Topics
Reimbursement
Home health agencies get half a percent pay increase
Home health agencies get half a percent pay increase
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
Cleveland Clinic partnering with Cavaliers on new training center
Cleveland Clinic partnering with Cavs on new sports complex
Compliance & Legal
Johnson and Johnson sues HRSA for blocking 340B plan
J&J sues HRSA for blocking 340B plan
Policy and Legislation
Trump picks RFK Jr. to lead HHS
Trump picks RFK Jr. to lead HHS
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
MD Anderson launches new cancer research center
MD Anderson launches new cancer research center
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
Elevance Health 'considering options' following star ratings hit
Elevance Health 'considering options' following star ratings hit
Patient Engagement
Patients see narrow networks in ACA marketplace plans, KFF finds
KFF: Patients see narrow networks in ACA marketplace plans
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
Teladoc posts $640.5 million in revenue, stresses virtual care improvement
Teladoc posts $640.5 million in revenue
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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False Claims Act

Lady Justice holding her scales
Oct 16 | Jeff Lagasse
Former Chicago hospital CEO charged with corruption, embezzlement
A federal investigation uncovered a scheme to steer vendor contracts to medical supply companies in exchange for cash.
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Label on a pill bottle
Oct 09 | Jeff Lagasse
Pharma execs charged in $1.3 billion drug scheme
The charges are unlawful distribution of about 70 million opioid pills and 30 million doses of other prescription drugs.
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CVS Pharmacy storefront
Oct 01 | Jeff Lagasse
CVS Health mulls potential breakup in midst of strategic review
Various forms of a potential separation are reportedly under consideration, though specifics remain unclear.
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Statue of Justice holding scales
Sep 20 | Jeff Lagasse
CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.
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A Rite Aid store
Sep 11 | Jeff Lagasse
Rite Aid comes out of Chapter 11 bankruptcy
The company cut about $2B worth of total debt and added $2.5 billion in exit financing.
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Statue of Lady Justice
Sep 04 | Jeff Lagasse
St. Peter's Health paying $10.8 million over alleged false claims
DOJ says St. Peter fraudulently submitted claims for services performed by an oncology doctor.
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Statue of Lady Justice
Aug 26 | Jeff Lagasse
Radiology group paying $8.8M over False Claims Act violations
The settlement claims NIRP illegally paid physicians for referrals to clinics established to surgically treat patients with PAD.
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Statue of Lady Justice with scales
Aug 20 | Jeff Lagasse
Humana to pay $90 million to settle allegedly fraudulent Part D bids
The suit alleges Humana committed to providing the required level of coverage, but in fact planned to provide less.
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Lady Justice statue
Jul 23 | Jeff Lagasse
DaVita paying $34 million over kickback allegations
DaVita allegedly paid kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis…
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Close-up of Lady Justice statue
Jul 16 | Jeff Lagasse
Former Georgia insurance commissioner sentenced to 3.5 years in prison
John Oxendine was sentenced for conspiracy to commit healthcare fraud in connection with unnecessary lab testing.
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