Topics
Reimbursement
Elevance, UnitedHealth among insurers accused of alleged price fixing
Elevance, UnitedHealth among insurers accused of alleged price fixing
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle 
Mary Washington Healthcare latest to outsource revenue cycle 
Strategic Planning
Two CFOs see promise of AI, but have yet to build a dedicated budget
Two CFOs see promise of AI, but have yet to build a dedicated budget
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
Labor expenses continue to challenge hospitals
Labor expenses continue to challenge hospitals
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
US healthcare system ranks last in equity, access
US healthcare system ranks last in equity, access
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
Elevance laying off 123 California employees
Elevance laying off 123 California employees
Operations
UAB, Press Ganey launch certificate program for healthcare leaders
UAB, Press Ganey launch certificate program for healthcare leaders
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
University Hospitals expanding with $3.2 million donation
University Hospitals expanding with $3.2M donation
Compliance & Legal
Johnson and Johnson sues HRSA for blocking 340B plan
J&J sues HRSA for blocking 340B plan
Policy and Legislation
Planned Parenthood, other groups decry executive power in House bill
Planned Parenthood, other groups decry House 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
Blue Cross Massachusetts expanding women's health services
Blue Cross MA expanding women's health services
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
Elevance Health 'considering options' following star ratings hit
Elevance Health 'considering options' following star ratings hit
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CerpassRx, Waltz team on AI platform to manage specialty drug spend
CerpassRx, Waltz team on AI to manage specialty drug spend
Population Health
Reproductive care, including abortion, facing challenges
Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth prescribing of controlled drugs extended through 2025
Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
Cardinal Health set to acquire two companies for combined $3.9B
Cardinal Health set to acquire two companies for combined $3.9B
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Medicare & Medicaid

Telehealth visit as person waves to professional on laptop screen
Nov 18 | Susan Morse
Telehealth prescribing of controlled drugs extended through 2025
Extension of other PHE waivers for telehealth and remote monitoring awaits action by Congress before the end of this year.
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Doctor using tablet
Nov 06 | Susan Morse
Elevance latest insurer to sue over Medicare Advantage star ratings
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
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Clinician helping person in wheelchair
Nov 05 | Susan Morse
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
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Doctor with patient
Nov 05 | Susan Morse
Medical groups push for end to yearly payment cuts
Time is running out for Congress to pass legislation to avert the cuts, AMA says.
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Clinicians walking down hospital hallway
Oct 31 | Jeff Lagasse
MSSP yielded $2.1 billion in net savings in 2023, CMS says
MSSP earned shared savings payments totaling $3.1 billion, the highest since the program's inception.
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Staffer at computer
Oct 25 | Susan Morse
Molina beats financial expectations on higher premium revenue
Short-term disparity between rates and medical cost trend may have reached its widest point in Q3, CEO says. 
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Two employees in control room
Oct 24 | Susan Morse
Centene sues CMS over Medicare Advantage star ratings
The star rating drop will cause Centene to lose an estimated $73M in gross revenue, lawsuit says.
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A bottle of unknown prescription pills
Oct 21 | Jeff Lagasse
Most independent pharmacies may not carry negotiated Medicare Part D drugs
Respondents say they are strongly considering not stocking the drugs because of potential low reimbursements from…
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Humana building
Oct 21 | Susan Morse
Humana sues over 2025 Medicare Advantage Star Ratings
UnitedHealth has also filed a lawsuit, and Elevance says it is considering its options.
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Silhouette of someone looking out a board room window
Oct 21 | Jeff Lagasse
Elevance Health 'considering options' following star ratings hit
CEO Gail Boudreaux says cut points are a large factor driving the decline of plans rated four stars or higher.
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