Healthcare

ElevatePFS Leadership Insights: A Proactive A/R Strategy for Out-of-State Medicaid Accounts

Out-of-State Medicaid

When it comes to out-of-state Medicaid, waiting until issues arise is not an option. A proactive accounts receivable (A/R) strategy is essential for protecting revenue and minimizing denials in an environment where rules, payers, and timelines vary by state. At ElevatePFS, proactive A/R management starts with understanding filing deadlines across states and implementing a streamlined…

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Latest

Articles
ElevatePFS Leadership Insights: Smarter Medicaid Billing Through Eligibility Checks, Deadline Management, and Stakeholder Alignment

Managing out-of-state Medicaid billing is one of the most challenging areas in the revenue cycle—marked by complex payer rules, tight enrollment deadlines, and inconsistent requirements across states. Without a clear process and specialized knowledge, providers risk delayed payments, denials, and significant write-offs. Elevate Patient Financial Solutions addresses this challenge head-on with a proactive, organized approach…

Read More
Articles
ElevatePFS Leadership Insights: Reducing Risk and Securing Reimbursement in Out-of-State Medicaid Billing

Navigating out-of-state Medicaid billing and enrollment is a complex process that demands precision, coordination, and up-to-date knowledge of payer-specific requirements. Each state operates differently—with its own enrollment deadlines, billing expectations, and electronic submission rules—making it vital for providers to have a well-defined strategy in place. At ElevatePFS, success starts with early identification. Determining whether…

Read More
Articles
ElevatePFS Leadership Insights: Best Practices for Smarter Billing in Out-of-State Medicaid Enrollment

Navigating out-of-state Medicaid enrollment and billing is one of the most demanding aspects of the revenue cycle. Each state has its own rules, payer requirements, and timelines—making it easy for claims to be delayed, denied, or written off entirely without a clear strategy in place. To avoid these costly pitfalls, healthcare organizations need a targeted,…

Read More
Articles
ElevatePFS Revenue Cycle Insights: Simplifying Out-of-State Medicaid Billing

Out-of-state Medicaid billing and enrollment is one of the most complex areas in the revenue cycle. With over 450 Medicaid payer profiles—each with its own rules, enrollment requirements, and deadlines—providers often face delays, denials, or complete write-offs. The constantly changing policies and varying state-specific requirements create a fragmented system that’s difficult to manage without dedicated…

Read More
Articles
Driving Excellence from Day One: Implementations Training & Quality Assurance at ElevatePFS

At ElevatePFS, quality isn’t a final checkpoint—it’s built into every stage of the process. Through focused Implementations Training and Quality Assurance (QA), the company ensures that new projects begin with consistency, compliance, and confidence. The QA process is designed to evaluate performance, reinforce standards, and identify opportunities for improvement. By combining data analysis with…

Read More
Articles
The Rise of Personalized Nutraceuticals: Vitaquest Taps Big Data, Flavor, and AI to Deliver Personalized Wellness at Scale

The wellness industry is at an inflection point. What once centered around pill packs and generic supplement regimens is now being transformed by an ecosystem of personalization, flavor innovation, and data-driven development. According to research, the global nutraceuticals market is on track to surpass $919 billion by 2030—and with consumer demand increasingly favoring tailored,…

Read More

Latest

Pablo Arias
The Elevated Employee Experience: Supporting Hospitals and Patients Alike with Pablo Arias
April 9, 2025

As a Lead Patient Advocate at ElevatePFS, Pablo Arias brings eight years of dedication to helping both patients and providers. Based in Minnesota, Pablo plays a vital role in guiding patients through the financial assistance process while contributing to the revenue goals of the hospitals he supports. For Pablo, the most rewarding part of the…

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elevate
The Elevated Employee Experience: Advocating for Every Patient at Every Step
April 9, 2025

As a Patient Advocate at ElevatePFS, Keanna Johnson plays a critical role in ensuring no patient is left behind. She supports individuals navigating complex healthcare systems—many of whom risk falling through the cracks. For Keanna, advocacy is more than a role—it’s a responsibility. She works to make sure patients receive the support and services they’re…

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Team teaching
Mesa’s Team Teaching Model Tackles Teacher Shortage and Accelerates Learning
April 9, 2025

Amid a nationwide teacher shortage and growing calls to rethink traditional education structures, Mesa Public Schools in Arizona is pioneering a model that could reshape the future of the classroom: team teaching. At a time when 74% of U.S. public schools report difficulty filling teaching positions, Mesa’s innovative approach—emphasizing collaboration, flexibility, and personalization—offers a…

