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When AI Decides Who Gets Care: Why Medicare’s New WISeR Model Has Providers Alarmed.

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Artificial intelligence is about to enter one of the most controversial corners of American healthcare: Medicare prior authorization.The Wasteful and Inappropriate Service Reduction (WISeR) Model, scheduled to begin January 1, 2026, will introduce AI-driven prior authorizations for traditional Medicare beneficiaries — for the first time in history. While the Centers for Medicare & Medicaid Services […]

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The Cardiology Gold Rush: Why Private Equity Is Targeting the Heart of Healthcare

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In recent years, private equity has found a new frontier in healthcare — and this time, it is going straight for the heart. Across the United States, cardiology practices have become one of the fastest-growing targets for private equity investment, signaling a shift in where financial capital meets clinical opportunity.The attraction is clear: a fragmented

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Inside America’s Healthtech Hubs: Why Innovation Still Has a Zip Code

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In healthcare innovation, geography still matters. Despite a decade of digital transformation and promises of a borderless innovation economy, America’s healthcare startups continue to cluster in a handful of cities — where research institutions, investors, and health systems intersect. A new analysis by Healthworx, the innovation and investment arm of CareFirst BlueCross BlueShield, ranked the

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When Growth Meets Gravity: Why CVS Is Closing 16 Oak Street Health Centers

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In healthcare, scale often promises stability — but the latest move by CVS Health to close 16 Oak Street Health centers reveals the growing tension between ambition and affordability in the primary care landscape. The decision, announced as part of CVS Health’s $2 billion cost-cutting plan, underscores how even well-capitalized organizations are struggling to reconcile

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CMS Just Raised Physician Pay — But Who Actually Wins?

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The Centers for Medicare and Medicaid Services (CMS) has finalized its 2026 Medicare Physician Fee Schedule, delivering a modest 2.5% reimbursement increase for physicians who treat Medicare beneficiaries.At first glance, it looks like long-awaited good news after years of stagnant or declining rates. But beneath the surface, the regulation signals a structural reshaping of how—and

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Can Data-Driven Consistency Redefine Value-Based Care?

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The promise of value-based care has always rested on one critical pillar: consistency without compromise.That is exactly what Risant Health, the nonprofit venture backed by Kaiser Permanente, is trying to operationalize across its network — turning electronic health records (EHRs) into engines for standardizing high-value care. When Kaiser folded Geisinger Health into Risant in 2024,

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