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
UnitedHealthcare wins lawsuit over star ratings
UnitedHealthcare wins lawsuit over star ratings
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
Alabama hospital expanding behavioral health capabilities
Alabama hospital expanding behavioral health
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
VillageMD CEO steps down
VillageMD CEO steps down
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
Ex-pharmacy owner sentenced in $11.5 million Medicare fraud case
Ex-pharma head sentenced in $11.5M Medicare fraud case
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CMS announces obesity drug coverage in Medicare, Medicaid
CMS announces obesity drug coverage
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
CHS and Woodbridge end $120 million deal in Pennsylvania
CHS and Woodbridge end $120 million deal
View more

Health Maintenance Organization

In-depth

Oscar Health expands ACA presence and chronic condition plans

Oscar Health expands ACA presence and chronic condition plans

Oscar is launching a multi-condition plan for members with diabetes and pulmonary and…

See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings

See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings

Changes in methodology in 2024 and 2025 added Tukey outlier deletion…

Whitepapers

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long

Healthcare organizations (HCOs) often hold multiple…

The Changing Role of The Healthcare Finance Leader

The Changing Role of The Healthcare Finance Leader

Gone are the days when the healthcare finance leader simply reported on the results of the previous month,…

Latest News

October 23, 2024 | Jeff Lagasse

Oscar Health expands ACA presence and chronic condition plans

October 10, 2024 | Susan Morse

See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings

June 18, 2024 | Jeff Lagasse

CalPERS enters into contracts with Blue Shield of California, Included Health

April 10, 2024 | Jeff Lagasse

Zero-premium MA plans are attracting disadvantaged populations

January 11, 2024 | Jeff Lagasse

Baptist Health abandoning Medicare Advantage plans from UnitedHealthcare, Centene

October 19, 2023 | Jeff Lagasse

Walgreens, Alignment rolling out co-branded Medicare Advantage plans

October 13, 2023 | Susan Morse

See the Medicare Advantage 2024 star ratings list: Fewer plans earn 5 stars

VIEW ALL NEWS

MostPopular

Senate strikes down healthcare worker vaccine mandate

Senate strikes down healthcare worker vaccine mandate

CDC relaxes indoor mask guidance, including for schools

CDC relaxes indoor mask guidance, including for schools

CA lawmakers introduce bill mandating workplace vaccinations

CA lawmakers introduce bill mandating workplace vaccinations

CVS files patent to sell healthcare services in the metaverse

CVS files patent to sell healthcare services in the metaverse

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Biggest trends are hospital care at home and widening labor gap

Biggest trends are hospital care at home and widening labor gap

Anthem to rebrand as Elevance Health

Anthem to rebrand as Elevance Health

News

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the tide.

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes - all laudable goals.