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
Trends 2025: The demand for interim revenue cycle executives
Trends 2025: The demand for interim revenue cycle executives
Strategic Planning
CVS announces layoffs due to loss of Kansas Medicaid contract
CVS announces layoffs due to loss of Kansas Medicaid contract
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
Walgreens posts $265 million net loss in Q1
Walgreens posts $265 million net loss in Q1
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
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
Male physicians have more net worth than female counterparts
Male physicians have more net worth than females
Operations
Healthcare execs more optimistic heading into the new year, survey finds
Health execs more optimistic heading into 2025
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
Cincinnati Children's undergoing $365 million expansion
Cincinnati Children's undergoing $365M expansion
Compliance & Legal
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
Policy and Legislation
CFPB to remove medical debt from credit reports
CFPB to remove medical debt from credit reports
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
Richmond University Medical Center data breach affects 674,000
Richmond University Medical Center data breach affects 674K
Business Intelligence
Blue Shield of California appoints first female CEO
Blue Shield of California appoints first female CEO
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
Record-setting enrollment for Affordable Care Act coverage
Record-setting enrollment for ACA coverage
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CVS unveils new prescription drug reimbursement model
CVS unveils new drug reimbursement model
Population Health
Weight loss drugs can save patients and healthcare dollars
Weight loss drugs can save patients and healthcare dollars
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Trends 2025: Telehealth's future faces a Friday deadline
Trends 2025: Telehealth's future faces a Friday deadline
Mergers & Acquisitions
Transcarent to acquire Accolade for $621 million
Transcarent to acquire Accolade for $621M
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U.S. Department of Health and Human Services (HHS)

Medical billing
Jan 06 | Susan Morse
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.
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Hands pouring out pills from a bottle
Dec 23, 2024 | Jeff Lagasse
Medicare enrollees to pay less for 64 additional drugs
The drugs will have a lowered Part B coinsurance rate from January 1 through March 31 of next year, HHS says.
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Woman on a telehealth visit
Dec 17, 2024 | Susan Morse
Trends 2025: Telehealth's future faces a Friday deadline
The continuation of flexibilities for telehealth and acute hospital care at home rides on federal spending bill.
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Doctor examining toddler
Dec 13, 2024 | Jeff Lagasse
OCR settles with UCLA over disability access
The settlement addresses allegations that UCLA's intervention program restricted access to a disabled toddler.
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CVS Pharmacy
Dec 12, 2024 | Susan Morse
Senate bill proposes to rein in PBMs by forcing them to sell pharmacy businesses
The bipartisan legislation would prevent dual ownership of PBMs and pharmacy assets.
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UnitedHealthcare building
Nov 26, 2024 | Susan Morse
UnitedHealthcare wins lawsuit over star ratings
CMS is ordered to recalculate the star ratings without consideration of a "secret shopper" call that framed the dispute.
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Dr. Mehmet Oz
Nov 20, 2024 | Susan Morse
Trump picks Dr. Mehmet Oz to head CMS
Oz will cut waste and fraud within the country's most expensive government agency, Trump says.
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Someone helping a senior in a wheelchair
Nov 19, 2024 | Jeff Lagasse
HHS, Illinois reach agreement on disability rights laws
The agreement comes after a complaint alleged Illinois unjustly institutionalized a person with disabilities.
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Telehealth visit as person waves to professional on laptop screen
Nov 18, 2024 | Susan Morse
Telehealth prescribing of controlled drugs extended through 2025
Extension of other PHE waivers for telehealth and remote monitoring awaits action by Congress before the end of this year.
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HHS building
Nov 14, 2024 | Susan Morse
Trump picks RFK Jr. to lead HHS
President-elect says his nominee will protect Americans from "pollutants, pesticides, pharmaceutical products and food additives."
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