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
Senate report slams private equity's ownership of hospitals
Senate report slams private equity's ownership of hospitals
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
CFPB to remove medical debt from credit reports
CFPB to remove medical debt from credit reports
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
Richmond University Medical Center data breach affects 674,000
Richmond University Medical Center data breach affects 674K
Business Intelligence
Blue Cross Blue Shield of California appoints first female CEO
BCBS California appoints first female CEO
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
Record-setting enrollment for Affordable Care Act coverage
Record-setting enrollment for ACA coverage
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CVS unveils new prescription drug reimbursement model
CVS unveils new drug reimbursement model
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
Transcarent to acquire Accolade for $621 million
Transcarent to acquire Accolade for $621M
View more

Zone Program Integrity Contractors

In-depth

Blue Cross Blue Shield of California appoints first female CEO

Blue Cross Blue Shield of California appoints first female CEO

Lois Quam has served with major healthcare organizations as well as the U.S. State Department.

Record-setting enrollment for Affordable Care Act coverage

Record-setting enrollment for Affordable Care Act coverage

Enhanced tax credits that allow for low ACA premiums expire at the end of 2025.

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

January 9, 2025 | Jeff Lagasse

Blue Cross Blue Shield of California appoints first female CEO

January 9, 2025 | Susan Morse

Record-setting enrollment for Affordable Care Act coverage

January 9, 2025 | Jeff Lagasse

H1 acquires data management company Ribbon Health

January 8, 2025 | Jeff Lagasse

Transcarent to acquire Accolade for $621 million

January 8, 2025 | Susan Morse

Senate report slams private equity's ownership of hospitals

January 8, 2025 | Jeff Lagasse

CFPB to remove medical debt from credit reports

January 7, 2025 | Jeff Lagasse

14 states to participate in maternal health model

VIEW ALL NEWS

MostPopular

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

CVS files patent to sell healthcare services in the metaverse

CVS files patent to sell healthcare services in the metaverse

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Biggest trends are hospital care at home and widening labor gap

Biggest trends are hospital care at home and widening labor gap

Anthem to rebrand as Elevance Health

Anthem to rebrand as Elevance Health

News

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.

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.

Whitepapers

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…

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.

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…