Healthcare

ElevatePFS Leadership Insights: Reducing Risk and Securing Reimbursement in Out-of-State Medicaid Billing and Enrollment

Medicaid billing and enrollment

Navigating out-of-state Medicaid billing and enrollment is a complex process that demands precision, coordination, and up-to-date knowledge of payer-specific requirements. Each state operates differently—with its own enrollment deadlines, billing expectations, and electronic submission rules—making it vital for providers to have a well-defined strategy in place. At ElevatePFS, success starts with early identification. Determining whether…

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ElevatePFS
ElevatePFS Revenue Cycle Insights: Simplifying Out-of-State Medicaid Enrollment and Billing

Out-of-state Medicaid enrollment and billing is one of the most complex areas in the revenue cycle. With over 450 Medicaid payer profiles—each with its own rules, enrollment requirements, and deadlines—providers often face delays, denials, or complete write-offs. The constantly changing policies and varying state-specific requirements create a fragmented system that’s difficult to manage without dedicated…

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ElevatePFS
Driving Excellence from Day One: Implementations Training & Quality Assurance at ElevatePFS

At ElevatePFS, quality isn’t a final checkpoint—it’s built into every stage of the process. Through focused Implementations Training, and Quality Assurance (QA), the company ensures that new projects begin with consistency, compliance, and confidence. The QA process is designed to evaluate performance, reinforce standards, and identify opportunities for improvement. By combining data analysis with…

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Articles
The Rise of Personalized Nutraceuticals: Vitaquest Taps Big Data, Flavor, and AI to Deliver Personalized Wellness at Scale

The wellness industry is at an inflection point. What once centered around pill packs and generic supplement regimens is now being transformed by an ecosystem of personalization, flavor innovation, and data-driven development. According to research, the global nutraceuticals market is on track to surpass $919 billion by 2030—and with consumer demand increasingly favoring tailored,…

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Articles
2025’s Hottest Healthcare Trends with David Willis, Principal with ECG

Healthcare organizations have faced significant challenges over the last five years due to the lasting financial and operational impacts of the COVID-19 pandemic, widespread labor shortages, and rising costs of care delivery. The pandemic forced hospitals to prioritize crisis response over long-term strategy, leading to deferred investments, workforce burnout, and financial strain. Now, with many…

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Censis
Smart Tools, Safer Patients: Dr. Arpita Hazra Talks AI in Healthcare

In this insightful episode of the ConCensis podcast, host Amy Chodroff welcomes Dr. Arpita Hazra, a Clinical Patient Safety Data Specialist, to explore the evolving landscape of patient safety, risk management, and AI in healthcare. Drawing from her background in internal medicine, public health, and clinical data science, Dr. Hazra provides a compelling look at…

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Community Generated Content - Reichert
Reichert Brings Cutting-Edge Eye Care Tech to Vision Expo East 2025

As eye care rapidly evolves, Vision Expo East 2025 is the place to see where innovation meets clinical excellence — and Reichert is leading the charge. At booth F2201, practitioners can experience hands-on demos of Reichert’s latest breakthroughs in tonometry, digital refraction, and dry eye diagnostics. Of particular note is the new Tono-Vera® Tonometer,…

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Ellendale AI Data Center
Applied Digital Ellendale AI Data Center: April 2025 Update
May 1, 2025

Progress continued throughout April at Applied Digital’s Ellendale AI Data Center, as construction efforts advanced across multiple fronts. With favorable weather conditions and a clear focus on critical infrastructure, the ELN02 site remains on track to support the growing demands of high-performance computing (HPC) and artificial intelligence. Key developments from April include: Metal jacketing installation…

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Produce distribution
The Produce Distribution Industry Needs Flexibility, Empathy, and a New Generation of Talent
May 1, 2025

As inflation reshapes consumer habits and restaurant margins tighten, the produce distribution industry is under more pressure than ever. This high-touch, low-margin, logistics-heavy business is facing rising freight costs, labor shortages, and evolving food safety standards — all while trying to deliver perishable products across a fragmented national landscape. Between 2020 and 2024, the…

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PGA Coach+
Unlocking Opportunity: Why PGA Coach+ Is a Smart Move for Growing Golf Instructors
May 1, 2025