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people-first culture
The Elevated Employee Experience: A Look at the People-First Culture at ElevatePFS
April 9, 2025

As Senior Director of HR and HR Operations at ElevatePFS, Lindsey Hoskinson brings a decade of dedication to building a people-first culture. She works closely with employees across departments and regions—supporting teams that drive impact from the inside out. Lindsey sees teamwork as the heart of ElevatePFS. In her role, she witnesses how employees apply…

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Latest Articles

Out-of-State Medicaid
Articles
ElevatePFS Leadership Insights: A Proactive A/R Strategy for Out-of-State Medicaid Accounts
April 8, 2025

When it comes to out-of-state Medicaid, waiting until issues arise is not an option. A proactive accounts receivable (A/R) strategy is essential for protecting revenue and minimizing denials in an environment where rules, payers, and timelines vary by state. At ElevatePFS, proactive A/R management starts with understanding filing deadlines across states and implementing a streamlined…

Read More
ElevatePFS Leadership Insights: Smarter Medicaid Billing Through Eligibility Checks, Deadline Management, and Stakeholder Alignment

Managing out-of-state Medicaid billing is one of the most challenging areas in the revenue cycle—marked by complex payer rules, tight enrollment deadlines, and inconsistent requirements across states. Without a clear process and specialized knowledge, providers risk delayed payments, denials, and significant write-offs. Elevate Patient Financial Solutions addresses this challenge head-on with a proactive, organized approach…

Read More
ElevatePFS Leadership Insights: Reducing Risk and Securing Reimbursement in Out-of-State Medicaid Billing

Navigating out-of-state Medicaid billing and enrollment is a complex process that demands precision, coordination, and up-to-date knowledge of payer-specific requirements. Each state operates differently—with its own enrollment deadlines, billing expectations, and electronic submission rules—making it vital for providers to have a well-defined strategy in place. At ElevatePFS, success starts with early identification. Determining whether…

Read More
ElevatePFS Leadership Insights: Best Practices for Smarter Billing in Out-of-State Medicaid Enrollment

Navigating out-of-state Medicaid enrollment and billing is one of the most demanding aspects of the revenue cycle. Each state has its own rules, payer requirements, and timelines—making it easy for claims to be delayed, denied, or written off entirely without a clear strategy in place. To avoid these costly pitfalls, healthcare organizations need a targeted,…

Read More
Medicaid
Articles
ElevatePFS Revenue Cycle Insights: Simplifying Out-of-State Medicaid Billing
April 8, 2025

Out-of-state Medicaid billing and enrollment is one of the most complex areas in the revenue cycle. With over 450 Medicaid payer profiles—each with its own rules, enrollment requirements, and deadlines—providers often face delays, denials, or complete write-offs. The constantly changing policies and varying state-specific requirements create a fragmented system that’s difficult to manage without dedicated…

Read More
Driving Excellence from Day One: Implementations Training & Quality Assurance at ElevatePFS

At ElevatePFS, quality isn’t a final checkpoint—it’s built into every stage of the process. Through focused Implementations Training and Quality Assurance (QA), the company ensures that new projects begin with consistency, compliance, and confidence. The QA process is designed to evaluate performance, reinforce standards, and identify opportunities for improvement. By combining data analysis with…

Read More
The Rise of Personalized Nutraceuticals: Vitaquest Taps Big Data, Flavor, and AI to Deliver Personalized Wellness at Scale

The wellness industry is at an inflection point. What once centered around pill packs and generic supplement regimens is now being transformed by an ecosystem of personalization, flavor innovation, and data-driven development. According to research, the global nutraceuticals market is on track to surpass $919 billion by 2030—and with consumer demand increasingly favoring tailored,…

Read More
2025’s Hottest Healthcare Trends with David Willis, Principal with ECG

Healthcare organizations have faced significant challenges over the last five years due to the lasting financial and operational impacts of the COVID-19 pandemic, widespread labor shortages, and rising costs of care delivery. The pandemic forced hospitals to prioritize crisis response over long-term strategy, leading to deferred investments, workforce burnout, and financial strain. Now, with many…

Read More
private equity and venture capital
Articles
Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?
February 19, 2025

Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….

Read More
Solving America’s Physician Shortage Through Apprenticeship Programs, Online Training & Hands-On Experience

In a healthcare landscape reshaped by post-pandemic challenges, workforce shortages and burnout are stretching the system to its limits. According to the Association of American Medical Colleges, the U.S. is projected to face a shortage of up to 86,000 physicians by 2036, while turnover rates among nurses and allied health professionals continue to climb….

