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
5.6 million people affected by Ascension cyberattack
5.6 million people affected by Ascension cyberattack
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
Medicare enrollees to pay less for 64 additional drugs
Medicare enrollees to pay less for 64 additional drugs
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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Fee for Service (FFS)

Staffer using calculator
Dec 18 | Susan Morse
Healthcare expenditures rise on increased coverage and utilization
Much of the growth in private health insurance was due to rapid growth in marketplace enrollment, as a result of enhanced…
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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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Senior being helped into a chair
Dec 09 | Jeff Lagasse
Older Americans struggling with healthcare costs
Nearly one in four older adults in the U.S. spent at least $2,000 out of pocket on healthcare last year, survey shows.
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Employee at computer
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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Aaron Rust and Chris Pizzi of Providence Health & Services in Medford, Oregon.
Oct 23 | Susan Morse
Providence Health & Services in Oregon optimizes value-based care
Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris…
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Doctors viewing imaging on a screen
Oct 10 | Jeff Lagasse
SDOH, tech key to advancing value-based care, says UHG
The report stresses the importance of continued innovation and collaboration across the healthcare system to further adoption.
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A clinician concentrating on her computer screen
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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Clinicians at a board table
Sep 26 | Jeff Lagasse
GAO urges action to prevent Medicaid fraud
GAO identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered recommendations.
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Urinary catheter
Sep 25 | Susan Morse
CMS final rule holds ACOs harmless for suspect catheter billings
Medicare claims for catheters have increased, and CMS found a rise in billings by a small group of durable medical equipment…
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Clinician at a computer terminal
Sep 19 | Jeff Lagasse
Interoperability in healthcare moving forward despite challenges
Confusion around CMS' final rules has been a challenge, yet the industry continues to advance seamless data exchange.
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