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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

New York putting $188 million toward cancer center

New York putting $188M toward cancer center

Capital Finance

17 health systems invest in Truveta Genome Project

17 health systems invest in Truveta Genome Project

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

Credit downgrades outpaced upgrades for nonprofit hospitals

Credit downgrades outpaced upgrades for nonprofit hospitals

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

Cleveland Clinic announces 114 layoffs due to financial challenges

Cleveland Clinic announces 114 layoffs

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

Aspirus embarks on $227 million hospital expansion

Aspirus embarks on $227 million hospital expansion

Compliance & Legal

DOJ sues Walgreens for dispensing alleged illegal prescriptions

DOJ sues Walgreens for dispensing alleged illegal prescriptions

Policy and Legislation

What Trump and the GOP have planned for healthcare

What Trump and the GOP have planned for healthcare

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

190 million people affected by Change Healthcare cyberattack, says UHG

190M people affected by Change cyberattack

Business Intelligence

Tim Noel appointed new CEO of UnitedHealthcare

Tim Noel appointed new CEO of UnitedHealthcare

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

Poll: Spend more on Medicare and Medicaid, voters say

Poll: Spend more on Medicare and Medicaid, voters say

Patient Engagement

HHS, Illinois reach agreement on disability rights laws

HHS, Illinois reach agreement on disability rights

Pharmacy

15 more drugs selected for Medicare drug price negotiations

15 more drugs selected for Medicare drug price negotiations

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

Teladoc teams with Amazon on chronic care

Teladoc teams with Amazon on chronic care

Mergers & Acquisitions

Santa Clara County to buy HCA hospital for $150 million

Santa Clara County to buy HCA hospital for $150M

Top Stories

What Trump and the GOP have planned for healthcare

What Trump and the GOP have planned for healthcare

Sutter Health makes $1 billion AI deal with GE

Sutter Health makes $1 billion AI deal with GE

17 health systems invest in Truveta Genome Project

17 health systems invest in Truveta Genome Project

The Change Healthcare booth at HIMSS24 in Orlando.

Jan 28 | Jeff Lagasse

190 million people affected by Change Healthcare cyberattack, says UHG

The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.

Medical billing

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 by a patient in 2022.

Workers at a desk

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.

Person holds injection pen

Nov 26, 2024 | Susan Morse

CMS announces obesity drug coverage in Medicare, Medicaid

The proposed rule would need to become final under the Trump Administration.

Employee at computer

Nov 14, 2024 | Susan Morse

Denials top reason for eroding provider-payer relationship

Most CFOs are not looking to technology or AI as a solution, says new HFMA report.

Hurricane hitting coast

Oct 28, 2024 | Susan Morse

CHS reports losses due to hurricanes, payer denials, increased workforce expenses

Hurricane Helene resulted in a $7M loss of revenue and response effort expenses.

Stethoscope on table

Oct 18, 2024 | Susan Morse

HIMSSCast: AI as assistant, not replacement

AI is only as good as the quality of the data, says Sundar Shenbagam, chief technology officer at Edifecs.

Fingers tapping at laptop keys

Oct 01, 2024 | Jeff Lagasse

UMC Health System hit with IT outage linked to ransomware

UMC has been able to keep its ER open, but other services have been disrupted.

A clinician concentrating on her computer screen

Sep 30, 2024 | Jeff Lagasse

Claims denials on the rise, complicating revenue collection, survey finds

Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%.

Executives around a desk

Sep 23, 2024 | Nathan Eddy

Finance leaders balance AI investment to expected ROI

Fifteen percent of providers and 25% of payers report having an established AI strategy in 2024.

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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.