#health-policy

HEDIS 2025: What Health Plans Must Do Now to Prepare for Digital Quality Measures

From MY2025 lessons to MY2026’s biggest HEDIS overhaul in 20 years — how health plans can leverage AI and FHIR to stay ahead

The Dutch Healthcare System: Opacity, Market Logic, and Structural Silence

1. A Statistical Anomaly: The Silence of Dutch Healthcare

Beyond the Buzzword: What Health Equity Actually Means

Health disparities are the symptom. Health equity is the goal. Structural change is the treatment.

Was the AMA Duped on Kratom and 7-OH

WHO highlights the opportunities, risks and conditions for responsible use of AI

AI in health policy

The AI Act Needs a Healthcare Reality Check

We need strict rules where AI can harm patients — and proportionate rules where AI only helps them navigate the system.

HEDIS Explained: One of the Scoring Systems That Determine How Much CMS Pays Your Health Plan

Healthcare Effectiveness Data and Information Set (HEDIS) is a set of criteria for evaluating if patients are receiving preventative care…

The Attrition Policy

Work Rules, Lost Children, and a Coverage Cliff Nobody Timed

Hemos aprendido a convivir con el colapso. Ese es el verdadero problema.

Hace unos días volví a leer un titular sobre el colapso de las urgencias. Creo que era el tercero o cuarto en pocas semanas. Cambiaba el…

La conversación que nunca tuve en la carrera de Medicina

Cuando la Universidad Loyola me propuso impartir la asignatura de Gestión Clínica en el Grado de Medicina, tuve clara una cosa desde el…

The BCI Race Isn’t About the Technology

Neuralink grabs headlines. The real competition is over who builds the institutional plumbing first.

Thirty Years of Global Health Progress. Why Aren’t We Celebrating?

A child born today is three times more likely to reach their fifth birthday than one born in 1994. Women are dying less in pregnancy and…

Why Healthcare Prices Feel So Mysterious Compared to Everything Else

Most products become easier to understand over time.

Why Preventive Care Is One of the Best Investments in Healthcare

By Adeuris Rivas Medina

Canada is quietly dismantling its pesticide oversight on the sly

With no announcement and no debate, Carney government just rewrote two budget bills and erased decades of pesticide protections.

Formar residentes cuando el viejo pacto ya no funciona.

En los últimos años se repiten pequeñas escenas en la formación de los futuros especialistas que, vistas de forma aislada, podrían parecer…

Pengendalian Utilisasi Pelayanan Kesehatan dalam Mencegah Defisit Pembiayaan Jaminan Kesehatan…

Latar Belakang

Optimalisasi Fungsi Gatekeeper Fasilitas Kesehatan Tingkat Pertama dalam Mencegah Defisit…

Latar Belakang

KAJIAN KEBIJAKAN

PEMUTAKHIRAN DATA DAN AKURASI PENARIKAN PESERTA PBI DALAM MENJAMIN EFISIENSI PEMBIAYAAN JAMINAN KESEHATAN NASIONAL (JKN)

Story time with public Data, Cuyahoga County, Ohio, Part 2

After exploring Summit County using public ACS and Child Opportunity Index data, I became curious about how neighborhood opportunity…

Why Ingredient Transparency Matters More Than Ever

A decade ago, most people never thought twice about ingredients.

The Reckoning Arrives

When the Mirage Met the Balance Sheet

Tobacco Control Is More Than a Public Health Issue: A Global Diplomacy Challenge.

A student policy brief examining tobacco control through the lens of global health diplomacy, governance, and sustainable development.

The Clinical Recording Monitoring System (CRMS): A Compliance-by-Design Infrastructure for…

The Clinical Recording Monitoring System (CRMS): A Compliance-by-Design Infrastructure for Healthcare Recording Governance

When Should I Sign Up for Medicare? The 6 Windows Explained

Originally published on thatyounginsuranceguy.com/blog/when-to-sign-up-for-medicare-enrollment-windows.

Why Healthcare Interoperability Is Still Broken — And How AI Is Finally Fixing It

El viernes a última hora, llegó una instrucción sobre inteligencia artificial.

