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
Mary Washington Healthcare latest to outsource revenue cycle 
Mary Washington Healthcare latest to outsource revenue cycle 
Strategic Planning
CommonSpirit, University of Utah Health team on access
CommonSpirit, University of Utah Health team on access
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
Anesthesiologist sentenced to 190 years for IV bag tampering
Anesthesiologist sentenced to 190 years for IV bag tampering
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
Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC 
Express Scripts, Caremark, OptumRx sue FTC 
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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Fee for Service (FFS)

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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A doctor providing telehealth on a laptop screen
Sep 17 | Jeff Lagasse
Telehealth utilization increased nationally in June
Telehealth for mental health conditions, which account for half of telehealth claims, fell in most areas of the country.
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Clinicians walking down a hospital corridor
Aug 22 | Jeff Lagasse
Medicare Advantage growth could be challenging for hospitals
The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.
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Nurses and clinicians talking in a hallway
Aug 01 | Jeff Lagasse
CMS updates SNF payments in new rule
There will be a net increase of 4.2%, or approximately $1.4 billion, in Medicare Part A payments to SNFs next year.
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