Topics
Reimbursement
Physicians 'outraged' that spending bill fails to avert pay cut
Physicians 'outraged' that spending bill fails to avert pay cut
Revenue Cycle Management
Modernizing healthcare payment systems starts with reducing cash collections
Modernizing healthcare payment systems starts with reducing cash collections
Strategic Planning
Advocate Health closing Illinois clinics inside of Walgreens
Advocate Health closing Illinois clinics inside of Walgreens
Capital Finance
HIMSS25: ROI as the ultimate measure of value
HIMSS25: ROI as the ultimate measure of value
Supply Chain
Hospitals face rising costs, supply chain disruptions as tariff uncertainty continues
Hospitals face rising costs as tariff uncertainty continues
Accounting & Financial Management
$880 billion in spending cuts not possible without slashing Medicaid
$880B in spending cuts not possible without slashing Medicaid
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
Senate report slams private equity's ownership of hospitals
Senate report slams private equity's ownership of hospitals
Billing and Collections
Revenue cycle challenged by low collection rates, high denials
Revenue cycle challenged by low collection rates, high denials
Claims Processing
Sen. Grassley wants UnitedHealth to hand over MA billing records
Sen. Grassley wants UnitedHealth to hand over MA billing records
Workforce
Cedars-Sinai cancer director stepping down
Cedars-Sinai cancer director stepping down
Operations
Chief growth officer on the competitiveness of home health market
Chief growth officer on the competitiveness of home health market
Medical Devices
Logistics robots bringing Samsung Medical Center into the future
Logistics robots bringing Samsung Medical into the future
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling on noncompetes
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Prisma Health opens $3.7 million behavioral health facility
Prisma Health opens $3.7 million behavioral health facility
Compliance & Legal
Hospitals face deadline to opt out of BCBS settlement agreement
Hospitals face deadline to opt out of BCBS settlement agreement
Policy and Legislation
CMS proposes shortening ACA open enrollment window
CMS proposes shortening ACA open enrollment window
Community Benefit
Mobile Healthcare does house calls
Mobile Healthcare does house calls
Accountable Care
HIMSS25 session shows how physicians are incentivized in alternative payment models
HIMSS25 session shows how physicians are incentivized in APMs
Acute Care
SDOH, tech key to advancing value-based care, says UHG
SDOH, tech key to advancing value-based care
Ambulatory Care
Fewer clinicians entering primary care, data shows
Fewer clinicians entering primary care
Analytics
Kentucky making data on foster children interoperable
Kentucky making data on foster children interoperable
Business Intelligence
Blue Cross NC reorganizing with parent company
Blue Cross NC reorganizing with parent company
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
Curbing Medicaid expansion could cause $80 billion hit to providers
Curbing Medicaid expansion could cause $80B hit to providers
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
PBMs appeal FTC case over insulin costs 
PBMs appeal FTC case over insulin costs 
Population Health
Teladoc partnering with Eli Lilly on self-pay GLP-1 access
Teladoc partnering with Eli Lilly on self-pay GLP-1 access
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Philips partners for maternal remote patient monitoring in Georgia
Philips partners for maternal remote patient monitoring in Georgia
Mergers & Acquisitions
Walgreens to be acquired by Sycamore Partners
Walgreens to be acquired by Sycamore Partners
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MedPAC

Capitol
Jan 31 | Susan Morse
Bipartisan House bill introduced to stop physician pay cut 
A 2.8% payment cut went into effect on January 1 after a spending bill stripped a provision to prevent the decrease. 
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The Capitol at night
Dec 21, 2024 | Susan Morse
Telehealth gets short extension, physician pay is cut in spending bill
Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.
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Senior and younger caregiver looking out a window
Dec 18, 2024 | 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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U.S. capitol building at sunset
Nov 18, 2024 | Jeff Lagasse
Planned Parenthood, other groups decry executive power in House bill
The bill would grant executive authority to nix nonprofits deemed 'supportive' of terrorist organizations.
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Surgeon looking at notes
Oct 31, 2024 | Susan Morse
Bill would give physicians a pay increase, block Medicare cuts
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
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Executives smiling and shaking hands
Sep 17, 2024 | Jeff Lagasse
Insurers will make $11.8 billion in Medicare Advantage quality bonus payments
This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings…
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Clinicians walking down a hospital corridor
Aug 22, 2024 | 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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Doctor looking pensive
Jul 12, 2024 | Susan Morse
Proposed physician pay decrease: 'Death by a thousand cuts continues'
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
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Doctor on phone
May 08, 2024 | Susan Morse
Medicare Trustees warn of low physician payment
"It would be political malpractice for Congress to sit on its hands and not respond to this report," says AMA president.
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Pills from bottles spill out on the counter.
Jan 04, 2024 | Susan Morse
Americans pay more for brand name drugs than in other countries
Rebates bring down prices by as much as half.
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