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
Advocate spending $1 billion on new hospital and outpatient services
Advocate spending $1B on new hospital and outpatient services
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
Healthcare expenditures rise on increased coverage and utilization
Healthcare expenditures rise on increased coverage and utilization
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
American Heart Association launching HCM initiative
American Heart Association launching HCM initiative
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
Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO 
Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO 
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
Children's Medical expands with new patient tower
Children's Medical expands with new patient tower
Compliance & Legal
Nebraska sues Change Healthcare over ransomware attack
Nebraska sues Change over ransomware attack
Policy and Legislation
Telehealth gets short extension, physician pay is cut in spending bill
Telehealth gets short extension, physician pay is cut in spending 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
HIMSSCast: Research as restorative physician medicine
HIMSSCast: Research as restorative physician medicine
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
CMS ending VBID model due to high costs
CMS ending VBID model due to high costs
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
Senate bill proposes to rein in PBMs by forcing them to sell pharmacy businesses
Senate bill proposes to rein in PBMs
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
Addus Homecare buttons up $350 million Gentiva acquisition
Addus Homecare buttons up $350M Gentiva acquisition
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WellPoint

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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Doctor sits on couch with patient
Oct 11 | Susan Morse
Four health systems form Longitude Health 
Longitude Health says it plans to invest in solutions to address healthcare's most complex challenges.
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Judge with gavel
Oct 09 | Jeff Lagasse
Texas pauses Medicaid contracts worth $116 billion
The contracts do not favor managed care organizations that participate in the state's provider networks, according to plaintiffs.
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Clinicians sitting at a board table
Sep 09 | Jeff Lagasse
Elevance subsidiary Wellpoint adding ACA plans in three states
The company will be debuting new individual marketplace plans in Florida, Maryland and Texas beginning January 2025.
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Nov 04, 2022 | Jeff Lagasse
Medicare Advantage plans suffer from lack of competition, AMA says
Highly concentrated markets and consolidation have hurt both patients and medical professionals, the AMA said.
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Anthem Blue Cross headquarters
Jun 17, 2022 | Susan Morse
Anthem relaunches Wellpoint and announces Carelon ahead of rebrand
The moves emphasize the company's evolution beyond that of a traditional health insurance provider.
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Mar 22, 2019 | Susan Morse
Three largest insurers dominate market share in at least 37 states, GAO report says
Blue Cross was the most named, largest insurer in 10 states in which three insurers had over 75 percent of…
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Whistleblower lawsuit against big payers revived
Aug 25, 2016 | Susan Morse
Whistleblower lawsuit against UnitedHealth, Aetna, Health Net revived over Medicare Advantage scores
A whistleblower case believed dead involving claims of inflated Medicare Advantage risk…
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telehealth
Dec 14, 2015 | Susan Morse
Kaiser fund pumps $10 million into telehealth platform Vidyo
Kaiser Permanente Ventures is betting big on telemedicine, investing $10 million in Vidyo, a visual communications company that…
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business for sale sign
Jun 01, 2015 | Anthony Brino
Humana puts itself up for sale, reports say
A takeover of the company would likely be the largest health insurance acquisition since the $20 billion merger of Anthem and WellPoint in 2003.
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