• CMS Announces Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria

    The Centers for Medicare & Medicaid Services (CMS) is taking action, it announced, to protect Medicare beneficiaries and taxpayer dollars through implementation of a six-month, nationwide data-driven moratoria on new Medicare enrollment for hospices and home health agencies (HHAs). The moratoria will allow CMS to temporarily halt the influx of new providers into these high-risk…

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  • Physicians Are Pervasively Skeptical that Meaningful Change will Occur In Near-term

    New survey data from the American Medical Association (AMA) show physicians are pervasively skeptical that meaningful change will occur—reflecting years of similar commitments that have failed to produce lasting improvements. In June 2025, after successful engagement from the Trump administration to address widespread concerns from patients and physicians, roughly 60 health insurers pledged to streamline, simplify,…

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  • AI Governance Is Becoming Healthcare’s Next Major Compliance Burden

    By Gilda D’Incerti, Founder and CEO, PQE Group. Healthcare organizations have rapidly adopted artificial intelligence across clinical decision support, diagnostics, revenue cycle management, and operational systems. AI tools are now embedded across many hospital environments, promising better clinical outcomes, decreased administrative burden, and smarter use of healthcare data. But as adoption accelerates, oversight continues advancing…

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  • Untangling the Web of Polypharmacy: Long-Term Care Needs Action Before Burden Turns into Harm

    By Josh Canavan, Head of Pharmacy, RazorMetrics. Medication review is a routine part of long-term care. So, why isn’t deprescription more common? The reality is that turning standard reviews into meaningful change is difficult. Complicated medication regimens typically don’t change until there is problem—a safety issue, a non-adherence problem, cascading side effect prescriptions, or an…

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