged 446 hospitals at high risk of closing, especially in Medicaid-heavy markets.
When they shut down, patients do not disappear. They shift to nearby outpatient clinics and ambulatory surgery centers, and the resulting demand can look a lot more like ED and inpatient-level pressure than routine outpatient volume. In the affected markets, that shift can create about a 27% surge in visit volume.
You’re staring at an email from CMS. It says your hospital’s now in the CJR-X model. Bundled payments for joint replacements are mandatory. No opt-out. Your ops team feels the heat: schedules are packed, discharges drag, and revenue worries keep you up at night.
A single price transparency gap can now cost a hospital up to $5,500 per day.
Let that gap sit for 90 days at a mid-size facility, and the penalty can exceed $270,000, before legal and remediation costs.
That’s more than double last year’s pace. Fines ranged from $32,301 to $309,738 per hospital. And 2026 is speeding up.
Nearly 90% of healthcare leaders expected the use of digital technologies to accelerate in 2025, according to the 2025 Global Health Care Executive Outlook by Deloitte.
In 2026, that shift is no longer a prediction; it is the new reality. Patients expect convenient, digital access to care, from scheduling appointments to completing intake and communicating with providers.
Physicians spend two extra hours daily on EHR and desk work. Patient care suffers. Practices lose revenue.
Medical practice management software was built to fix that.
Prior authorization is bleeding American healthcare dry. The system loses $34.5 billion every year to PA-related admin work. Physicians spend 45 hours a week chasing approvals. That’s a full workday – every single week – just on paperwork.
By 2034, about 7.5 million more people may lose their health insurance. That’s due to new work rules and eligibility checks. States must follow these changes.
Federal Medicaid rules are changing every now and then. They bring less funding and stricter rules. This creates a big hassle for coverage and payments.
By 2034, about 7.5 million more people may lose their health insurance. That’s due to new work rules and eligibility checks. States must follow these changes.
