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
Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC 
Express Scripts, Caremark, OptumRx sue FTC 
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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News

MedPAC recommends FY16 hospital payment boost
Mar 18, 2015 | Debra A. McCurdy
MedPAC recommends FY16 hospital payment boost
In its annual recommendations to Congress on Medicare policies, the Medicare Payment Advisory Commission recommends a ...
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CMS update boosts 2015 Medicare outpatient payment rates
Feb 25, 2015 | Debra A. McCurdy
CMS update boosts 2015 Medicare outpatient payment rates
CMS yesterday published a notice indicating an increase in the Medicare Hospital OPPS conversion factor from ...
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HHS Inspector General assesses new healthcare fraud alert topics
Dec 30, 2014 | Debra A. McCurdy
HHS Inspector General assesses new healthcare fraud alert topics
This week the HHS Office of Inspector General (OIG) published its annual solicitation of ...
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Insight on the revised Medicare provider enrollment regulations
Dec 15, 2014 | Debra A. McCurdy
Insight on the revised Medicare provider enrollment regulations
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny ...
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Oct 20, 2014 | Debra A. McCurdy
CMS extends ACO fraud and abuse waivers
Last week the HHS Office of Inspector General and the Centers for Medicare & Medicaid Services published a joint notice ...
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Jul 25, 2014 | Debra A. McCurdy
Assessing the new 340B interpretive rule
Although a May 2014 U.S. District Court ruling vacated HRSA's 340B orphan drug regulation, the agency has issued an ...
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May 19, 2014 | Debra A. McCurdy
CMS selectively tweaks regulatory rules
Last week, the Centers for Medicare & Medicaid Services published a final rule that reforms federal health policy ...
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Mar 05, 2014 | Debra A. McCurdy
Reimbursement provisions in FY15 budget: $400 billion in cuts
The Obama Administration released its proposed federal budget for fiscal year 2015 this week. Virtually ...
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