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Many health systems have tested AI, but few have effectively scaled it to improve operations and support clinicians. This whitepaper explores how leaders are embedding AI into their enterprise strategy to expand clinical capacity, streamline high-friction workflows and elevate the…

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Ambient documentation tools are everywhere, but adoption and long-term value remain elusive for many systems. At Akron Children’s Hospital, however, Abridge has achieved 95% clinician retention across 22 pediatric specialties. This case study reveals how the organization scaled ambient AI…

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The broader health insurance industry has announced a series of commitments to streamline, simplify and reduce prior authorization requirements across commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans. “The health care system remains fragmented and burdened by…

CMS will raise limits for payments to Medicare Advantage brokers for 2026.  According to a notice from CMS published June 18, plans can pay brokers up to $694 for new enrollments in MA plans, and $347 for renewing existing members.…

CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees.  In a June 20 news release, the agency said the changes will lower individual premiums by…

The Trump administration and insurers appear to have their own changes to reimbursement practices in store, with announcements expected next week — adding to funding changes outlined in Congress’ budget reconciliation bills. The Wall Street Journal reported June 20 that…

Medicare Part A will no longer be able to pay the total cost of Medicare beneficiaries hospital costs by 2033, according to the annual Trustees Report.  The date is three years sooner than the trustees predicted in 2024.  The annual…

Most health systems still rely on outdated communication workflows that frustrate patients and overextend staff. Calls go unanswered, wait times grow and teams can’t keep up. These breakdowns are more than operational. They directly impact access, satisfaction and care continuity.…

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John Poli

Industry Principal, Healthcare, RingCentral

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