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AI-Powered Remote Cardiac Monitoring Improves Care Access, Disease Detection, and Diagnostic Accuracy

Advancements in artificial intelligence are transforming healthcare, and remote cardiac monitoring is at the forefront of this change. With cardiovascular disease impacting nearly 50% of the population at some point in their lives, early detection and efficient diagnosis are crucial. Enter AI-powered cardiac monitors that provide near real-time data, reduce diagnostic errors, and improve…

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HFMA’s Historic New Leaders: The Trailblazing Women Who Are Leading Healthcare Finance

For the first time in history, Texas is home to three female presidents leading Healthcare Financial Management Association (HFMA) chapters, alongside the organization’s first female CEO, Ann Jordan. This unprecedented moment is more than symbolic; it highlights a shift toward inclusivity, collaboration, and innovation in healthcare financial management. With Texas chapters spanning diverse regions…

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Latest Podcasts

AI in healthcare
Censis
Smart Tools, Safer Patients: Dr. Arpita Hazra Talks AI in Healthcare
March 26, 2025

In this insightful episode of the ConCensis podcast, host Amy Chodroff welcomes Dr. Arpita Hazra, a Clinical Patient Safety Data Specialist, to explore the evolving landscape of patient safety, risk management, and AI in healthcare. Drawing from her background in internal medicine, public health, and clinical data science, Dr. Hazra provides a compelling look at…

Read More
Sterile Compounding and Contamination Control with Abby Roth

In this episode of Exceeding Your Benchmark, host Michelle Dawn Mooney speaks with Abby Roth, founder of Pure Microbiology, about sterile compounding and contamination control. Abby shares her expertise in microbiology, sterile environments, and best practices in pharmaceutical compounding. The conversation begins with a distinction between traditional drug manufacturing and sterile compounding, highlighting the…

Read More
Interview with Robin Goldsmith

At ViVE 2025, Panda Health’s Jason Taylor and Verizon Healthcare’s Robin Goldsmith dive into the future of AI in healthcare, exploring how ambient technology is revolutionizing workflows for clinicians and improving patient experiences. A dynamic conversation not to be missed!

Read More
Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?

Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….

Read More
employer-built healthcare
Health
Employer-Built Healthcare Plans: Controlling Costs and Transforming Care
February 12, 2025

The rising cost of healthcare continues to strain employers and employees alike. With premiums climbing at a rate outpacing inflation, many organizations are burdened with high costs and subpar outcomes. Employer-built healthcare models are emerging as a potential solution, enabling organizations to take control of their healthcare systems. According to the Kaiser Family Foundation,…

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AI and Advocacy Unite: Tackling Women’s Health Disparities with Hologic Mia Keeys

Women’s health remains a critical issue globally, with alarming disparities in access and outcomes. A new survey from Hologic and Gallup reveals that while nearly 90% of women recognize the importance of health screenings, less than half undergo them consistently due to barriers like cost, time, and anxiety. The stakes are particularly high in…

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Overcoming Behavioral Health Challenges: Iris Telehealth’s Technology-Driven Approach

Behavioral health challenges have intensified nationwide, with wait times for care stretching months and access in rural areas remaining inadequate. Telehealth innovations are emerging as a crucial bridge to close these gaps, particularly in behavioral health. The stakes are high and according to the 2023 National Survey on Drug Use and Health (NSDUH), 22.8%…

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Market-Based Planning, Specialization and Technology To Shape Healthcare Provider Networks for Tomorrow

The evolving healthcare landscape demands that provider networks strike a careful balance between meeting community needs and maintaining financial sustainability. As patient demographics shift and technological advancements, such as telehealth, redefine care delivery, health systems must recalibrate their networks to avoid inefficiencies. A 2024 AAMC study highlights this urgency, projecting a shortage of up…

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medical imaging equipment
Health
Leadership and AI Drives Change in Medical Imaging Equipment Procurement
January 8, 2025

Healthcare facilities face significant challenges in procuring and managing medical imaging equipment. These high-cost, high-stakes purchases, such as MRI and CT scanners, can directly impact patient care and financial sustainability. With declining reimbursements and increasingly complex technologies, the importance of expert guidance in making these decisions has never been greater. In fact, in 2022,…

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Erin Osbourne at CHIME Fall Forum

