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
MultiCare Health System pilots new AI tool for revenue cycle
MultiCare Health System pilots new AI tool
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
Health systems see margin gains, though expenses still high
Health systems see margin gains; expenses still high
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 subsidiary buys urgent care centers in Arizona
CHS subsidiary buys urgent care centers in Arizona
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Primary Care Physician

Waiting room
Nov 01 | Susan Morse
Steward Medical sold to Rural Healthcare Group 
Massachusetts Health Policy Commission plans to closely monitor RHG's operation of Stewardship going forward.
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Clinicians sitting at a board table
Oct 23 | Jeff Lagasse
Oscar Health expands ACA presence and chronic condition plans
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
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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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Hospital in a rural setting
Sep 26 | Jeff Lagasse
HHS investing $75 million in rural healthcare infrastructure
The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care.
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Clinicians huddled around a clipboard
Sep 19 | Jeff Lagasse
Feds grant $100 million to grow healthcare workforce
The awards, HRSA says, will expand the number of nurses and primary care physicians while increasing behavioral health support.
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Statue of Lady Justice
Aug 26 | Jeff Lagasse
Radiology group paying $8.8M over False Claims Act violations
The settlement claims NIRP illegally paid physicians for referrals to clinics established to surgically treat patients with PAD.
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Doctor with child patient
Aug 21 | Susan Morse
ACO REACH changes more negative than positive, says participant
The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.
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Nurse helping elderly person out of wheelchair
Jul 30 | Jeff Lagasse
St. Bernard opens nonprofit aging center
The Center for Better Aging is dedicated to achieving equitable health outcomes for older adults on Chicago's South Side.
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Clinicians talking in a hospital
Jul 18 | Jeff Lagasse
AHA criticizes payment structure in Pay PCPs Act
The hybrid payment structure may result in payment decreases that cannot be absorbed, the AHA said.
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Stethoscope on table
Jul 05 | Susan Morse
HIMSSCast: One clinical data set for payers and providers
Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of Care First BCBS.
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