Why Most Healthcare Risk Assessments Fail Under Audit — And What to Do Before That Happens
What every healthcare provider needs to know about compliance risk assessment in 2026 5 KEY TAKEAWAYS 1. Risk assessment is…
The Revenue Cycle Reckoning: Leading Independent Practices Through Healthcare’s Most Transformative Year
A Strategic Framework for Navigating the Convergence of Value-Based Care, Operational Complexity, and Workforce Evolution in 2026 By Olga Khabinskay, Director…
The 0.09% Problem: What the 2027 Medicare Advantage Rate Proposal Really Means for Providers
By Elena Pak, Credentialing Department, WCH On February 27, 2026, the Better Medicare Alliance — an insurer-backed Medicare Advantage advocacy…
When the Gatekeeper Wants More Keys: What Centene’s FWA Reform Proposal Really Means for Providers
By Elena Pak, Credentialing Department, WCH On February 25, 2026, Centene — the largest Medicaid managed care organization in the…
Anthem Foundation’s $12 Million New York Play: Philanthropy, or Strategic Positioning?
When a major Medicaid managed care organization announces a $12 million philanthropic investment, the instinct is to take it at…
CMS’s AI RFI for Medicare: A Procurement Signal or a Policy Shift?
On February 23, 2026, the Centers for Medicare & Medicaid Services issued a Request for Information seeking AI and machine…
CMS’s Federal Provider Directory for Medicare Advantage: A Long-Overdue Reckoning With Ghost Networks
An Analytical Review of the New Regulatory Framework, Its Implications, and the Road Ahead By Elena Pak, Credentialing Department, WCH…
Oscar Health Transitions Provider Contracts to Oscar Management Corporation: What Every In-Network Provider Must Know
Analysis of Oscar Health’s Notice of Entity Expansion and Exhibit 7.3 — February 2026 By Nana Kazhiloti, Credentialing Department, WCH…
The End of Paper: CMS’s Mandatory Shift to Electronic CLIA Communications and What It Means for Over 300,000 U.S. Laboratories
An Analytical Review of the March 2026 Transition, Its Scope, Compliance Obligations, and Operational Implications By Elena Pak, Credentialing Department,…