Erin Osbourn, CIO at the Child Mind Institute, shares her experiences at the Chime Fall Forum and highlights the importance of building a culture of inclusion, belonging, and work-life harmony within her team. She discusses her leadership approach of fostering vulnerability, empathy, and balance, while emphasizing the critical need to destigmatize mental health, especially in…

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Jesse Folds at CHIME Fall Forum

Jesse Folds, Director of IT Operations and Cybersecurity at Opelousas General, discusses the growing focus on zero trust policies, cybersecurity, and the challenges of understaffed IT departments in healthcare. He highlights the importance of vendor partnerships that understand budget cycles and emphasizes shifting ROI metrics toward improving patient satisfaction and equipping nurses with tools to…

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Ryan Thousand at CHIME Fall Forum

Ryan Thousand, CIO of Dahl Memorial Healthcare in rural Montana, discusses the unique challenges and opportunities of leading a critical access hospital in a small community. From leveraging AI and strategic partnerships to enhance patient care and operational efficiency, to his decision to join the Panda Health family for its vendor-agnostic, community-driven approach, Ryan shares…

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Latest Videos

Demystifying the Global Health Workforce
Care Anywhere Podcast - Season 1
Demystifying the Global Health Workforce
March 19, 2025

In the latest episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing & Communications Officer at TruMerit (formerly CGFNS International, Inc.), is joined by Jim Campbell, Director of Health Workforce at the World Health Organization (WHO), and Peter Preziosi, President & CEO of TruMerit. Together, they explore pressing global…

Read More
Convenient Online Hearing Test from HearUSA Enhances Your Hearing Health Journey

Struggling to hear conversations could be more prevalent than you think. As a leader in hearing care, HearUSA offers an easy solution that you can manage from the comfort of your home: the HearUSA Online Hearing Test. Experience the Simplicity This quick, free, and convenient online test is designed to examine your hearing in…

Read More
Career Journeys: Impact Through Entrepreneurism

On this special Career Journeys episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims sits down with Shailadi Gupta, CEO and Founder of Kindshell Healthcare. A nurse and holistic wellness coach, Shailadi shares her inspiring journey from India to Canada and how her experiences shaped her mission to support other Indian…

Read More
English Proficiency: Opening Doors to International Health Careers

In this special episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer and Host at CGFNS International, dives deep into the critical role of English language proficiency in global healthcare workforce mobility. Joined by guest Spiros Papageorgiou, Principal Measurement Scientist at ETS, the discussion unpacks how language proficiency benchmarks…

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Universal Health Coverage: A Catalyst for Global Change
Care Anywhere Podcast - Season 1
Universal Health Coverage: A Catalyst for Global Change
January 29, 2025

In a recent episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing & Communications Officer at CGFNS International Inc., welcomed Dr. Pam Cipriano, President of the International Council of Nurses (ICN), to discuss the transformative impact of nursing on global health. With over 45 years of nursing experience, Dr. Cipriano…

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How Do You Meet Strict Healthcare Protocols Under Tight Deadlines?

Healthcare facilities present a unique challenge in the restoration and disaster recovery process. Unlike other sectors, healthcare must remain operational around the clock to provide essential services to patients. Abel Mendoza, a seasoned project manager at BMS CAT, highlights the meticulous approach required to handle such critical environments effectively. “Our crews undergo additional training…

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The Journey to a Global Standard

In a groundbreaking move, CGFNS International has launched the first-ever global specialty credential for rehabilitation nurses, the Certified Global Nurse Rehabilitation (CGNR) exam. This credential marks a pivotal step toward addressing the critical need for globally standardized competencies in rehabilitation care. The development of this certification was a multi-year effort, uniting rehabilitation specialists from diverse…

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Health Career Journeys: Olivia Li

On this special bonus episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing Officer & Host at CGFNS International, Inc., sits down with Dr. Olivia Wei Li, RN, MSN, EdD, an International Nursing Educator and Consultant whose remarkable career spans continents and decades. With over 27 years of experience, Dr….