In today’s competitive golf instruction landscape, standing out isn’t just about skill—it’s about visibility and value. PGA Coach+ is helping instructors amplify their reach by offering unlimited leads and a streamlined way to expand their client base. For many, the decision comes down to simple math: one new student can pay for the investment multiple…

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auction
Bid, Play, Support: Rounds 4 REACH Auction Returns to New England
May 1, 2025

Golfers across New England have a unique chance to turn their passion for the game into purpose with the return of the Rounds 4 REACH Online Auction. From exclusive access to iconic clubs like The Country Club in Brookline to teeing off alongside seasoned PGA professionals, this event offers more than just a day on…

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Latest Articles

nutraceuticals
Articles
The Rise of Personalized Nutraceuticals: Vitaquest Taps Big Data, Flavor, and AI to Deliver Personalized Wellness at Scale
March 31, 2025

The wellness industry is at an inflection point. What once centered around pill packs and generic supplement regimens is now being transformed by an ecosystem of personalization, flavor innovation, and data-driven development. According to research, the global nutraceuticals market is on track to surpass $919 billion by 2030—and with consumer demand increasingly favoring tailored,…

Read More
2025’s Hottest Healthcare Trends with David Willis, Principal with ECG

Healthcare organizations have faced significant challenges over the last five years due to the lasting financial and operational impacts of the COVID-19 pandemic, widespread labor shortages, and rising costs of care delivery. The pandemic forced hospitals to prioritize crisis response over long-term strategy, leading to deferred investments, workforce burnout, and financial strain. Now, with many…

Read More
Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?

Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….

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Solving America’s Physician Shortage Through Apprenticeship Programs, Online Training & Hands-On Experience

In a healthcare landscape reshaped by post-pandemic challenges, workforce shortages and burnout are stretching the system to its limits. According to the Association of American Medical Colleges, the U.S. is projected to face a shortage of up to 86,000 physicians by 2036, while turnover rates among nurses and allied health professionals continue to climb….

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Remote cardiac monitoring
Articles
AI-Powered Remote Cardiac Monitoring Improves Care Access, Disease Detection, and Diagnostic Accuracy
January 15, 2025

Advancements in artificial intelligence are transforming healthcare, and remote cardiac monitoring is at the forefront of this change. With cardiovascular disease impacting nearly 50% of the population at some point in their lives, early detection and efficient diagnosis are crucial. Enter AI-powered cardiac monitors that provide near real-time data, reduce diagnostic errors, and improve…

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HFMA’s Historic New Leaders: The Trailblazing Women Who Are Leading Healthcare Finance

For the first time in history, Texas is home to three female presidents leading Healthcare Financial Management Association (HFMA) chapters, alongside the organization’s first female CEO, Ann Jordan. This unprecedented moment is more than symbolic; it highlights a shift toward inclusivity, collaboration, and innovation in healthcare financial management. With Texas chapters spanning diverse regions…

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Improving Healthcare Access Through Nontraditional Benefits and Discount Plans

Healthcare costs are rising steadily, while insurance benefits struggle to offer sufficient coverage, driving demand for practical solutions like nontraditional benefits and discount plans. As premiums rise and coverage limits remain stagnant, many individuals and employers seek alternative ways to manage costs and improve healthcare access. With chronic conditions on the rise, the stakes…

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Fighting for Fair Healthcare Access Means Overcoming Certain Challenges

With healthcare costs continuing to climb, and the access to quality care remaining uneven, discussions on healthcare reform are quite an essential topic. Millions of Americans face high out-of-pocket costs and limited access to critical health services. According to a 2022 Gallup poll, nearly 40 percent of Americans have delayed medical care due to…

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Articles
Resilience and Overcoming Challenges is a Goal to Aim For
October 28, 2024

Conversations around mental resilience and maintaining a positive mindset are increasingly relevant today. With rising levels of stress and burnout in both personal and professional spaces, many people are searching for ways to reframe challenges as opportunities. One study showed that 75 percent of employees reported feeling overwhelmed or burned out at work, underscoring…

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Elevating Home Care — A New Era of Partnerships and Collaboration

As the demand for home-based care continues to surge, the industry faces an urgent need to redefine its collaborative frameworks, particularly between clinical and non-clinical services. A growing body of research suggests that coordinated home care can reduce hospitalization rates, lower costs, and increase patient satisfaction—an impact felt across families, caregivers, and the healthcare…

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Shifting Our Mindsets to Transform Our Lives with Dr. Wendi Zimmer

