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Healthcare AI, Unpacked

Clinical perspectives on AI strategy, workflow automation, and the future of healthcare operations.

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The AI Governance Liability Bomb: 75% of Health Systems Are Already Exposed
AI Strategy

The AI Governance Liability Bomb: 75% of Health Systems Are Already Exposed

Three in four health systems have deployed AI. Only 18% have a formal governance policy. This isn't a technology gap — it's an active compliance liability that will be triggered by your next payer audit, regulatory inspection, or patient safety event.

April 28, 2026 · 7 min read
CMS's April 2026 Drug ePA Rule Creates Two-Track Standards — and Most Pharmacy Systems Are Only Built for One
Healthcare AI Regulation

CMS's April 2026 Drug ePA Rule Creates Two-Track Standards — and Most Pharmacy Systems Are Only Built for One

CMS's April 10, 2026 proposed rule separates drug prior authorization into FHIR and NCPDP tracks, with an October 2027 compliance deadline most pharmacy teams aren't planning for.

April 27, 2026 · 8 min read
The FDA Just Made AI Overreliance a Regulatory Violation
AI Regulation

The FDA Just Made AI Overreliance a Regulatory Violation

The first FDA cGMP warning letter to cite AI misuse as a standalone deficiency landed April 2, 2026. For pharmacy directors running AI in regulated workflows, this is the line of demarcation.

April 27, 2026 · 8 min read
Autonomous AI Prescribing Has Arrived. The FDA Still Hasn't Defined Its Authority.
AI Regulation

Autonomous AI Prescribing Has Arrived. The FDA Still Hasn't Defined Its Authority.

Utah's Doctronic pilot exposes a jurisdiction gap that no health system is prepared for — and pharmacy is squarely in the middle. Here's what that means for your operations right now.

April 20, 2026 · 8 min read
CMS Just Flipped the Prior Authorization Equation for Drugs
AI Regulation

CMS Just Flipped the Prior Authorization Equation for Drugs

A four-day-old proposed rule forces AI accountability into pharmacy — and the comment window closes June 15, 2026. Here's what every pharmacy director needs to do before then.

April 14, 2026 · 8 min read
The AI Billing Gap: What the 2026 CPT Codes Don't Tell You
AI Regulation

The AI Billing Gap: What the 2026 CPT Codes Don't Tell You

CPT 2026 gave healthcare AI its first billing vocabulary. CMS declined to fund most of it. Here is the financial and compliance trap healthcare leaders are walking into.

April 6, 2026 · 7 min read
The Pilot Trap: Why 76% of Healthcare AI Programs Can't Scale — And What to Do About It
AI Strategy

The Pilot Trap: Why 76% of Healthcare AI Programs Can't Scale — And What to Do About It

Health systems aren't failing at AI because the technology is broken. They're failing because the adoption model they inherited from traditional software procurement doesn't apply to clinical AI.

March 23, 2026 · 8 min read
The April 1 Deadline Your Health System Probably Missed
AI Strategy

The April 1 Deadline Your Health System Probably Missed

CMS and FDA opened the first outcome-aligned payment pathway for AI-enabled chronic care. Applications close April 1, 2026. Most clinical leaders haven't filed — and most don't know why that matters yet.

March 16, 2026 · 8 min read
Agentic AI Is Reshaping Telepharmacy — And Most Health Systems Are Missing the Play
Telepharmacy

Agentic AI Is Reshaping Telepharmacy — And Most Health Systems Are Missing the Play

Walgreens fills 60% of prescriptions with robotics. CVS deploys AI across 9,000 locations. Yet 81% of hospital pharmacy operations haven't adopted AI at any level. The gap isn't a technology problem — it's a strategic framing problem.

March 9, 2026 · 8 min read
FDA's 2026 CDS Guidance Makes Transparency Non-Negotiable — What Telepharmacy Operators Must Do Now
AI Regulation

FDA's 2026 CDS Guidance Makes Transparency Non-Negotiable — What Telepharmacy Operators Must Do Now

The FDA's January 2026 Clinical Decision Support guidance dismantles the black-box era in clinical AI. For telepharmacy operators, the compliance window is already open.

March 2, 2026 · 9 min read
Why Most EHR-Integrated AI Tools Fail at the Point of Care — And What Actually Works
Clinical AI

Why Most EHR-Integrated AI Tools Fail at the Point of Care — And What Actually Works

Clinicians in AI-enabled health systems are receiving up to 200 alerts per day. They override 96% of them. The problem isn't the AI. It's the integration strategy.

March 2026 · 8 min read