Topics
Reimbursement
Elevance, UnitedHealth among insurers accused of alleged price fixing
Elevance, UnitedHealth among insurers accused of alleged price fixing
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
Labor expenses continue to challenge hospitals
Labor expenses continue to challenge hospitals
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
University Hospitals expanding with $3.2 million donation
University Hospitals expanding with $3.2M donation
Compliance & Legal
Johnson and Johnson sues HRSA for blocking 340B plan
J&J sues HRSA for blocking 340B plan
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
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
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
Almost a quarter of Americans underinsured, survey finds
Survey: Almost a quarter of Americans underinsured
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
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
Telehealth prescribing of controlled drugs extended through 2025
Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
Cardinal Health set to acquire two companies for combined $3.9B
Cardinal Health set to acquire two companies for combined $3.9B
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Risk Management

Executives talking in a board room
Oct 03 | Jeff Lagasse
Employers look to dodge cost-shifting in midst of rising expenses
More than half of employers plan to implement programs that will reduce total costs, a WTW survey finds.
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Patient in bed with computer tablet
Oct 02 | Susan Morse
CMS releases Acute Hospital Care at Home study
The report compares cost, care, patient experience and more to brick-and-mortar care, ahead of the expiration of the waiver.
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Stethoscope on table
Sep 13 | Susan Morse
HIMSSCast: How care collaboration impacts patients and providers
Sutter Health in California has collaborated with PointClickCare's ED Optimization to track patients who travel between…
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Two workers in a control room
Sep 11 | Nathan Eddy
Finance execs are focused on cutting costs through technology
AI has emerged as a critical area of investment, with 57% of executives planning to invest this year.
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Family in kitchen
Aug 14 | Susan Morse
Healthcare organizations ask Congress for continuous Medicaid eligibility
Nationwide policy of 12-month continuous eligibility would allow these programs to operate more like private…
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Clinicians consulting a computer
Jul 26 | Jeff Lagasse
HHS overhauling its tech, cybersecurity and AI functions
The reorganization is intended to clarify and consolidate these functions in a number of ways, HHS says.
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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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Clinician in office
May 30 | Susan Morse
Clover Health is offering its AI assistant to all Medicare Advantage payers and providers
Clinicians using Counterpart Assistant see over 1,000 basis point differential in Medical Cost…
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Stethoscope on table
May 24 | Susan Morse
HIMSSCast: Home health challenges offset by creating patient and caregiver communities
One technology that's reduced both loneliness and hospitalizations has been the creation of an…
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Child raises arms as he's seen by a doctor.
May 13 | Susan Morse
CMS extends state waivers to keep people covered under Medicaid and CHIP
At least 15 states have used a timeliness exception to delay disenrollment of individuals who qualify, but who have…
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