The pressure to balance personal well-being and professional success is something we all face, but most of us don’t know where to start. Research has shown that mental health support and self-belief are critical for long-term success, especially in high-stress environments. Shifting your mindset can be the key to transforming your life, enabling you…

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Purpose in the Workplace: Retaining Talent Through Innovation, Engagement, and a Sense of Belonging

A surge in employee turnover and changing expectations in the workforce has made the pursuit of purpose in the workplace a priority. With an increasingly mobile workforce, retaining top talent has become a challenge that companies can’t afford to ignore. A study shows that roughly 70% of employees believe their sense of purpose is…

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Latest Podcasts

CensisAI²
Censis
Inside the SPD Revolution: Robby Miller on Embracing CensisAI²
April 22, 2025

In this impactful episode of the ConCensis podcast, host Yasmeen Hassan sits down with Robby Miller, Sterile Processing Manager at St. Joseph’s Hospital Medical Center, to explore how artificial intelligence is revolutionizing the field of sterile processing. With nearly 30 years of experience in healthcare, Miller shares his journey from EMT to SPD leader, offering…

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Inside Oncology Drug Development: Overcoming Resistance with Science

In the last two decades, oncology has undergone a transformation with over 300 new cancer therapies approved by the FDA—many offering novel mechanisms of action. Despite these innovations, resistance to treatment remains a critical challenge, with cancer cells evolving or adapting to evade even the most advanced therapeutics. This issue is particularly pressing given that…

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Shaping the Future of Cancer Care Through Immuno-Oncology

In the ever-evolving world of cancer treatment, immuno-oncology (IO) continues to stand at the forefront of innovation. With recent FDA approvals for TIL therapies and bispecific antibodies, and new developments in CAR-T technologies, the field is rapidly expanding into combination-based strategies that integrate with standard care. Researchers are also exploring how to overcome challenges posed…

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Pioneering Strategies to Unlocking the Potential of KRAS

Once labeled “undruggable,” KRAS has emerged as one of oncology’s most promising—yet complex—targets. With nearly 90% of pancreatic cancers and 30-40% of lung and colorectal cancers harboring KRAS mutations, the need for effective therapies is urgent. Recent FDA approvals of KRAS G12C inhibitors have signaled a new era, but the rise of resistance and diverse…

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healthcare revenue cycle
ElevatePFS
Culture, Leadership, and Innovation in Tech: Building a Future-Ready Healthcare Revenue Cycle with Alex Chamorro
April 9, 2025

As cyberattacks on healthcare systems surged in 2024—disrupting operations and exposing sensitive data—highlighting the growing vulnerability of the healthcare revenue cycle in a digital age. The increasing reliance on tech-driven workflows, remote teams, and integrated billing systems means healthcare organizations must constantly evolve their revenue cycle strategies to stay efficient, secure, and human-centered. In this…

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Smart Tools, Safer Patients: Dr. Arpita Hazra Talks AI in Healthcare

In this insightful episode of the ConCensis podcast, host Amy Chodroff welcomes Dr. Arpita Hazra, a Clinical Patient Safety Data Specialist, to explore the evolving landscape of patient safety, risk management, and AI in healthcare. Drawing from her background in internal medicine, public health, and clinical data science, Dr. Hazra provides a compelling look at…

Read More
Sterile Compounding and Contamination Control with Abby Roth

In this episode of Exceeding Your Benchmark, host Michelle Dawn Mooney speaks with Abby Roth, founder of Pure Microbiology, about sterile compounding and contamination control. Abby shares her expertise in microbiology, sterile environments, and best practices in pharmaceutical compounding. The conversation begins with a distinction between traditional drug manufacturing and sterile compounding, highlighting the…

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Interview with Robin Goldsmith

At ViVE 2025, Panda Health’s Jason Taylor and Verizon Healthcare’s Robin Goldsmith dive into the future of AI in healthcare, exploring how ambient technology is revolutionizing workflows for clinicians and improving patient experiences. A dynamic conversation not to be missed!

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private equity and venture capital
Articles
Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?
February 19, 2025

Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….

