Topics
Reimbursement
Home health agencies get half a percent pay increase
Home health agencies get half a percent pay increase
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle 
Mary Washington Healthcare latest to outsource revenue cycle 
Strategic Planning
Two CFOs see promise of AI, but have yet to build a dedicated budget
Two CFOs see promise of AI, but have yet to build a dedicated budget
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
Hospital margins climb to 5.1% in September
Hospital margins climb to 5.1% in September
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
Johns Hopkins Health Plans announces multi-payer portal
Johns Hopkins Health Plans announces multi-payer portal
Workforce
Elevance laying off 123 California employees
Elevance laying off 123 California employees
Operations
$47.5 million grant allows Rutgers to turn lab discoveries into practical healthcare
Rutgers to promote 'translational' science with $47.5M grant
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
Cleveland Clinic partnering with Cavaliers on new training center
Cleveland Clinic partnering with Cavs on new sports complex
Compliance & Legal
Elevance latest insurer to sue over Medicare Advantage star ratings
Elevance latest insurer to sue over Medicare Advantage star ratings
Policy and Legislation
What Trump's election means for healthcare
What Trump's election means for healthcare
Community Benefit
Nonprofit hospitals' charity care falling behind tax breaks, report shows
Report: Hospitals' charity care falling behind tax breaks
Accountable Care
ACO REACH changes more negative than positive, says participant
ACO REACH changes not positive, says participant
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
MD Anderson launches new cancer research center
MD Anderson launches new cancer research center
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
Elevance Health 'considering options' following star ratings hit
Elevance Health 'considering options' following star ratings hit
Patient Engagement
Patients see narrow networks in ACA marketplace plans, KFF finds
KFF: Patients see narrow networks in ACA marketplace plans
Pharmacy
CerpassRx, Waltz team on AI platform to manage specialty drug spend
CerpassRx, Waltz team on AI to manage specialty drug spend
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
Teladoc posts $640.5 million in revenue, stresses virtual care improvement
Teladoc posts $640.5 million in revenue
Mergers & Acquisitions
Astrana Health to acquire Prospect providers, health plan
Astrana Health to acquire Prospect providers, health plan
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Reimbursement

A Walgreens pharmacy sign over entrance
Nov 07 | Susan Morse
Walgreens pays $100 million to settle class action drug case 
Insured customers paid more for drugs than members of its Prescription Savings Club, lawsuit alleges.
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Doctor using tablet
Nov 06 | Susan Morse
Elevance latest insurer to sue over Medicare Advantage star ratings
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
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A CVS Pharmacy storefront
Nov 06 | Jeff Lagasse
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.
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Clinician helping person in wheelchair
Nov 05 | Susan Morse
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
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Doctor with patient
Nov 05 | Susan Morse
Medical groups push for end to yearly payment cuts
Time is running out for Congress to pass legislation to avert the cuts, AMA says.
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Clinicians talking at a boardroom table
Nov 05 | Jeff Lagasse
CMS gives renal dialysis facilities a 2.7% increase
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
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Clinicians talking in a hospital
Nov 05 | Jeff Lagasse
AHA criticizes 2.9% increase in CMS' OPPS final rule
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
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Surgeon looking at notes
Oct 31 | 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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Hurricane hitting coast
Oct 28 | Susan Morse
CHS reports losses due to hurricanes, payer denials, increased workforce expenses
Hurricane Helene resulted in a $7M loss of revenue and response effort expenses.
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Lady Justice holding her scales
Oct 28 | Jeff Lagasse
AMA files lawsuit alleging price-fixing by MultiPlan
According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.
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