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
MultiPlan refinances to extend debt capital structure
MultiPlan refinances to extend debt capital structure
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
Lack of oversight found in Massachusetts hospital audit
Lack of oversight found in Massachusetts hospital audit
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
Children's Medical expands with new patient tower
Children's Medical expands with new patient tower
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
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
Andrew Witty on defense over claim denials, Medicare Advantage
Andrew Witty on defense over claim denials, Medicare Advantage
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
Aetna sues drugmakers over alleged price fixing
Aetna sues drugmakers over alleged price fixing
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
CareSource completes affiliation with one of the last Affordable Care Act co-ops 
CareSource completes affiliation with one of the last ACA co-ops 
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News

Lack of oversight found in Massachusetts hospital audit
Jan 06 | Jeff Lagasse
Lack of oversight found in Massachusetts hospital audit
The audit found CHIA did not analyze or report on Massachusetts hospital data and did not assess potential ...
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Mayo Clinic sues Sanford Health Plan over unpaid medical bill
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 ...
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Aetna sues drugmakers over alleged price fixing
Jan 06 | Jeff Lagasse
Aetna sues drugmakers over alleged price fixing
Drugmakers, Aetna alleged, determined their market allocation by providing high cover bids, or refusing to bid for ...
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CareSource completes affiliation with one of the last Affordable Care Act co-ops 
Jan 03 | Susan Morse
CareSource completes affiliation with one of the last Affordable Care Act co-ops 
Co-op Common Ground Healthcare Cooperative offers individual and small-group ...
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Ardent Health continues expansion of urgent care clinics
Jan 03 | Susan Morse
Ardent Health continues expansion of urgent care clinics
The for-profit provider now operates 27 urgent care clinics in Texas, New Mexico and Oklahoma.
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CVS announces layoffs due to loss of Kansas Medicaid contract
Jan 03 | Susan Morse
CVS announces layoffs due to loss of Kansas Medicaid contract
In October, CVS announced it would reduce 2,900 corporate positions in a goal to cut costs by $2 ...
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Elevance closes deal to buy IU Health Plans
Jan 02 | Susan Morse
Elevance closes deal to buy IU Health Plans
IU Health Plans, which will operate as part of Anthem BCBS in Indiana, has Medicare Advantage plans in 36 counties.
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MultiPlan refinances to extend debt capital structure
Dec 31, 2024 | Susan Morse
MultiPlan refinances to extend debt capital structure
The transaction is expected to position MultiPlan for more sustainable long-term growth amid revenue losses ...
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Andrew Witty on defense over claim denials, Medicare Advantage
Dec 31, 2024 | Susan Morse
Andrew Witty on defense over claim denials, Medicare Advantage
Foremost has been the UnitedHealth Group CEO's defense of MA and "misleading" articles ...
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Athenahealth leverages AI to power RCM offering
Dec 30, 2024 | Nathan Eddy
Athenahealth leverages AI to power RCM offering
AI automates the process of reading insurance card images and addresses potential claim denials in real time.
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