Topics
Reimbursement
Senators urge action on physician payment cut before end of lame duck session
Senators urge action on physician payment cut
Revenue Cycle Management
Trends 2025: The demand for interim revenue cycle executives
Trends 2025: The demand for interim revenue cycle executives
Strategic Planning
Advocate spending $1 billion on new hospital and outpatient services
Advocate spending $1B on new hospital and outpatient services
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
Healthcare expenditures rise on increased coverage and utilization
Healthcare expenditures rise on increased coverage and utilization
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
American Heart Association launching HCM initiative
American Heart Association launching HCM initiative
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
Male physicians have more net worth than female counterparts
Male physicians have more net worth than females
Operations
Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO 
Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO 
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
Children's Medical expands with new patient tower
Children's Medical expands with new patient tower
Compliance & Legal
Nebraska sues Change Healthcare over ransomware attack
Nebraska sues Change over ransomware attack
Policy and Legislation
Telehealth gets short extension, physician pay is cut in spending bill
Telehealth gets short extension, physician pay is cut in spending 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
HIMSSCast: Research as restorative physician medicine
HIMSSCast: Research as restorative physician medicine
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
CMS ending VBID model due to high costs
CMS ending VBID model due to high costs
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
Senate bill proposes to rein in PBMs by forcing them to sell pharmacy businesses
Senate bill proposes to rein in PBMs
Population Health
Weight loss drugs can save patients and healthcare dollars
Weight loss drugs can save patients and healthcare dollars
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Trends 2025: Telehealth's future faces a Friday deadline
Trends 2025: Telehealth's future faces a Friday deadline
Mergers & Acquisitions
Addus Homecare buttons up $350 million Gentiva acquisition
Addus Homecare buttons up $350M Gentiva acquisition
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Cigna

Senior and younger caregiver looking out a window
Dec 18 | Jeff Lagasse
Trends 2025: Medicare Advantage prospects strong despite challenges
Higher-than-expected utilization and low reimbursement have challenged the program in 2024.
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Doctor in hallway
Nov 19 | Susan Morse
Elevance, UnitedHealth among insurers accused of alleged price fixing
The complaint claims the scheme was aimed at suppressing payment rates to doctors for out-of-network services.
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Business person using tablet over shifting stock market image
Nov 11 | Susan Morse
Cigna nixes speculation of a Humana merger
The majority of proceeds from the sale of its Medicare businesses will be used for share repurchase, Cigna says.
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Staffer at computer
Oct 25 | Susan Morse
Molina beats financial expectations on higher premium revenue
Short-term disparity between rates and medical cost trend may have reached its widest point in Q3, CEO says. 
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Person using a computer at home
Oct 22 | Jeff Lagasse
Evernorth taps Transcarent for digital cancer program
Evernorth says its Oncology Benefit Services will allow employers to provide a "streamlined" cancer care experience.
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Couple at laptop
Oct 10 | Susan Morse
See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points…
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Judge's hand holding a gavel
Sep 18 | Jeff Lagasse
Express Scripts sues Federal Trade Commission over PBM report
Express Scripts is demanding the FTC retract its report, claiming it's filled with "false and misleading claims."
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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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Person injecting self with needle
Sep 10 | Jeff Lagasse
Evernorth making Stelara biosimilar available for $0 out-of-pocket
The biosimilar will be available at $0 out-of-pocket for most patients through Quallent's copay assistance program.
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Person pouring pills into hand
Sep 05 | Jeff Lagasse
Prescription drug spending grew even after rebates
While retail pharmacy prices rose 9.1% from 2007 to 2020, negotiated prices grew by only 4.3% annually.
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