Texas just secured the largest rural health investment in state history. For rural hospitals and providers, the question is no longer whether to modernize, but how fast.

MARKUS matters not because it’s intelligent, but because it reshaped how our internal teams make decisions, where human judgment stays essential, and where work quietly disappears instead of accumulating.We market it. We demo it. We’re proud of it. Not because anyone else can use it, but because it proves what’s possible when AI is built to serve real operations, not abstract users.

If you run a primary care group, an ACO, or a Medicare Advantage plan, you’ve felt the tension: chronic disease is eating your day alive, but the “visit-based” system still rewards you for the moment, not the month.The 2026 Medicare Physician Fee Schedule (PFS) changes don’t magically fix that. But they do something important: they reinforce that CMS is not treating remote care like a side quest.