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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Bundled payment

Clinicians walking down hospital corridor
Nov 04 | Jeff Lagasse
Aetna offering new health plan for the self-insured
SimplePay Health is intended to further reduce costs and improve outcomes, company says.
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Clinician at computers
Aug 02 | Susan Morse
Hospitals get 2.9% payment increase in final rule
For 2025, CMS is increasing the long-term care hospital standard payment rate by 3%.
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A woman undergoing dialysis
Jun 28 | Susan Morse
Dialysis providers get a 2.2% payment boost
The rule also proposes to extend Medicare payment to dialysis in the home setting for beneficiaries with acute kidney injury.
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Doctor discussing with patient
Apr 22 | Nathan Eddy
Moving beyond financial incentives to engage specialists in ACOs
The biggest challenge ACOs face is the lack of good data on specialist performance, says study author Rob Mechanic.
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Doctor at desk in hallway
Apr 15 | Susan Morse
Proposed inpatient payment rates 'woefully inadequate' AHA says
The AHA is also concerned about a proposed mandatory model for five clinical episodes.
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Doctor and administrator walk a hospital corridor
Jan 17 | Jeff Lagasse
Solid operating margins have hospitals looking to strategic growth, says Kaufman Hall
The firm says hospitals must reinvest in strategic growth to stay on track financially in 2024.
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Person getting dialysis treatment
Oct 31, 2023 | Jeff Lagasse
CMS bumps ESRD facility payments by 2.1%
Final rule increases payment for certain new renal dialysis drugs and biological products.
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Person in lab coat with computer display
Aug 17, 2023 | Susan Morse
HIMSS EHR Association: New payment models need IT timeline consideration  
Episode-based payment incentives must be aligned across other value-based models, CMS says.
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Person and dialysis machine
Jun 26, 2023 | Susan Morse
Dialysis facilities get a proposed 1.6% payment bump for 2024
For hospital-based facilities, CMS projects an increase in total payments of 2.6%.
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Photo: Jackyenjoy Photography/Getty Images
Apr 13, 2023 | Susan Morse
Q&A: CMS' extension of Acute Hospital Care at Home indicates potential permanent program
Inbound Health founding COO Julia Crist discusses home health, acute care at home and the end of the…
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