With all the talk about generative AI over the past few years, the conversation in healthcare has largely shifted away from less flashy use cases, such as automating administrative tasks. But doing the basics well remains key to minimizing missed appointments, delayed treatments and lost revenue. 

PocketHealth automates nonclinical workflows for providers, from image release and scheduling to patient communication. Co-founder and CEO Rishi Nayyar argues that providers still have a long way to go before mastering this type of automation. Senior Writer Anastassia Gliadkovskaya speaks with Nayyar about the different types of AI, how advances in the technology have enabled faster integrations and what the future of automation could look like.

To learn more about the topics in this episode: 
Physicians and administrators view AI as key to reduce professional burdens: Innovaccer
Economic pressure, consumer behavior will push providers to speed up AI adoption in 2026
Adoption of AI for hospital RCM surges, but cost, operational constraints slow progress

With all the talk about generative AI over the past few years, the conversation in healthcare has largely shifted away from less flashy use cases, such as automating administrative tasks. But doing the basics well remains key to minimizing missed appointments, delayed treatments and lost revenue.&nbsp;
PocketHealth automates nonclinical workflows for providers, from image release and scheduling to patient communication. Co-founder and CEO Rishi Nayyar argues that providers still have a long way to go before mastering this type of automation. Senior Writer Anastassia Gliadkovskaya speaks with Nayyar about the different types of AI, how advances in the technology have enabled faster integrations and what the future of automation could look like.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/ai-and-machine-learning/physicians-and-administrators-view-ai-key-reduce-professional-burdens">Physicians and administrators view AI as key to reduce professional burdens: Innovaccer</a></li>
<li><a href="https://www.fiercehealthcare.com/ai-and-machine-learning/economic-pressure-consumer-behavior-will-push-providers-speed-ai-adoption">Economic pressure, consumer behavior will push providers to speed up AI adoption in 2026</a></li>
<li><a href="https://www.fiercehealthcare.com/ai-and-machine-learning/adoption-ai-hospital-rcm-surges-even-health-systems-navigate-cost">Adoption of AI for hospital RCM surges, but cost, operational constraints slow progress</a></li>
</ul>

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Podnosis

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Have providers missed the mark on basic automation?

On January 1, CMS launched its latest alternative payment model: TEAM, the Transforming Episode Accountability Model. The mandatory program requires hundreds of acute care hospitals to participate in episode-based payments for five common, high-cost surgeries.

TEAM's goal is central to value-based care: improve quality while reducing Medicare spending. But the model has faced industry resistance. Critics argue it puts smaller, less-resourced hospitals at risk and should be voluntary. CMS maintains that the model builds on past voluntary programs and aligns with recommendations from federal partners.

To understand TEAM and what it demands of hospitals, senior writer Anastassia Gliadkovskaya talks with Jeff Gleason, M.D., the new chief medical officer of Navvis, a value-based care enablement company. He argues that hospitals that don't prepare now will struggle later.

To learn more about the topics in this episode: 
Hospitals rail against 'inadequate' pay bump, mandatory TEAM participation in IPPS comments
Hospitals, health systems expect to ramp up value-based care in 2026, 2027
CMMI to cut participation in payment models, estimates $750M in savings

 

On January 1, CMS launched its latest alternative payment model: TEAM, the Transforming Episode Accountability Model. The mandatory program requires hundreds of acute care hospitals to participate in episode-based payments for five common, high-cost surgeries.
TEAM's goal is central to value-based care: improve quality while reducing Medicare spending. But the model has faced industry resistance. Critics argue it puts smaller, less-resourced hospitals at risk and should be voluntary. CMS maintains that the model builds on past voluntary programs and aligns with recommendations from federal partners.
To understand TEAM and what it demands of hospitals, senior writer Anastassia Gliadkovskaya talks with Jeff Gleason, M.D., the new chief medical officer of Navvis, a value-based care enablement company. He argues that hospitals that don't prepare now will struggle later.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/providers/provider-orgs-rail-against-inadequate-pay-bump-mandatory-team-participation-ipps-comments">Hospitals rail against 'inadequate' pay bump, mandatory TEAM participation in IPPS comments</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/hospitals-health-systems-expect-ramp-value-based-care-2026-2027">Hospitals, health systems expect to ramp up value-based care in 2026, 2027</a></li>
<li><a href="https://www.fiercehealthcare.com/regulatory/cmmi-cut-short-payment-models-estimates-750m-savings">CMMI to cut participation in payment models, estimates $750M in savings</a></li>
</ul>
&nbsp;

The TEAM model arrives, ready or not

Employers are in a tough spot. Healthcare costs are rising, while insurance plan options may seem overwhelming or inadequate. The need for real value has never been more apparent. What if there were a way to optimize an existing provider network for quality?

Garner Health helps employers address these pain points. By finding the best-performing doctors in a given network and incentivizing members to see them, Garner claims to help clients save costs and achieve better health outcomes.

To break it down, Fierce Healthcare's Anastassia Gliadkovskaya talks to Garner Health founder and CEO Nick Reber.

