At-home care is gaining momentum as patients seek more convenient options and hospitals face mounting capacity challenges. 

This week on "Podnosis," Krista Drobac, founder of the Alliance for Connected Care, joins us to outline the policy changes her organization is advocating for in Washington. She discusses efforts to boost reimbursement for remote monitoring, advance SNF-at-home programs, generate stronger evidence for emerging care models and secure an extension of hospital-at-home policies.

To learn more about the topics in this episode: 
Senators introduce RPM Access Act to increase rural payment rate for remote monitoring
Senate sends CR extending telehealth, hospital priorities to Trump's desk
Winners and losers in healthcare after averted shutdown
Bipartisan Policy Center urges Congress to extend Medicare hospital at home, telehealth policies by end of year

This episode is sponsored by Optum Rx. 

At-home care is gaining momentum as patients seek more convenient options and hospitals face mounting capacity challenges.&nbsp;
This week on "Podnosis," Krista Drobac, founder of the Alliance for Connected Care, joins us to outline the policy changes her organization is advocating for in Washington. She discusses efforts to boost reimbursement for remote monitoring, advance SNF-at-home programs, generate stronger evidence for emerging care models and secure an extension of hospital-at-home policies.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/regulatory/rpm-access-act-introduced-congress">Senators introduce RPM Access Act to increase rural payment rate for remote monitoring</a></li>
<li><a href="https://www.fiercehealthcare.com/regulatory/schumer-indicates-democrats-are-divided-government-spending-bill">Senate sends CR extending telehealth, hospital priorities to Trump's desk</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/how-healthcare-orgs-are-reacting-proposed-government-funding-bill">Winners and losers in healthcare after averted shutdown</a></li>
<li><a href="https://www.fiercehealthcare.com/regulatory/bipartisan-policy-center-urges-congress-extend-medicare-hospital-home-telehealth">Bipartisan Policy Center urges Congress to extend Medicare hospital at home, telehealth policies by end of year</a></li>
</ul>
This episode is sponsored by&nbsp;<a href="https://ad.doubleclick.net/ddm/clk/608177016;413236643;d;gdpr=$%7BGDPR%7D;gdpr_consent=$%7BGDPR_CONSENT_755%7D">Optum Rx</a>.&nbsp;

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.

What’s next for tech-enabled home care? A look at the policy road ahead

For-profit payers and providers have wrapped up yet another round of earnings calls. Insurance executives cited positive signs in the Medicaid space and plenty of policy uncertainty as open enrollment season gets underway, while providers noted softer surgical volumes and ongoing pressure from declining ACA enrollment.

Editor Dave Muoio, Senior Reporter Paige Minemyer and Reporter Cailey Gleeson sit down to discuss the key takeaways from third-quarter earnings reports.

To learn more about the topics in this episode: 
Tenet Healthcare sails past Q3 earnings estimates, boosts 2026 guidance
Humana pacing ahead of expectations during Medicare enrollment window, CEO says
Cigna offers investors a look at its new Lead to One strategy
CVS Health plans to split pharmacy business from Aetna, Caremark
Community Health Systems logs $86M net loss in Q3, hopes for return of 'pent-up' electives in 2027
UnitedHealth Group execs detail continued improvements at Optum Health
HCA Healthcare tops Q3 expectations on strong demand, but warns of persistent payer mix issues
Universal Health Services headed for 'lower end' of 2026 guidance after Q3's volume growth, softer m…
Why Centene's CEO sees opportunity for 'long-term growth' in Medicaid
Elevance Health poised for Medicaid improvements in 2027

For-profit payers and providers have wrapped up yet another round of earnings calls. Insurance executives cited positive signs in the Medicaid space and plenty of policy uncertainty as open enrollment season gets underway, while providers noted softer surgical volumes and ongoing pressure from declining ACA enrollment.
Editor Dave Muoio, Senior Reporter Paige Minemyer and Reporter Cailey Gleeson sit down to discuss the key takeaways from third-quarter earnings reports.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/providers/tenet-healthcare-sails-past-q3-earnings-estimates-boosts-2026-guidance" data-processed-url="true">Tenet Healthcare sails past Q3 earnings estimates, boosts 2026 guidance</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/humana-boosts-guidance-it-beats-street-both-profit-revenue-q3" data-processed-url="true">Humana pacing ahead of expectations during Medicare enrollment window, CEO says</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/cigna-beats-street-14b-profit-737b-revenue-q3" data-processed-url="true">Cigna offers investors a look at its new Lead to One strategy</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/cvs-reveals-plans-split-two-companies" data-processed-url="true">CVS Health plans to split pharmacy business from Aetna, Caremark</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/community-health-systems-logs-86m-net-loss-q3-hopes-return-pent-electives-2027" data-processed-url="true">Community Health Systems logs $86M net loss in Q3, hopes for return of 'pent-up' electives in 2027</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/unitedhealth-group-beats-street-41b-profit-q3" data-processed-url="true">UnitedHealth Group execs detail continued improvements at Optum Health</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/hca-healthcare-tops-q3-expectations-strong-demand-warns-persistent-payer-mix-issues" data-processed-url="true">HCA Healthcare tops Q3 expectations on strong demand, but warns of persistent payer mix issues</a></li>
<li><a href="https://www.fiercehealthcare.com/providers/universal-health-services-grows-revenues-trims-earnings-q3" data-processed-url="true">Universal Health Services headed for 'lower end' of 2026 guidance after Q3's volume growth, softer m&hellip;</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/centene-posts-71m-loss-506b-revenue-q3" data-processed-url="true">Why Centene's CEO sees opportunity for 'long-term growth' in Medicaid</a></li>
<li><a href="https://www.fiercehealthcare.com/payers/elevance-health-posts-14b-profit-q3-earnings-beat" data-processed-url="true">Elevance Health poised for Medicaid improvements in 2027</a></li>
</ul>

