CMS CRUSH Initiative: What the New Anti-Fraud Rules Mean for Providers
By Elena Pak, Credentialing Department, WCH KEY TAKEAWAYS CMS launched CRUSH — a real-time, AI-powered anti-fraud framework targeting molecular diagnostics,…
The 10% Out-of-Network Penalty: What Happened, Why It Matters, and What Providers Must Do Now
By Elena Pak, Credentialing Department, WCH Anthem Blue Cross and Blue Shield — a subsidiary of Elevance Health — introduced…
The EAP Cliff and the $1 Billion Network: What Grow Therapy’s Series D Reveals About Mental Health’s Next Phase
By Oksana Pokoyeva, Billing Department, WCH On March 3, 2026, Grow Therapy announced a $150 million Series D at a…
Mandatory or Irrelevant: CMMI’s Last Chance to Fix Value-Based Care
By Elena Pak, Credentialing Department, WCH The CMS Innovation Center — created in 2010 with a $10 billion mandate to…
Fraud, Politics, and $31 Billion: What the Federal Medicaid Probe Actually Reveals
By Elena Pak, Credentialing Department, WCH On March 3, 2026, the Republican-controlled House Committee on Energy and Commerce sent letters…
Why Your Reimbursements Are Slow: A Diagnostic Framework for Revenue Cycle Dysfunction
By Tatyana Kantor, Billing Department, WCH Summary Slow reimbursement is rarely a payer problem. It is almost always a billing…
$76 Billion and Counting: The Medicare Advantage Reckoning Has Begun
By Elena Pak, Credentialing Department, WCH The Trump administration’s proposed 2027 Medicare Advantage payment rule — flat base rates at…
The Revenge of the Human: Why Wellness Is Done Optimizing
Key Takeaways Too Much of a Good Thing Somewhere between the fourth wearable on your wrist and the third morning…