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
View more

Anti-Kickback Statute

In-depth

CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks

CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks

Payments to insurance agents incentivize them to base referrals on financial…

Radiology group paying $8.8M over False Claims Act violations

Radiology group paying $8.8M over False Claims Act violations

The settlement claims NIRP illegally paid physicians for referrals to clinics established to…

Whitepapers

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long

Healthcare organizations (HCOs) often hold multiple…

The Changing Role of The Healthcare Finance Leader

The Changing Role of The Healthcare Finance Leader

Gone are the days when the healthcare finance leader simply reported on the results of the previous month,…

Latest News

September 20, 2024 | Jeff Lagasse

CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks

August 26, 2024 | Jeff Lagasse

Radiology group paying $8.8M over False Claims Act violations

July 23, 2024 | Jeff Lagasse

DaVita paying $34 million over kickback allegations

July 17, 2023 | Jeff Lagasse

EHR vendor NextGen Healthcare paying $31 million in False Claims Act settlement

February 1, 2021 | Jeff Lagasse

UPDATED: Trump-era rebate rule for Medicare Part D on hold until 2023

December 22, 2020 | Susan Morse

Department of Justice sues Walmart alleging unlawful opioid dispensing

November 21, 2020 | Susan Morse

CMS finalizes changes to Stark Law that hinder physician referral 

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Senate strikes down healthcare worker vaccine mandate

Senate strikes down healthcare worker vaccine mandate

CDC relaxes indoor mask guidance, including for schools

CDC relaxes indoor mask guidance, including for schools

CA lawmakers introduce bill mandating workplace vaccinations

CA lawmakers introduce bill mandating workplace vaccinations

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CVS files patent to sell healthcare services in the metaverse

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Optum: UnitedHealth's secret weapon

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Biggest trends are hospital care at home and widening labor gap

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Anthem to rebrand as Elevance Health

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Ending racism in healthcare often begins with medical education - and is the target of a new national project

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the tide.

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes - all laudable goals.

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…