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
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
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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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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