Supply and Demand at the Heart of US Healthcare Crisis

Insights from StreamlineMD CEO Harry Curley on PBS Forum 360

Healthcare costs keep climbing while reimbursements shrink, and many physicians feel caught in an unsustainable squeeze. On a recent episode of PBS’s Forum 360, host Sally Henning sat down with Harry Curley, CEO of StreamlineMD, to unpack the pressures facing US healthcare providers and the innovations that can keep quality care within reach.

The Supply‑and‑Demand Crunch

Mr. Curley opens with a stark demographic reality: as Baby Boomers age into Medicare, demand for care is exploding just when the workforce pipeline is thinning. Fewer young professionals are entering medicine, and immigration hurdles make recruiting international talent difficult. The result? A widening gap between the patients who need care and the clinicians available to deliver it.

Why Doctors Feel the Financial Squeeze

Beyond staffing shortages, physicians battle declining reimbursements, soaring labor costs, and complex billing rules that change every year. Accurate documentation and coding are now mission-critical—yet they consume time doctors don’t have, and dollars many practices can’t spare. Smaller primary‑care offices are especially vulnerable, which is why so many have consolidated into large health systems or private equity-backed groups with better pricing leverage and deeper pockets.

Technology: Problem & Potential Solution

Electronic health records, telemedicine, and AI promise efficiency but introduce new headaches: cyber‑security threats, interoperability gaps, and steep learning curves. Mr. Curley remains optimistic, arguing that smart automation—particularly in physician documentation and revenue‑cycle tasks like coding and claims management—can give clinicians back precious hours with patients.

The Culture Factor

Whether on Wall Street, in the US military, or inside healthcare practices, Mr. Curley believes culture determines success. StreamlineMD’s growth, he notes, rests on deliberately hiring, evaluating, and when necessary, parting ways with team members based on adhering to clear values that put clients and their patients’ welfare first.

Key Takeaways to Spotlight

  1. Imbalance in physician supply and patient care demand is heart of crisis. An aging population strains an already limited provider pool and closing that gap will require both policy change (e.g., medical school cost reform, streamlined visas for healthcare workers) and technological leverage.
  2. Revenue‑cycle mastery is survival. Specialty-specific coding and billing expertise leads to faster and more accurate reimbursements. This can be the difference between thriving, or not, for independent practices.
  3. AI is early—but essential. From automated charting to predictive analytics, artificial intelligence can free clinicians from rote tasks and expand access without sacrificing quality. However, a careful balance between automation and human touch is critical.
  4. Cyber Security is now patient safety. February 2024’s massive claims‑processing hack proved that a single breach can paralyze pharmacies and providers nationwide. Robust security must be baked into every digital workflow.
  5. Culture beats strategy. Values-driven organizations attract talent, foster innovation, and weather economic swings better than those focused solely on profit.

Looking Ahead

StreamlineMD is doubling down on its next-generation revenue cycle management solutions tuned specifically for radiology and interventional specialists. It’s difficult to be good at all specialties and services, so this focus is a major differentiator for StreamlineMD.  Radiology and Interventional healthcare are complex and critical to the future of healthcare in America, which is why StreamlineMD maintains its discipline and focus on these important specialties.  Mr. Curley believes that a career in healthcare is promising for those who study hard, embrace technology, and never forget the human patient at the end of every healthcare process.

Want more perspectives on navigating today’s healthcare landscape? Follow the StreamlineMD blog for updates on Radiology RCM solutions, policy changes, and practice‑management tips.

 

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Cyber Incident Update – 9/26/25 at 3:00 pm EST:

We continue to make steady progress in our restoration efforts. At this time, 95% of servers have been cleared; however, they remain behind protective firewalls as we work closely with our team of experts toward full restoration.

The StreamlineMD systems will remain unavailable for the rest of today, Friday, September 26, 2025. Our teams will begin comprehensive testing of all aspects of the system as soon as possible, likely this evening and over the weekend.

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We truly appreciate your support and understanding during this process. You are important to us, and we remain committed to restoring services safely and securely.

We will provide another update at 6:00 pm EST.

Cyber Incident Update – 9/26/25 at 2:00 pm EST:

We continue to work diligently this afternoon with our cybersecurity team and are making steady progress.   

We anticipate the StreamlineMD systems will remain inaccessible for the remainder of today, Friday, September 26, 2025.  

We will provide another update at 6:00 pm EST.

We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.

Cyber Incident Update – 9/26/25 at 11:00 am EST:

We continue to work throughout the day with our cybersecurity team and continue to make progress.  

We anticipate the StreamlineMD systems will not be accessible before 3:00 pm EST on Friday, September 26, 2025

We will provide another update at 2:00 pm EST.

We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.

Cyber Incident Update – 9/26/25 at 09:00 am EST:

We continue to work this morning with our cybersecurity team and continue to make progress.   

We still don’t anticipate StreamlineMD systems to be fully operational before 12:00 pm EST on Friday, September 26, 2025.  

We will provide another update at 12:00 pm EST.

We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.

Cyber Incident Update – 9/26/25 at 07:00 am EST:

We have continued to work through the night with our cybersecurity team and continue to make progress.  

We will continue restoring servers to service and testing internally. 

We still don’t anticipate StreamlineMD systems to be fully operational before 12:00 pm EST on Friday, September 26, 2025. 

We will provide another update at 9:00 am EST.

We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.

Cyber Incident Update – 9/25/25 at 11:00 pm EST:

So far, we are making great progress, and our systems are internally coming back online. At this time, there is no evidence of system damage or PHI compromise.

Throughout the night, we will continue restoring servers to service and testing internally.

We don’t anticipate StreamlineMD systems to be fully operational before 12:00 pm EST on Friday, September 26, 2025.

We will provide another update on Friday, September 26, at 6:00 am EST


Cyber Incident Update –9/25/25 at 7:00 pm EST:

We are currently in the process of restoring our servers and anticipate determining a timeline for resuming full operations by 10:00 PM EST this evening, September 25, 2025.

Our team continues to work diligently and in close coordination with our security partners in response to the cybersecurity incident that occurred during the overnight hours of September 24, 2025. As a precaution, our systems remain offline to prevent any potential data compromise. We continue to follow our established cybersecurity protocols to ensure the protection and integrity of your data.

We will provide our next update by 10:00 PM EST today.

We appreciate your continued patience and understanding as we work to bring our systems back online safely.

Incident Update – 9/25/25 at 12:00 pm EST:

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Our team is actively following established cybersecurity protocols to ensure the continued protection of your data. At this time, the software will remain inaccessible for the remainder of the day, September 25, 2025.

We understand the impact this may have on your operations and sincerely appreciate your patience and understanding. We are committed to providing updates as frequently as possible and will keep you informed of our progress.

StreamlineMD is experiencing a cyber incident

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