El viernes, a última hora de la mañana, abrí el correo institucional y me encontré una instrucción interna sobre el uso de herramientas de…

AI Ethics in Healthcare

AI Ethics in Healthcare are the the principles that guide safe and un-bias healthcare operations while still making use of this technology.

Cessation Services Are Available in Every Country. Almost Nobody Uses Them. Why?

The infrastructure exists. The pharmacology exists. The behavioral science exists. What’s missing is the institutional honesty to admit…

Reid’s The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care — a…

Back in 2010, near the time of the raging debate about the Affordable Care Act, journalist T. R. Reid used his experience with a shoulder…

Why Healthcare Keeps Asking Families To Do More While Giving Them Less

Somewhere along the way, healthcare quietly changed the job description. Not for physicians, nurses, or health systems themselves, but for…

The Iran War Is Exposing Africa’s Medicine Security Problem

Africa’s dependence on Indian medicines, Gulf transit corridors and fragile procurement systems has become a health-system risk

Japan’s HTA System and the 2026 Reform: A Comprehensive Guide

Originally entries on tamai.blog. Written in my personal capacity as an independent observer, this essay explores the structural philosophy…

What’s the Difference Between Medicare Advantage and Medigap?

Originally published on thatyounginsuranceguy.com/blog/difference-between-medicare-advantage-and-medigap.

Beyond the Ambulance: Rethinking Coordination in Healthcare

How the Amissah case exposes cracks in our system , and why every clinical role matters in the race to save a life

When the Market Fails Patients: Healthcare Concentration & The Price We Pay

Market concentration in healthcare sets America behind its potential.

Cash Is Not a Cure: The Insurance Gaps Behind Falling GLP-1 Prices

“Lower is better, but ‘lower’ doesn’t automatically mean accessible.”

Discharged. Now What? The Data Behind India’s Post-Hospital Care Gap

Every year, approximately 80 million surgical procedures are performed in India. The vast majority of patients are discharged within 3–7…

$60 Million for a CEO — So What Does That Mean for Your Care?

Let’s talk about something most patients never see — but absolutely feel.

The In-Between Is Where Care Actually Happens

For older adults, most of what determines outcomes never reaches a clinical encounter, yet we continue to design as though it does.

Illinois Is Building the System the Federal Government Won’t

How Illinois Is Turning Access Into Infrastructure

The Efficiency Myth: Why Private Health Insurance Costs More to Administer Than Medicare

By Dr David Bell, former specialist anaesthetist and software engineer

The Biggest Upgrade Healthcare EDI Has Seen in Two Decades Is Coming. Dental Has the Most to Gain.

I have spent the last few weeks buried in XML schema files. Not the fun kind of XML, if there is such a thing, but the dense, deeply nested…

Scope is not the problem: why governance is the real risk for advanced practice by paramedics in…

Cite as: Batt, A., Leduc, S., & Bolster, J. (2026). Scope is not the problem: why governance is the real risk for advanced practice by…

Regulatory Delay? Patients Pay. Reframing Regulatory Lag as a Governance Risk — Policy Commentary

Cite as: Batt, A., & Bolster, J. (2026). Regulatory Delay? Patients Pay. Reframing Regulatory Lag as a Governance Risk — Policy Commentary…

Dedicating My Account To Mothers And Young Girls In Rural North

Strengthening systems that support and protect women and young girls.

A Life in Public Service: Medicine, Policy, and Community

Medicine, nonprofit leadership, and bipartisan lawmaking as a single continuum of public service

Pain Without Witness: Why Recognition Failure Is a Patient Safety Risk

By Monica felder

Dear Mark Cuban: Florida Has Already Built Half Your Healthcare Revolution

Florida Accidentally Pre-Built Your Next Healthcare Takedown. Here’s the Blueprint.

Trump Calls for Ozempic Price Cut to $150 per Month: What It Really Means for Patients, Pharma, and…

When former President Donald Trump announced that the price of Ozempic should drop from about $1,000 to $150 per month, the reaction was…