Ernie Ianace, CEO

On July 14, CMS released the proposed 2027 Medicare Physician Fee Schedule. Most of the coverage will lead with the conversion factor: payments drop 1.19% for qualifying participants in advanced payment models and 1.68% for everyone else. But the cut is the least interesting thing in this rule. Read the whole proposal and a different story emerges. The rule runs two sorting tests at once. One is financial: it widens the payment distinction between qualifying accountable care and traditional...

The SNF staffing mandate is gone. The staffing math is not. On February 2, 2026, CMS rescinded the federal minimum staffing standards for long term care facilities. The 24 hour, 7 day RN requirement is gone. The fixed hours per resident day thresholds are gone. Many operators felt relief. I understand why. The rescinded rule asked buildings to meet fixed federal thresholds in a labor market that, across much of the country, could not support them. Facilities were already competing for nurses...

Healthcare built digital records. It never built digital operations For more than two decades, healthcare has invested billions in digitizing clinical records. EHR adoption expanded. Patient portals launched. Claims systems modernized. Data warehouses grew. But underneath the surface, most operational workflows never truly changed. Admissions still move through PDFs. Prior authorizations still stall inside fragmented portals . Nurse notes still become retrospective documentation exercises....