Read More
Employer-Built Healthcare Plans: Controlling Costs and Transforming Care

The rising cost of healthcare continues to strain employers and employees alike. With premiums climbing at a rate outpacing inflation, many organizations are burdened with high costs and subpar outcomes. Employer-built healthcare models are emerging as a potential solution, enabling organizations to take control of their healthcare systems. According to the Kaiser Family Foundation,…

Read More
AI and Advocacy Unite: Tackling Women’s Health Disparities with Hologic Mia Keeys

Women’s health remains a critical issue globally, with alarming disparities in access and outcomes. A new survey from Hologic and Gallup reveals that while nearly 90% of women recognize the importance of health screenings, less than half undergo them consistently due to barriers like cost, time, and anxiety. The stakes are particularly high in…

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Overcoming Behavioral Health Challenges: Iris Telehealth’s Technology-Driven Approach

Behavioral health challenges have intensified nationwide, with wait times for care stretching months and access in rural areas remaining inadequate. Telehealth innovations are emerging as a crucial bridge to close these gaps, particularly in behavioral health. The stakes are high and according to the 2023 National Survey on Drug Use and Health (NSDUH), 22.8%…

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Latest Videos

The Value of a Restoration Team with Healthcare Experience
Building Management
The Value of a Restoration Team with Healthcare Experience
April 24, 2025

In this episode of Inside Restoration & Recovery, host Martha Lewis welcomes Jason McClaren, Director of Facilities Operations at Reunion Rehabilitation Hospitals, to discuss the critical advantage of partnering with a restoration team experienced in healthcare. A former firefighter and military veteran, Jason has spent the last decade managing safety, risk, and emergency preparedness…

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Growing the Future of Cancer Research: Inside the Promise of Organoids

In an era where precision and predictability define the future of oncology, organoid technology is emerging as a transformative tool in drug discovery. These miniature, lab-grown 3D tissues mirror real human biology more closely than traditional 2D models or even animal systems, offering researchers the potential to predict patient-specific drug responses. As organoids become more…

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Evolving Biomarkers: Charting the Future of Precision Medicine

In a rapidly shifting landscape of personalized medicine, biomarkers have become central to shaping the way drug development and clinical trials unfold. From predicting therapeutic response to identifying optimal patient populations, the complexity and scope of biomarker use has increased alongside technological advances. A key success story like the BCR-ABL biomarker in chronic myeloid leukemia…

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Exploring Artificial Intelligence in Drug Discovery

Artificial intelligence is rapidly reshaping the drug discovery process, moving from augmenting research to actively driving innovation. As biotech companies face soaring R&D costs and long development cycles, AI promises a breakthrough: slashing drug development time by nearly half while improving accuracy in identifying promising compounds. With global pharmaceutical R&D spending projected to exceed $230…

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Global Health Staffing: Beyond Ethical Recruitment
Care Anywhere Podcast - Season 1
Global Health Staffing: Beyond Ethical Recruitment
April 16, 2025

In this episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer of TruMerit, welcomes Earl Dalton, MHA, MSL, BSN, NEA-BC, Chief Clinical Officer & VP of Clinical Services at Health Carousel, for a powerful conversation on building a more ethical, sustainable future for global healthcare staffing. Earl shares…

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Mari Savickis with CHIME

Mari Savickis, VP of Public Policy for CHIME, joins Panda Perspectives live from the VIVE show floor to break down how shifting federal priorities and political uncertainty are impacting digital health progress. As a longtime healthcare policy expert, Mari offers a behind-the-scenes look at how providers are reacting to rapid changes in Washington, highlighting how…

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Charlotte Piper with Ochsner Health

Charlotte Piper, Assistant Vice President of Ochsner Ventures, joins Panda Perspectives to explore how Ochsner Health is leveraging innovation, strategic investment, and deep collaboration to drive real change in healthcare. With a mission to create new value—financial and operational—for the health system, Charlotte shares how her team works across partnerships, internal ventures, and digital transformation…

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Sam Shields with Dartmouth Health

Sam Shields, System VP of Strategy and Regional Operations at Dartmouth Health, joins Panda Perspectives to discuss how the academic health system is navigating digital transformation in a rural setting. With a recently completed strategic plan, Dartmouth is focused on enhancing care for its aging population through innovative models, AI governance, and robust telehealth infrastructure….

