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Healthcare strategy, AI integration, and care delivery insights. Written from inside the systems most people analyze from the outside.


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ACHE 2026: What the Hallways Reveal About AI That the Keynotes Won't
February 27, 2026

ACHE 2026: What the Hallways Reveal About AI That the Keynotes Won't

I've been in Houston for less than 24 hours and ACHE is already telling two different stories. The keynote stage says AI is transforming healthcare. The hallways say something else entirely. Here's what the sessions won't put in the recap deck.

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From the Field

The Grace Period is Over

The "Grace Period" is Over (New Laws as of Jan 1)

The regulatory landscape shifted at midnight. Here's what health technology leaders need to act on immediately.

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CMS Drops $50B for Rural Health

Breaking: CMS Drops $50B for Rural Health (And What It Means for Tech)

The policy signal everyone in digital health needs to understand, and the access opportunity hiding inside it.

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2025 Retrospective: The Year of the Borderless Healthcare Revolution

2025 Retrospective: The Year of the Borderless Healthcare Revolution

A year-end audit of the moves that mattered, the tech that delivered, and what the scorecard actually says going into 2026.

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The $100M Pivot: CMS Funding Root Cause Medicine

The $100M Pivot: Why CMS is Finally Funding "Root Cause" Medicine

This isn't incremental. It's a structural bet that the downstream cost of not addressing root causes finally outweighs the political cost of paying for them.

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Why I Traded the OR for a Boardroom

Why I Traded the OR for a Boardroom... for Impact

The career move nobody understood until they did. What it actually takes to go from practicing medicine to changing the systems that deliver it.

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Deep Dive: The CMS ACCESS Model

🔴 Deep Dive: The CMS ACCESS Model Is the "Subscription for Health" We've Been Waiting For... Maybe?

A full read on whether this model is the care delivery paradigm shift it's being marketed as, or another pilot that won't survive contact with operational reality.

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The Access Revolution Hidden in FinTech

The Access Revolution Hidden in FinTech

During the 8th China International Import Expo (CIIE) last week, Sino Biopharm and MediTrust Health signed a landmark strategic agreement, and almost nobody in US healthcare noticed.

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How Digital Twins Are Revolutionizing Healthcare

The Ultimate Personalization: How Digital Twins Are Revolutionizing Your Healthcare

For decades, medicine has operated on a foundation of averages. The digital twin changes the unit of analysis from population to individual, and the implications are enormous.

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Two Sides of the Burnout Coin

Two Sides of the Burnout Coin: Can AI Fix Documentation and Culture?

For the last decade, we've talked about clinician burnout as a problem. Let's be blunt: it's no longer a problem. It's an existential crisis.

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Your Watch is Watching. Who Else Is?

Your Watch is Watching. Who Else Is?

Take a moment and look at your wrist. There's a very good chance you are wearing a device that is, at this exact second, counting your steps, logging your sleep, and transmitting your biometrics.

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The New Medtech Equation

The New Medtech Equation: Why Economic Proof Now Defines Both Fundraising and Hospital Sales

Good morning from San Jose. Being here this week has been incredibly energizing, and clarifying. The market has shifted. Clinical efficacy alone doesn't move the deal.

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Is Your Personalized Health Tech Actually One-Size-Fits-All?

Is Your "Personalized" Health Tech Actually One-Size-Fits-All?

Here at the MERGE Built '25 conference, "personalization" is the word on everyone's lips. So why does every product on the floor look like it was built for the same hypothetical patient?

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How Digital Twins Are Predicting Autoimmune Flares

The End of Reactive Care? How Digital Twins Are Predicting Autoimmune Flares

For years, the conversation around remote patient monitoring has been anchored in familiar territory: tracking vitals post-discharge. This is a different conversation.

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Beyond Compliance: Why Trust is Health Tech's Most Critical Asset

Beyond Compliance: Why Trust is Health Tech's Most Critical Asset

We are in the golden age of health innovation. From AI-driven wellness platforms to surgical robotics, our work is fundamentally changing care. But trust is the scarce resource none of it works without.

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Cracking the US Healthcare Code: A Playbook for Founders

Cracking the US Healthcare Code: A Quick & Dirty Playbook for Founders

Last night, I gave a workshop to a group of international founders about the US healthcare landscape. The looks on their faces confirmed what I already suspected: this system is genuinely incomprehensible from the outside.

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The $10,000 App: Reimbursement for Digital Therapeutics

The $10,000 App: Cracking the Code on Reimbursement for Digital Therapeutics

Imagine your doctor concludes your visit not just with a prescription for a pill, but also one for a specialized app. That future is closer than most people realize, and the path to reimbursement is finally starting to clear.

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Surviving the Squeeze: HealthTech's Messy Middle

Surviving the Squeeze: A Clinician's and Builder's Guide to HealthTech's Messy Middle

Whether you're on the clinical front lines or building the technology that supports them, 2025's healthcare market looks the same from both seats: brutal, full of opportunity, and absolutely unforgiving of misaligned incentives.

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Beyond the Breakroom: Digital Health Tools and Nurse Burnout

Beyond the Breakroom: How Digital Health Tools Can Stem the Tide of Nurse Burnout

Our healthcare system is facing a critical shortage of its most essential professionals: nurses. The statistics are alarming. The causes are structural. And the technology window to address them is closing fast.

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