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The High Stakes of Authenticating Professional Credentials
Care Anywhere Podcast - Season 1
The High Stakes of Authenticating Professional Credentials
December 4, 2024

In the latest episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims delves into the critical issue of credential fraud with CGFNS experts Emily Tse and Jason Wessel. Credential fraud, defined as intentional deception to falsely claim qualifications, poses a significant threat to healthcare systems and patient safety. The discussion highlights…

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Paying it Forward: Empowering Career Migration Journeys

On the latest episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims sits down with Sinead Carbery, President of International Staffing Solutions, and Gillian Williams, MSN, BS, RN, Senior Director of Clinical Operations, both from AMN Healthcare. The episode delves into the complexities of global career mobility for healthcare professionals, with…

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Fighting for Fair Healthcare Access Means Overcoming Certain Challenges

With healthcare costs continuing to climb, and the access to quality care remaining uneven, discussions on healthcare reform are quite an essential topic. Millions of Americans face high out-of-pocket costs and limited access to critical health services. According to a 2022 Gallup poll, nearly 40 percent of Americans have delayed medical care due to…

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ICN: Investing in the Future of the Global Nurse Workforce

In the latest episode of Care Anywhere, host Lea Sims sits down with Howard Catton, CEO of the International Council of Nurses (ICN), to discuss the state of the global nursing workforce. As a respected figure in global nursing, Howard shares insights from ICN’s recent findings, addressing a projected global shortage of 13 million…

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Other Healthcare Articles
2025’s Hottest Healthcare Trends with David Willis, Principal with ECG
March 28, 2025

Healthcare organizations have faced significant challenges over the last five years due to the lasting financial and operational impacts of the COVID-19 pandemic, widespread labor shortages, and rising costs of care delivery. The pandemic forced hospitals to prioritize crisis response over long-term strategy, leading to deferred investments, workforce burnout, and financial strain. Now, with many…

Read More
Smart Tools, Safer Patients: Dr. Arpita Hazra Talks AI in Healthcare
March 26, 2025

In this insightful episode of the ConCensis podcast, host Amy Chodroff welcomes Dr. Arpita Hazra, a Clinical Patient Safety Data Specialist, to explore the evolving landscape of patient safety, risk management, and AI in healthcare. Drawing from her background in internal medicine, public health, and clinical data science, Dr. Hazra provides a compelling look at…

Read More
Reichert Brings Cutting-Edge Eye Care Tech to Vision Expo East 2025
March 25, 2025

As eye care rapidly evolves, Vision Expo East 2025 is the place to see where innovation meets clinical excellence — and Reichert is leading the charge. At booth F2201, practitioners can experience hands-on demos of Reichert’s latest breakthroughs in tonometry, digital refraction, and dry eye diagnostics. Of particular note is the new Tono-Vera® Tonometer,…

Read More
Demystifying the Global Health Workforce
March 19, 2025

In the latest episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims, Chief Marketing & Communications Officer at TruMerit (formerly CGFNS International, Inc.), is joined by Jim Campbell, Director of Health Workforce at the World Health Organization (WHO), and Peter Preziosi, President & CEO of TruMerit. Together, they explore pressing global…

Read More
Sterile Compounding and Contamination Control with Abby Roth
March 11, 2025

In this episode of Exceeding Your Benchmark, host Michelle Dawn Mooney speaks with Abby Roth, founder of Pure Microbiology, about sterile compounding and contamination control. Abby shares her expertise in microbiology, sterile environments, and best practices in pharmaceutical compounding. The conversation begins with a distinction between traditional drug manufacturing and sterile compounding, highlighting the…

Read More
Convenient Online Hearing Test from HearUSA Enhances Your Hearing Health Journey
March 11, 2025

Struggling to hear conversations could be more prevalent than you think. As a leader in hearing care, HearUSA offers an easy solution that you can manage from the comfort of your home: the HearUSA Online Hearing Test. Experience the Simplicity This quick, free, and convenient online test is designed to examine your hearing in…

Read More
Interview with Robin Goldsmith
March 1, 2025

At ViVE 2025, Panda Health’s Jason Taylor and Verizon Healthcare’s Robin Goldsmith dive into the future of AI in healthcare, exploring how ambient technology is revolutionizing workflows for clinicians and improving patient experiences. A dynamic conversation not to be missed!

Read More
Career Journeys: Impact Through Entrepreneurism
February 26, 2025

On this special Career Journeys episode of Care Anywhere: The Global Health Workforce Podcast, host Lea Sims sits down with Shailadi Gupta, CEO and Founder of Kindshell Healthcare. A nurse and holistic wellness coach, Shailadi shares her inspiring journey from India to Canada and how her experiences shaped her mission to support other Indian…

Read More
Private Equity and Venture Capital Are Transforming Healthcare – But at What Cost?
February 19, 2025

Private equity and venture capital have been reshaping the healthcare landscape, with $47 billion in related deals recorded from 2019 to 2023. These investments promise innovation and growth in AI, diagnostics, and healthcare delivery. However, they also raise critical questions about aligning profit-driven goals with the mission to improve patient care and system efficiency….

Read More