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
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
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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Cigna

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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Person staring out a window
Aug 08 | Jeff Lagasse
Cigna selects grant recipients for youth mental health program
The grant program will address post-pandemic stress and distress among youth 5 to 18 years old.
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