Operations & Efficiency
Expert articles and analysis related to operations & efficiency.
AI Summary — Last 30 Days
In the past 30 days, CMS under the Trump administration has accelerated operational transformation in value-based care by launching a major 10-year payment model—draws over 150 applicants—signaling strong provider demand for alternative reimbursement structures and long-term VBC commitment (Medical Economics). CMMI’s expanding portfolio—now exceeding 25 innovation models—alongside the operational rollout of AI-powered care execution agents in large ACOs and health systems, underscores a shift away from incremental contracts toward scalable operating redesign, digital enablement, and risk-centered accountability ([
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A look at how Optum Rx is using AI to address pharmacy fraud, waste and abuse
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What Revenue Cycle, CDI, and Denials Teams Need to Know About the Data Payers Receive: Part I
EDITOR’S NOTE: The author of this article used artificial intelligence (AI)-assisted tools in its composition, but all content, analysis, and conclusions were based on the author’s professional judgme...
Revenue cycle as enterprise infrastructure: Building financial resilience in 2026
Healthcare finance leaders are confronting a new reality: Revenue cycle performance is no longer just an operational task — it’s a central driver of financial sustainability and organizational resilie...
3 anesthesia reimbursement controversies to know
A wave of payer anesthesia policy changes — capping billable time, cutting CRNA rates and penalizing facilities for using out-of-network clinicians — is intensifying financial pressure on practices al...
A care team redesign at Sentara leads to less charting, more time for patients
Sentara Health nursing teams were facing significant challenges related to recruitment and retention. As the health system began exploring technologies to help solve the problems, things became clear ...
HL Shorts: How to Involve Nurses In Robotics Implementation
The key to making sure nurses have a voice in robotics is governance, says this innovation leader. On this episode of HL Shorts, we hear from Jackie Wills, director of robotic services at Virtua Healt...
The biggest myths about ASC management
Industry leaders say that some of the most widely held beliefs in ASC management may be actively doing harm, rather than just being outdated. From the push to move every case out of the hospital to t...
Digital twins for spend are changing how finance teams monitor and optimize performance
Utilizing AI to structure all contract and invoice data, healthcare leaders are creating digital twins for spend to create a permanent advantage.
Beyond the hype: Agentic AI takes center stage at HIMSS 2026
Agentic AI transforms healthcare through autonomous agents handling scheduling, documentation and coding at HIMSS 2026.
Beyond Generative AI
By BENJAMIN EASTON Healthcare’s administrative burden is not a documentation problem. It is a workflow problem. Healthcare’s next leap depends on agentic systems that can actually do the work Over the...