Tracy Bostrom

On April 23, CMS Administrator Mehmet Oz sent every governor and state Medicaid director the same letter on provider revalidation. The ask was direct: notify CMS within 10 business days whether the state will conduct a "swift revalidation" of high-risk Medicaid providers, and submit a comprehensive two-year provider revalidation strategy, signed by the state Medicaid director, within 30 days. Failure to act gets factored into federal assessments of fraud likelihood in that state's program....

A large RCM firm and a democratic physician partnership have exactly one thing in common. They both want the claims paid. Everything else about how they are built, what they prioritize, and who they are designed to serve is different. Most independent ED groups built their clinical operation around that reality and made deliberate choices about how to govern it. Democratic partnership. Shared governance. A group that answers to its own physicians, not to a health system or a private equity...

Most emergency departments don't have an advice problem. They have an alignment problem. The system stopped matching how care is actually being delivered, and that gap is costing more than anyone realizes.