Strategic Planning

Primary care doctors face a low rate of pay compared to specialties and they also have difficulty collecting that rate, says Mark Newman, founder and CEO of Nomi Health.

The Villages Health CEO says a Medicare billing overpayment and penalties is estimated at hundreds of millions of dollars.

Former Optum Health CEO Amar Desai has reportedly been named vice chairman of the unit.  

Ultimately the question is not one of spending, but how we allocate care for ourselves and in this world, data is everything, says Dr. Don Rucker, chief strategy officer at 1upHealth, who is the former National Coordinator for Health Information Technology.

Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and cost.

The penalty for non-compliance is the loss of tax-exempt status for a not-for-profit hospital for a year, says Hal Andrews, CEO of Trilliant Health.

The main theme of a HIMSS25 panel was not around tech, but was about the culture of innovation making the difference, says Edward Marx, CEO of Marx Advisory who is part of the HIMSS CIO Connect program.

To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% this year.

Senior leaders feel pressure to evolve AI but cite a lack of internal resources to develop in-house AI tools.

The ambulatory surgical center market, aided by AI to enhance care coordination and surgical outcomes, is growing.