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Reimbursement
Physicians 'outraged' that spending bill fails to avert pay cut
Revenue Cycle Management
Modernizing healthcare payment systems starts with reducing cash collections
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Advocate Health closing Illinois clinics inside of Walgreens
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HIMSS25: ROI as the ultimate measure of value
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Hospitals face rising costs as tariff uncertainty continues
Accounting & Financial Management
$880B in spending cuts not possible without slashing Medicaid
Budgeting
Health system operating margins declined in August
Quality and Safety
Senate report slams private equity's ownership of hospitals
Billing and Collections
Revenue cycle challenged by low collection rates, high denials
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Sen. Grassley wants UnitedHealth to hand over MA billing records
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Cedars-Sinai cancer director stepping down
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Chief growth officer on the competitiveness of home health market
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Logistics robots bringing Samsung Medical into the future
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
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Prisma Health opens $3.7 million behavioral health facility
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Hospitals face deadline to opt out of BCBS settlement agreement
Policy and Legislation
CMS proposes shortening ACA open enrollment window
Community Benefit
Mobile Healthcare does house calls
Accountable Care
HIMSS25 session shows how physicians are incentivized in APMs
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Fewer clinicians entering primary care
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Kentucky making data on foster children interoperable
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Blue Cross NC reorganizing with parent company
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Curbing Medicaid expansion could cause $80B hit to providers
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
PBMs appeal FTC case over insulin costs
Population Health
Teladoc partnering with Eli Lilly on self-pay GLP-1 access
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Philips partners for maternal remote patient monitoring in Georgia
Mergers & Acquisitions
Walgreens to be acquired by Sycamore Partners
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
$880B in spending cuts not possible without slashing Medicaid
Walgreens to be acquired by Sycamore Partners
Health leaders need AI know-how to avoid cyberattacks
News
Aug 10, 2015 | Anthony Brino
Medicaid expansion working, but experts see long way to go for program
An estimated 45,000 American adults die each year because they have no health insurance, ...
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Aug 07, 2015 | Anthony Brino
Health Affairs report pokes holes in hospital pay-for-performance programs
"Would incentives for improvement be greater if all pay-for-performance programs ...
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Aug 06, 2015 | Anthony Brino
Tufts Health Plan, Iora team up to run two new primary clinics
Tufts Health Plan is working with Iora to open two new Iora Primary Care practices, in Medford and ...
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Aug 05, 2015 | Anthony Brino
New Daughters of Charity deal could face same AG hurdle over terms
BlueMountain's operation and potential ownership of Daughters of Charity guarantees that the ...
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Aug 05, 2015 | Anthony Brino
Timberlawn Mental Health System faces closure after CMS finds major safety problems
Last December, a 37-year-old patient with dissociative disorder died after ...
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Aug 04, 2015 | Anthony Brino
Nonprofit, for-profit hospitals in California show same uncompensated care costs, study finds
Authors say there is need for more accountability in the Affordable ...
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Aug 03, 2015 | Anthony Brino
Community Health Systems spins off 38 rural hospitals to focus on regional networks
Community Health Systems is spinning off a group of rural hospitals and aiming to ...
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Aug 03, 2015 | Anthony Brino
Maryland's all-payer model faces hurdles as CMS touts radical program
While hospitals in Maryland have not brought down the state's total costs of care, ...
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Jul 31, 2015 | Anthony Brino
Health Care Services Corp. CEO Pat Hemingway Hall to retire
Under Hemingway Hall, HCSC's insurers added 3 million in membership, including in ACA exchanges, and ...
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Jul 30, 2015 | Anthony Brino
Medicare at 50: Medical education funding faces physician shortage problems
As the programs turn 50, Medicare and Medicaid's long role in funding medical ...
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