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Senators urge action on physician payment cut
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Trends 2025: The demand for interim revenue cycle executives
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Advocate spending $1B on new hospital and outpatient services
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Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Healthcare expenditures rise on increased coverage and utilization
Budgeting
Health system operating margins declined in August
Quality and Safety
American Heart Association launching HCM initiative
Billing and Collections
CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Denials top reason for eroding provider-payer relationship
Workforce
Male physicians have more net worth than females
Operations
Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO
Medical Devices
Healthcare chatbots may promote racist misinformation
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Hospitals, physicians submit opposing views to FTC ruling
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Children's Medical expands with new patient tower
Compliance & Legal
Nebraska sues Change over ransomware attack
Policy and Legislation
CBO: Premiums to increase if ACA subsidies expire
Community Benefit
AMA pushes for stricter standards for hospital charity care policies
Accountable Care
NAACOS pushes ACO REACH extension
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Cleveland Clinic and Amazon One Medical collaborate
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Interoperability in healthcare moving forward despite challenges
Business Intelligence
HIMSSCast: Research as restorative physician medicine
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
Medicare & Medicaid
CMS ending VBID model due to high costs
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
Senate bill proposes to rein in PBMs
Population Health
Weight loss drugs can save patients and healthcare dollars
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
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Trends 2025: Telehealth's future faces a Friday deadline
Mergers & Acquisitions
Addus Homecare buttons up $350M Gentiva acquisition
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
UnitedHealth Group CEO Andrew Witty addresses backlash
Luigi Mangione indicted on first degree murder charge
Nebraska sues Change over ransomware attack
Claims Processing
Nov 26 | Susan Morse
CMS announces obesity drug coverage in Medicare, Medicaid
The proposed rule would need to become final under the Trump Administration.
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Nov 14 | Susan Morse
Denials top reason for eroding provider-payer relationship
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
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Oct 28 | Susan Morse
CHS reports losses due to hurricanes, payer denials, increased workforce expenses
Hurricane Helene resulted in a $7M loss of revenue and response effort expenses.
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Oct 18 | Susan Morse
HIMSSCast: AI as assistant, not replacement
AI is only as good as the quality of the data, says Sundar Shenbagam, chief technology officer at Edifecs.
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Oct 01 | Jeff Lagasse
UMC Health System hit with IT outage linked to ransomware
UMC has been able to keep its ER open, but other services have been disrupted.
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Sep 30 | Jeff Lagasse
Claims denials on the rise, complicating revenue collection, survey finds
Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%.
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Sep 23 | Nathan Eddy
Finance leaders balance AI investment to expected ROI
Fifteen percent of providers and 25% of payers report having an established AI strategy in 2024.
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Sep 13 | Susan Morse
AHA: Hospitals improve patient safety measures above pre-pandemic levels
Between 2022 and 2023, care denials increased 20.2% for commercial claims and 55.7% for Medicare Advantage, says…
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Jul 23 | Jeff Lagasse
39 healthcare providers sue UnitedHealth Group over Change cyberattack
The plaintiffs claim that Change failed to implement cybersecurity safeguards such as multifactor authentication.
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Jul 05 | Susan Morse
HIMSSCast: One clinical data set for payers and providers
Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of Care First BCBS.
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