Today on HITshow:







A tale of two earnings reports and rural healthcare fights back. Today's HITshow Daily spotlights contrasting Q3 results from Molina and Community Health Systems, Ballad Health's lawsuit against UnitedHealth over Medicare Advantage denials, and the government shutdown's impact on ACA enrollment. Then in our second half, the AMA's AI policy push, BD's connected care platform launch, and Verizon's 5G healthcare infrastructure play.







HOST: RHONDA BROOKS







📍 Hospital Earnings — Logan Stokes







Molina Healthcare stock tumbles after earnings miss driven by ACA marketplace cost pressures, slashing forecasts as marketplace costs outpace premiums. Meanwhile, Community Health Systems beats estimates with 6% same-store revenue rise and 7.7% jump in adjusted admissions, showing strong operational execution and volume growth amid challenging market conditions.







📍 Legal Action — Xavier Banks







Ballad Health sues UnitedHealth Group, alleging systematic denials and delays of medically necessary care in Medicare Advantage plans. The Tennessee-based rural health system serving 29 counties claims UnitedHealth's utilization management practices harm patients and divert resources from care delivery. The lawsuit seeks changes to prior authorization and medical necessity determination practices, potentially setting precedent for other provider legal challenges.







📍 Government Shutdown — Anika Shah







CMS recalls furloughed workers to prepare for ACA open enrollment beginning November 1st despite federal government shutdown starting October 1st. The agency treats marketplace enrollment as essential work, ensuring healthcare.gov platform readiness and customer service operations. Extended shutdown creates ripple effects including delayed policy guidance, slower state Medicaid responses, and potential provider reimbursement impacts.







📍 AI Policy — Jade Romero







AMA launches AI policy initiative to establish physician leadership in artificial intelligence governance for healthcare. The organization enters a crowded field two years after groups like Coalition for Health AI, AHA, and specialty societies published extensive guidance. AMA brings physician credibility but faces questions about offering distinctive value beyond existing frameworks.







📍 Connected Care — Nate Collier







BD launches Incada Connected Care Platform at HLTH—an AI-enabled, cloud-based system unifying BD medical devices including infusion pumps, patient monitors, medication dispensing, and pharmacy robotics on AWS infrastructure. First application provides enterprise-wide medication inventory visibility through BD Pyxis Pro, leveraging three million deployed smart devices globally to transform device connectivity into actionable clinical intelligence.







📍 5G Infrastructure — Jalen Cross







Verizon announces partnerships with AdventHealth and Tampa General Hospital for private wireless and neutral host network solutions. Interview with Robin Goldsmith reveals Verizon's strategy positioning connectivity infrastructure as workforce multiplier, addressing healthcare labor shortages through technology enablement rather than replacing bedside care.







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