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Senators urge action on physician payment cut
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Trends 2025: The demand for interim revenue cycle executives
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Advocate spending $1B on new hospital and outpatient services
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Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Healthcare expenditures rise on increased coverage and utilization
Budgeting
Health system operating margins declined in August
Quality and Safety
American Heart Association launching HCM initiative
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CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Denials top reason for eroding provider-payer relationship
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Male physicians have more net worth than females
Operations
Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO
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Healthcare chatbots may promote racist misinformation
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Hospitals, physicians submit opposing views to FTC ruling
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Children's Medical expands with new patient tower
Compliance & Legal
Nebraska sues Change over ransomware attack
Policy and Legislation
Telehealth gets short extension, physician pay is cut in spending bill
Community Benefit
AMA pushes for stricter standards for hospital charity care policies
Accountable Care
NAACOS pushes ACO REACH extension
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Cleveland Clinic and Amazon One Medical collaborate
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Interoperability in healthcare moving forward despite challenges
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HIMSSCast: Research as restorative physician medicine
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
Medicare & Medicaid
CMS ending VBID model due to high costs
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
Senate bill proposes to rein in PBMs
Population Health
Weight loss drugs can save patients and healthcare dollars
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Trends 2025: Telehealth's future faces a Friday deadline
Mergers & Acquisitions
Addus Homecare buttons up $350M Gentiva acquisition
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
UnitedHealth Group CEO Andrew Witty addresses backlash
Luigi Mangione indicted on first degree murder charge
Nebraska sues Change over ransomware attack
Office of the Inspector General (OIG)
Oct 08 | Jeff Lagasse
Medicaid insurers 'missing opportunities' to improve maternal care
The U.S. is experiencing a maternal health crisis, and has worse outcomes than in any other high-income country, according…
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Oct 07 | Jeff Lagasse
OIG: Opioid treatment gaps persist among Medicare, Medicaid enrollees
Enrollees in high-need areas often lack access to providers who can prescribe or dispense these medications, OIG finds.
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Sep 30 | Jeff Lagasse
OIG: New York paid $23.3 million in Medicaid payments to deceased beneficiaries
To date, New York has refunded approximately $10 million to the federal government and recovered roughly $19…
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Sep 20 | Jeff Lagasse
CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.
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Sep 04 | Jeff Lagasse
St. Peter's Health paying $10.8 million over alleged false claims
DOJ says St. Peter fraudulently submitted claims for services performed by an oncology doctor.
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Aug 26 | Jeff Lagasse
CMS blocks private sector enrollment sites from ACA marketplace
CMS received more than 200,000 complaints in the first six months of the year about such actions.
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Jun 24 | Susan Morse
Financial disincentives for providers who commit information blocking
Final rule disincentives include hospitals not being able to earn three quarters of the annual market basket increase.
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Mar 08 | Jeff Lagasse
Feds launch $50M rural opioid treatment initiative
The funding will support establishing and expanding comprehensive substance use disorder treatment and recovery services in rural areas.
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Feb 20 | Susan Morse
OIG audit finds millions in MA overpayments for one company over 2 years
The MA insurer sampled received at least $3.7 million of net overpayments for 2017 and 2018, the OIG found.
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Jan 05 | Susan Morse
AHA joins chorus against information blocking rules
The disincentive structure proposed is excessive and threatens the financial viability of economically fragile hospitals, AHA says.
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