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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.”

Hospital 130
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Will New Medicaid Policies Put Hospital Margins at Risk?

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy After a tough few years marked by the pandemic, staffing shortages, and rising costs, hospitals are finally starting to catch their breath. New data reveals a rebound in hospital margins, offering hope for health systems. and operating margins to 5.2%.

Hospital 130
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Engaging Physicians in Quality Improvement: Strategies for Driving Practice Change

EvidenceCare

When clinical teams embed learning into daily routines, reducing clinical variation becomes achievable and practice improvement in hospitals shifts from an initiative to a habit. Real-time dashboards can also flag length of stay variance, prompting collaboration to streamline processes and free up capacity for higher-acuity admissions.

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How Denver Health Reduced Length of Stay: A Step-by-Step Guide

EvidenceCare

Interview by Dr. Brian Fengler, Co-Founder and Chief Medical Officer Hospital length of stay (LOS) is a critical operational and clinical metric that directly impacts cost, patient flow, and care access. Many staff believed longer stays were justified due to the hospitals complex patient population.

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Primary care news round-up (4th July – 9th July 2025)

Practice Index

It has pointed to Team Up Derbyshire, which links GPs, social workers, carers and nurses, as an example of what it wants to see. New NHS App could leave practices behind Patients could end up using better NHS technology than practices, GP leaders warned as the Government announced details of a new AI-enhanced NHS app.

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AI is Transforming Healthcare Behind the Scenes

Mobius MD

Having AI check errors gives providers peace of mind while speeding up reimbursements and minimizing costly denials. By predicting admissions and discharge patterns, AI helps prevent overcrowding and reduces wait times. Post-visit, AI can guide patients through recovery by sending reminders to take medications or schedule follow-ups.

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RAG in Healthcare: Your Complete Guide to Its Implementation

Arkenea

Here’s how it works in practice: When a physician asks, “ What are the latest treatment protocols for diabetic patients with kidney complications based on our hospital’s outcomes data? It’s like having a senior attending physician available 24/7 who knows everything about our hospital’s operations.