Topics
Reimbursement
Elevance, UnitedHealth among insurers accused of alleged price fixing
Elevance, UnitedHealth among insurers accused of alleged price fixing
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle 
Mary Washington Healthcare latest to outsource revenue cycle 
Strategic Planning
CommonSpirit, University of Utah Health team on access
CommonSpirit, University of Utah Health team on access
Capital Finance
Cigna nixes speculation of a Humana merger
Cigna nixes speculation of a Humana merger
Supply Chain
Feds shore up healthcare supply chain in wake of hurricanes Helene and Milton
Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Labor expenses continue to challenge hospitals
Labor expenses continue to challenge hospitals
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
US healthcare system ranks last in equity, access
US healthcare system ranks last in equity, access
Billing and Collections
CFPB warns of illegal tactics by medical debt collectors
CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Denials top reason for eroding provider-payer relationship
Denials top reason for eroding provider-payer relationship
Workforce
Elevance laying off 123 California employees
Elevance laying off 123 California employees
Operations
UAB, Press Ganey launch certificate program for healthcare leaders
UAB, Press Ganey launch certificate program for healthcare leaders
Medical Devices
Healthcare chatbots may promote racist misinformation
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling on noncompetes
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
University Hospitals expanding with $3.2 million donation
University Hospitals expanding with $3.2M donation
Compliance & Legal
Johnson and Johnson sues HRSA for blocking 340B plan
J&J sues HRSA for blocking 340B plan
Policy and Legislation
Planned Parenthood, other groups decry executive power in House bill
Planned Parenthood, other groups decry House bill
Community Benefit
AMA pushes for stricter standards for hospital charity care policies
AMA pushes for stricter standards for hospital charity care policies
Accountable Care
NAACOS pushes ACO REACH extension after $1.54B in savings
NAACOS pushes ACO REACH extension
Acute Care
SDOH, tech key to advancing value-based care, says UHG
SDOH, tech key to advancing value-based care
Ambulatory Care
Cleveland Clinic and Amazon One Medical collaborate on primary care clinics
Cleveland Clinic and Amazon One Medical collaborate
Analytics
Interoperability in healthcare moving forward despite challenges
Interoperability in healthcare moving forward despite challenges
Business Intelligence
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking 
Financial disincentives for providers who commit information blocking 
Medicare & Medicaid
Almost a quarter of Americans underinsured, survey finds
Survey: Almost a quarter of Americans underinsured
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC 
Express Scripts, Caremark, OptumRx sue FTC 
Population Health
Reproductive care, including abortion, facing challenges
Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth prescribing of controlled drugs extended through 2025
Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
Cardinal Health set to acquire two companies for combined $3.9B
Cardinal Health set to acquire two companies for combined $3.9B
View more

Accountable Care

Dr. Sreekanth Chaguturu is the new president of Health Care Delivery, as well as EVP and CMO.
Nov 21 | Susan Morse
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
Mike Pykosz, who has served in that role and confounded Oak Street Health, is leaving CVS.
Read more >>
READ
Clinicians talking in a hospital
Nov 13 | Jeff Lagasse
NAACOS pushes ACO REACH extension after $1.54B in savings
Net savings to ACOs were $948.4 million (3.4%) compared to model benchmarks, according to CMS.
Read more >>
READ
Akron, Ohio skyline
Nov 08 | Susan Morse
Venture capital firm HATCo to buy Summa Health for $485 million
The deal will allow Summa Health to eliminate $850M in existing debt.
Read more >>
READ
Clinicians walking down hospital hallway
Oct 31 | Jeff Lagasse
MSSP yielded $2.1 billion in net savings in 2023, CMS says
MSSP earned shared savings payments totaling $3.1 billion, the highest since the program's inception.
Read more >>
READ
Aaron Rust and Chris Pizzi of Providence Health & Services in Medford, Oregon.
Oct 23 | Susan Morse
Providence Health & Services in Oregon optimizes value-based care
Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris…
Read more >>
READ
Doctors viewing imaging on a screen
Oct 10 | Jeff Lagasse
SDOH, tech key to advancing value-based care, says UHG
The report stresses the importance of continued innovation and collaboration across the healthcare system to further adoption.
Read more >>
READ
Urinary catheter
Sep 25 | Susan Morse
CMS final rule holds ACOs harmless for suspect catheter billings
Medicare claims for catheters have increased, and CMS found a rise in billings by a small group of durable medical equipment…
Read more >>
READ
Doctor with child patient
Aug 21 | Susan Morse
ACO REACH changes more negative than positive, says participant
The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.
Read more >>
READ
Clinician helping patient in a home setting
Aug 14 | Jeff Lagasse
Vivid Health expanding AI platform to home health market
The company is already engaged with multiple home health and hospital-at-home organizations that have expressed interest.
Read more >>
READ
Doctor looking pensive
Jul 12 | Susan Morse
Proposed physician pay decrease: 'Death by a thousand cuts continues'
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
Read more >>
READ

Pages