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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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Reimbursement
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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
Fitch Ratings
Jan 24 | Jeff Lagasse
Credit downgrades outpaced upgrades for nonprofit hospitals
Three rating agencies collectively downgraded 95 facilities and upgraded 37 in 2024, compared to 116 and 33, respectively, in 2023.
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Dec 13, 2024 | Jeff Lagasse
Ashland hospital expanding as part of strategic plan
The facility will retain its acute care operations but will make a number of investments, including in inpatient services.
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Dec 11, 2024 | Jeff Lagasse
Not-for-profit hospital outlook upgraded to neutral
The sector has seen improved operating margins while the escalation of labor expenses has slowed, says Fitch.
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Oct 02, 2024 | Jeff Lagasse
Health system operating margins declined in August
It's the second consecutive month in which operating margins tightened, Strata's data shows.
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Jun 28, 2024 | Susan Morse
The challenges facing children's and rural hospitals
Akron Children's Hospital gets half its reimbursement from Medicaid, with all health systems facing a changing payer mix.
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Jun 03, 2024 | Susan Morse
HFMA's annual conference heavy on topic of cybersecurity challenges
The conference is taking place from Monday, June 24, through Thursday, June 27, in Las Vegas.
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Mar 18, 2024 | Jeff Lagasse
Lower reimbursement linked to sagging margins, healthcare CFOs say
Eighty four percent of health systems cite lower reimbursement from payers as a top cause of low operating margins.
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Feb 08, 2024 | Jeff Lagasse
Increased Medicare Advantage utilization likely credit neutral, finds Fitch
Insurers generally have sufficient ratings headroom to withstand higher MA utilization rates, analysts found.
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Jan 17, 2024 | Jeff Lagasse
Solid operating margins have hospitals looking to strategic growth, says Kaufman Hall
The firm says hospitals must reinvest in strategic growth to stay on track financially in 2024.
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Dec 21, 2023 | Jeff Lagasse
Labor pressures begin to ease for nonprofit hospitals, finds Fitch
Payrolls continue to grow while year-over-year wage growth has declined from recent peaks, the ratings agency finds.
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