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
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AHIP

Air ambulance in progress
Aug 23 | Susan Morse
CMS reports over 12,000 No Surprises Act violations 
CMS has directed that over $4 million in monetary relief be paid to consumers or providers.
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Hand pointing to an artificial intelligence chat display
Aug 08 | Jeff Lagasse
Johns Hopkins' AI initiative to address NSA compliance
Compliance requirements have left health plans 'scrambling,' Johns Hopkins says, spurring creation of the AI initiative.
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Capitol building in Washington D.C. at sunset
Jul 29 | Jeff Lagasse
Lawmakers' bill seeks to regulate private equity in healthcare
The legislation would introduce new safeguards and close tax loopholes that benefit real estate investment trusts.
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Surescripts' Director of Product Marketing Terry Douglas
Jun 18 | Susan Morse
Surescripts is being considered as a hub for data exchange under QHIN
AHIP panelist Terry Douglas of Surescripts talks about what this means for payers, providers, pharma and others.
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U.S.Capitol dome
Jun 14 | Jeff Lagasse
Senators debut legislation introducing penalties for healthcare 'looters'
The Corporate Crimes Against Health Care Act would introduce legal consequences for over-aggressive private equity…
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Couple in front of a computer
May 30 | Jeff Lagasse
Medicare Advantage struggling under low payment, high utilization
Medicare Advantage may be a victim of its own success as more seniors - and a more sickly population - moves into it.
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Nurse on computer screen
May 28 | Susan Morse
Lightbeam Health announces partnership with AHIP 
The affiliation is aimed at bridging the information gap between health plans and providers.
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A home health visit
May 02 | Jeff Lagasse
More Medicare enrollees are choosing supplement plans, data shows
More than half of all fee-for-service Medicare enrollees without any additional coverage chose a Medicare Supplement plan in…
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Worker on calculator
Apr 02 | Susan Morse
CMS finalizes 3.7% payment increase for Medicare Advantage plans
The policies put pressure on benefits and premiums as insurers are already facing regulatory changes and higher utilization,…
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Doctor on telehphone
Mar 21 | Susan Morse
Congress needs to take action to help hospitals, AHA says
Congress should address statutory constraints that prevent CMS from helping providers impacted by the Change cyberattack, says AHA.
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