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Reimbursement
Physicians 'outraged' that spending bill fails to avert pay cut
Revenue Cycle Management
Modernizing healthcare payment systems starts with reducing cash collections
Strategic Planning
Advocate Health closing Illinois clinics inside of Walgreens
Capital Finance
HIMSS25: ROI as the ultimate measure of value
Supply Chain
Hospitals face rising costs as tariff uncertainty continues
Accounting & Financial Management
$880B in spending cuts not possible without slashing Medicaid
Budgeting
Health system operating margins declined in August
Quality and Safety
Senate report slams private equity's ownership of hospitals
Billing and Collections
Revenue cycle challenged by low collection rates, high denials
Claims Processing
Sen. Grassley wants UnitedHealth to hand over MA billing records
Workforce
Cedars-Sinai cancer director stepping down
Operations
Chief growth officer on the competitiveness of home health market
Medical Devices
Logistics robots bringing Samsung Medical into the future
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Prisma Health opens $3.7 million behavioral health facility
Compliance & Legal
Hospitals face deadline to opt out of BCBS settlement agreement
Policy and Legislation
CMS proposes shortening ACA open enrollment window
Community Benefit
Mobile Healthcare does house calls
Accountable Care
HIMSS25 session shows how physicians are incentivized in APMs
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Fewer clinicians entering primary care
Analytics
Kentucky making data on foster children interoperable
Business Intelligence
Blue Cross NC reorganizing with parent company
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Curbing Medicaid expansion could cause $80B hit to providers
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
PBMs appeal FTC case over insulin costs
Population Health
Teladoc partnering with Eli Lilly on self-pay GLP-1 access
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Philips partners for maternal remote patient monitoring in Georgia
Mergers & Acquisitions
Walgreens to be acquired by Sycamore Partners
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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As AI learns, its use in clinical care expands
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Top Stories
$880B in spending cuts not possible without slashing Medicaid
Walgreens to be acquired by Sycamore Partners
Health leaders need AI know-how to avoid cyberattacks
Congressional Budget Office
Mar 12 | Jeff Lagasse
Curbing Medicaid expansion could cause $80 billion hit to providers
Hospitals would face the largest revenue losses and burden of uncompensated care increases, report finds.
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Mar 11 | Susan Morse
$880 billion in spending cuts not possible without slashing Medicaid
CBO gives projections to House committee amid Johnson's CR stop-gap measure to avoid a government shutdown.
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Jan 27 | Jeff Lagasse
Innovaccer embraces AI with Humbi AI acquisition
The goal is to accelerate healthcare's shift to value-based care, Innovaccer says.
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Jan 21 | Susan Morse
What Trump and the GOP have planned for healthcare
"Health systems have reason to worry," says consultant Michael Abrams of Numerof.
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Jan 16 | Jeff Lagasse
44 million people enrolled in ACA programs, KFF finds
Medicaid expansion and high marketplace enrollment are contributing to the numbers, KFF says.
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Jan 14 | Jeff Lagasse
Medicare Part D drug prices up nearly 100%
Overall, these top 25 drugs were responsible for nearly $50 billion in total Medicare Part D spending in 2022, AARP finds.
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Dec 26, 2024 | Jeff Lagasse
Trends 2025: AI in healthcare progressing despite reimbursement hurdles
New AI startups are facing difficulty getting off the ground even as the industry leans hard into the technology.
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Dec 11, 2024 | Jeff Lagasse
Premiums to increase if ACA enhanced subsidies expire, CBO says
Without an extension, the CBO estimates that the number of uninsured Americans would increase by 2.2 million in the first year.
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Oct 14, 2024 | Jeff Lagasse
Coverage for weight loss drugs could cost Medicare $35 billion by 2034
Total direct federal costs of covering AOMs would increase from $1.6 billion in 2026 to $7.1 billion in 2034, CBO finds.
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Sep 27, 2024 | Jeff Lagasse
New legislation seeks to make ACA premium tax credits permanent
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.
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