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
Two CFOs see promise of AI, but have yet to build a dedicated budget
Two CFOs see promise of AI, but have yet to build a dedicated budget
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
UPMC, Vanderbilt join Aegis Ventures in digital consortium
UPMC, Vanderbilt join Aegis Ventures in digital consortium
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
Trump picks Dr. Mehmet Oz to head CMS
Trump picks Dr. Mehmet Oz to head CMS
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CerpassRx, Waltz team on AI platform to manage specialty drug spend
CerpassRx, Waltz team on AI to manage specialty drug spend
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
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Affordable Care Act

Someone helping a senior in a wheelchair
Nov 19 | Jeff Lagasse
HHS, Illinois reach agreement on disability rights laws
The agreement comes after a complaint alleged Illinois unjustly institutionalized a person with disabilities.
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Waiting room
Nov 14 | Susan Morse
AMA pushes for stricter standards for hospital charity care policies
Government should enact penalties or revoke a tax-exempt status for hospitals that don't comply, AMA says.
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Nurse talking to patient
Nov 13 | Jeff Lagasse
AHA promotes healthcare navigators in letter to CMS
Part of the reason navigators are so valuable, the group says, is that health insurance coverage falls short for many Americans.
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Trump photo
Nov 07 | Susan Morse
What Trump's election means for healthcare
The expectation is for a new Congress to create policy around AI and cybersecurity, says Tom Leary of HIMSS.
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Couple examining paperwork
Nov 07 | Jeff Lagasse
UnitedHealthcare expands ACA presence to 30 more states
The new coverage areas bring UHC's ACA Marketplace plans to more than 1,250 counties across several states.
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Clinicians sitting at a board table
Oct 23 | Jeff Lagasse
Oscar Health expands ACA presence and chronic condition plans
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
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Nurse expressing frustration
Oct 17 | Jeff Lagasse
US healthcare system ranks last in equity, access
The poor showing by the U.S. stands in stark contrast to how much it spends on healthcare, Commonwealth Fund finds.
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The Capitol building in Washington, D.C., at sunset
Sep 27 | Jeff Lagasse
New legislation seeks to make ACA premium tax credits permanent
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.
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Person at home using a computer
Sep 18 | Jeff Lagasse
Cigna launching E-Treatment virtual care through MDLIVE
Beginning this month, Cigna members can connect for urgent care from board-certified doctors without phone or video.
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Executives smiling and shaking hands
Sep 17 | Jeff Lagasse
Insurers will make $11.8 billion in Medicare Advantage quality bonus payments
This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings…
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