To learn more about the topics in this episode: 
Employers brace for 6.7% increase in health benefits costs
Report: Payers need to do more to demonstrate value to plan sponsors
Industry Voices—Maximizing your benefits investment: Why health insurance literacy is the missing link

Employers are in a tough spot. Healthcare costs are rising, while insurance plan options may seem overwhelming or inadequate. The need for real value has never been more apparent. What if there were a way to optimize an existing provider network for quality?
Garner Health helps employers address these pain points. By finding the best-performing doctors in a given network and incentivizing members to see them, Garner claims to help clients save costs and achieve better health outcomes.
To break it down, Fierce Healthcare's Anastassia Gliadkovskaya talks to Garner Health founder and CEO Nick Reber.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/payers/employers-brace-67-increase-health-benefits-costs-next-year-mercer">Employers brace for 6.7% increase in health benefits costs</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/report-payers-need-do-more-demonstrate-value-plan-sponsors">Report: Payers need to do more to demonstrate value to plan sponsors</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/industry-voices-maximizing-your-benefits-investment-why-health-insurance-literacy-missing">Industry Voices&mdash;Maximizing your benefits investment: Why health insurance literacy is the missing link</a></li>
</ul>

Cutting employer costs by steering patients to top docs

Since the Trump administration took office in January, healthcare policy has been moving quickly, with changes touching Medicaid funding, ACA subsidies, hospital finances and the federal government’s approach to health technology.

This week on "Podnosis," we’re bringing you a recording from a live roundtable at the Fierce Health Payer Summit on Dec. 4, where members of the Fierce Healthcare editorial team unpacked the policy and funding shifts already underway. The discussion covers Medicaid cuts and coverage losses, how hospitals are preparing for reduced government funding, CMS’ new health tech ecosystem and where PBM reform stands after years of scrutiny.

To learn more about the topics in this episode: 
Crapo, Cassidy introduce ACA subsidy plan that leans on HSAs
AHIP presses for ACA subsidy extension, further program integrity measures
Medicaid work rules exempt the 'medically frail.' Deciding who qualifies is tricky
When the hospital leaves town
Many urban safety-net hospitals threatened by OBBBA's Medicaid cuts: analysis
Industry Voices—3 major changes to Medicare Part B payment policies coming for 2026
'Come fight with me'—Oz courts physicians skeptical of Medicaid cuts, MAHA's criticisms
KFF: States brace for increasing Medicaid costs even as enrollment stays flat
All 50 states submit applications for $50B Rural Health Transformation Program
The policies top of mind for healthcare stakeholders right now
Hospital M&A continues to rebound as policy uncertainty clears

Since the Trump administration took office in January, healthcare policy has been moving quickly, with changes touching Medicaid funding, ACA subsidies, hospital finances and the federal government&rsquo;s approach to health technology.
This week on "Podnosis," we&rsquo;re bringing you a recording from a live roundtable at the Fierce Health Payer Summit on Dec. 4, where members of the Fierce Healthcare editorial team unpacked the policy and funding shifts already underway. The discussion covers Medicaid cuts and coverage losses, how hospitals are preparing for reduced government funding, CMS&rsquo; new health tech ecosystem and where PBM reform stands after years of scrutiny.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/regulatory/crapo-cassidy-introduce-aca-subsidy-plan-leans-hsas">Crapo, Cassidy introduce ACA subsidy plan that leans on HSAs</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/ahip-presses-aca-subsidy-extension-further-program-integrity-measures">AHIP presses for ACA subsidy extension, further program integrity measures</a></li>
<li><a href="https://www.fiercehealthcare.com/regulatory/medicaid-work-rules-exempt-medically-frail-deciding-who-qualifies-tricky">Medicaid work rules exempt the 'medically frail.' Deciding who qualifies is tricky</a></li>
<li><a href="https://www.fiercehealthcare.com/hospitals/when-hospital-leaves-town">When the hospital leaves town</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/many-urban-safety-net-hospitals-threatened-obbbas-medicaid-cuts-analysis">Many urban safety-net hospitals threatened by OBBBA's Medicaid cuts: analysis</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/industry-voices-three-major-changes-medicare-part-b-payment-policies-coming-2026">Industry Voices&mdash;3 major changes to Medicare Part B payment policies coming for 2026</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/come-fight-me-oz-courts-physicians-skeptical-medicaid-cuts-maha-criticisms">'Come fight with me'&mdash;Oz courts physicians skeptical of Medicaid cuts, MAHA's criticisms</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/kff-states-brace-increasing-medicaid-costs-even-enrollment-stays-flat">KFF: States brace for increasing Medicaid costs even as enrollment stays flat</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/cms-opens-state-applications-50b-rural-health-transformation-program">All 50 states submit applications for $50B Rural Health Transformation Program</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/policies-top-mind-healthcare-stakeholders-right-now">The policies top of mind for healthcare stakeholders right now</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/hospital-ma-continues-rebound-policy-uncertainty-clears">Hospital M&amp;A continues to rebound as policy uncertainty clears</a></li>
</ul>

Have providers missed the mark on basic automation?

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