Recapping the headwinds and tailwinds from Q3

Clinical AI must prove its value beyond a controlled demo. In this sponsored episode of Podnosis, host Irena Luo speaks with Chad Dodd, vice president of product management at Athenahealth, about how healthcare leaders can evaluate AI governance, safety and performance. Dodd explains why organizations should examine how a solution handles real-world data, edge cases and workflow variation, not only its ideal output. He discusses governance across the product development lifecycle, including testing for bias, accuracy and data validity, as well as validation across specialties, datasets and patient samples.

The conversation also covers practical clinician oversight through clear labeling of AI-generated information and links to source content. After deployment, Dodd says organizations should monitor model outputs, drift, telemetry, feature adoption and user feedback. For practices comparing AI partners, the discussion highlights four priorities: demonstrated workflow value, data privacy and security, transparent failure points, and evidence that the technology delivers its intended result safely and compliantly. Listen to the full podcast to learn more.

Clinical AI must prove its value beyond a controlled demo. In this sponsored episode of Podnosis, host Irena Luo speaks with Chad Dodd, vice president of product management at Athenahealth, about how healthcare leaders can evaluate AI governance, safety and performance. Dodd explains why organizations should examine how a solution handles real-world data, edge cases and workflow variation, not only its ideal output. He discusses governance across the product development lifecycle, including testing for bias, accuracy and data validity, as well as validation across specialties, datasets and patient samples.
The conversation also covers practical clinician oversight through clear labeling of AI-generated information and links to source content. After deployment, Dodd says organizations should monitor model outputs, drift, telemetry, feature adoption and user feedback. For practices comparing AI partners, the discussion highlights four priorities: demonstrated workflow value, data privacy and security, transparent failure points, and evidence that the technology delivers its intended result safely and compliantly. Listen to the full podcast to learn more.

How to Evaluate Clinical AI Beyond the Demo (Sponsored)

Cardiovascular disease is the leading cause of death among women. Conditions like heart disease and stroke kill more women each year than breast cancer, lung cancer and chronic lung disease combined.

As awareness of cardiovascular risk grows, one cardiologist argues that wearable technology could play an increasingly important role in women's heart health. Ami Bhatt, M.D., is chief medical officer of WHOOP and former chief innovation officer at the American College of Cardiology. Senior Writer Anastassia Gliadkovskaya talks with Bhatt about the potential of wearable health data and why including women in the development of new technologies is so important.

To learn more about the topics in this episode: 
Medical societies release female-specific framework for cardiovascular disease prevention, care 
Whoop expands Advanced Labs to non-members, adds Grail’s multi-cancer detection test to lineup 
ARPA-H launches $63M effort to build FDA-authorized AI agents for heart failure care 

Cardiovascular disease is the leading cause of death among women. Conditions like heart disease and stroke <a href="https://newsroom.heart.org/news/research-adds-to-knowledge-about-heart-disease-and-stroke-in-women-of-all-ages">kill more women</a> each year than breast cancer, lung cancer and chronic lung disease combined.
As awareness of cardiovascular risk grows, one cardiologist argues that wearable technology could play an increasingly important role in women's heart health. Ami Bhatt, M.D., is chief medical officer of WHOOP and former chief innovation officer at the American College of Cardiology. Senior Writer Anastassia Gliadkovskaya talks with Bhatt about the potential of wearable health data and why including women in the development of new technologies is so important.
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/providers/new-female-specific-framework-cardiovascular-disease-prevention-and-care" aria-label="Link Medical societies release female-specific framework for cardiovascular disease prevention, care">Medical societies release female-specific framework for cardiovascular disease prevention, care</a>&nbsp;</li>
<li><a href="https://www.fiercehealthcare.com/health-tech/whoop-expands-advanced-labs-offering-non-members-adds-grails-multi-cancer-detection" aria-label="Link Whoop expands Advanced Labs to non-members, adds Grail&rsquo;s multi-cancer detection test to lineup">Whoop expands Advanced Labs to non-members, adds Grail&rsquo;s multi-cancer detection test to lineup</a>&nbsp;</li>
<li><a href="https://www.fiercehealthcare.com/ai-and-machine-learning/arpa-h-launches-63m-cardiovascular-ai-initiative-naming-updoc-tempus-ai" aria-label="Link ARPA-H launches $63M effort to build FDA-authorized AI agents for heart failure care">ARPA-H launches $63M effort to build FDA-authorized AI agents for heart failure care</a>&nbsp;</li>
</ul>

What’s next for tech-enabled home care? A look at the policy road ahead

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