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hyro
Healthcare
Michael Blumenthal with Hyro
April 15, 2025

Michael Blumenthal from Hyro joins the ViVE show floor to discuss the emerging role of AI in healthcare. She highlights how Hyro is not just talking about AI’s potential but is actively deploying it with healthcare organizations, delivering impactful results. Michael emphasizes Hyro’s success in integrating deeply into the healthcare community, focusing solely on healthcare’s…

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Joshua Titus with Gozio

Joshua from Gozeo joins Amy on Panda Perspectives to discuss how Gozeo is personalizing the patient experience through mobile solutions. Gozeo, a healthcare IT company, serves as a digital front door for health systems, helping engage patients, visitors, and staff. Joshua highlights the growing trend of personalization in healthcare, emphasizing how mobile platforms can tailor…

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Scott North with Praia Health

Scott North, Head of Partnerships at Praia Health, joins Panda Perspectives to discuss how Praia is redefining patient experience orchestration. Spun out of Providence in 2023, Praia helps health systems retain patients by unifying fragmented experiences—like lab visits and pharmacy trips—into a single, seamless journey. Scott emphasizes Praia’s focus on long-term engagement, reducing patient leakage,…

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Linda Stevenson with Fisher-Titus Health

Linda Stevenson, CIO of Fisher-Titus, shares why she helped launch the rural health community initiative at CHIME and how it’s creating essential momentum for collaboration. Speaking from VIVE 2025, Linda highlights the unique challenges rural hospitals face—from limited budgets to lean staffing—and the importance of collective action. She emphasizes how vendor education is key: once…

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Other Healthcare Articles
Demystifying the Global Health Workforce
March 19, 2025

In the latest episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing & Communications Officer at TruMerit (formerly CGFNS International, Inc.), is joined by Jim Campbell, Director of Health Workforce at the World Health Organization (WHO), and Peter Preziosi, President & CEO of TruMerit. Together, they explore pressing global…

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Sterile Compounding and Contamination Control with Abby Roth
March 11, 2025

In this episode of Exceeding Your Benchmark, host Michelle Dawn Mooney speaks with Abby Roth, founder of Pure Microbiology, about sterile compounding and contamination control. Abby shares her expertise in microbiology, sterile environments, and best practices in pharmaceutical compounding. The conversation begins with a distinction between traditional drug manufacturing and sterile compounding, highlighting the…

Read More
Convenient Online Hearing Test from HearUSA Enhances Your Hearing Health Journey
March 11, 2025

Struggling to hear conversations could be more prevalent than you think. As a leader in hearing care, HearUSA offers an easy solution that you can manage from the comfort of your home: the HearUSA Online Hearing Test. Experience the Simplicity This quick, free, and convenient online test is designed to examine your hearing in…

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Interview with Robin Goldsmith
March 1, 2025

At ViVE 2025, Panda Health’s Jason Taylor and Verizon Healthcare’s Robin Goldsmith dive into the future of AI in healthcare, exploring how ambient technology is revolutionizing workflows for clinicians and improving patient experiences. A dynamic conversation not to be missed!

Read More
Career Journeys: Impact Through Entrepreneurism
February 26, 2025

On this special Career Journeys episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims sits down with Shailadi Gupta, CEO and Founder of Kindshell Healthcare. A nurse and holistic wellness coach, Shailadi shares her inspiring journey from India to Canada and how her experiences shaped her mission to support other Indian…

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Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?
February 19, 2025

Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….

Read More
English Proficiency: Opening Doors to International Health Careers
February 13, 2025

In this special episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer and Host at CGFNS International, dives deep into the critical role of English language proficiency in global healthcare workforce mobility. Joined by guest Spiros Papageorgiou, Principal Measurement Scientist at ETS, the discussion unpacks how language proficiency benchmarks…

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Employer-Built Healthcare Plans: Controlling Costs and Transforming Care
February 12, 2025

The rising cost of healthcare continues to strain employers and employees alike. With premiums climbing at a rate outpacing inflation, many organizations are burdened with high costs and subpar outcomes. Employer-built healthcare models are emerging as a potential solution, enabling organizations to take control of their healthcare systems. According to the Kaiser Family Foundation,…

Read More
AI and Advocacy Unite: Tackling Women’s Health Disparities with Hologic Mia Keeys
February 5, 2025

Women’s health remains a critical issue globally, with alarming disparities in access and outcomes. A new survey from Hologic and Gallup reveals that while nearly 90% of women recognize the importance of health screenings, less than half undergo them consistently due to barriers like cost, time, and anxiety. The stakes are particularly high in…

Read More