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
UPMC, Vanderbilt join Aegis Ventures in digital consortium
UPMC, Vanderbilt join Aegis Ventures in digital consortium
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
Trump picks Dr. Mehmet Oz to head CMS
Trump picks Dr. Mehmet Oz to head CMS
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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Reimbursement

Doctor in hallway
Nov 19 | Susan Morse
Elevance, UnitedHealth among insurers accused of alleged price fixing
The complaint claims the scheme was aimed at suppressing payment rates to doctors for out-of-network services.
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Employee at computer
Nov 14 | 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.
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A Walgreens pharmacy sign over entrance
Nov 07 | Susan Morse
Walgreens pays $100 million to settle class action drug case 
Insured customers paid more for drugs than members of its Prescription Savings Club, lawsuit alleges.
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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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A CVS Pharmacy storefront
Nov 06 | Jeff Lagasse
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.
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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 talking at a boardroom table
Nov 05 | Jeff Lagasse
CMS gives renal dialysis facilities a 2.7% increase
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
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Clinicians talking in a hospital
Nov 05 | Jeff Lagasse
AHA criticizes 2.9% increase in CMS' OPPS final rule
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
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Surgeon looking at notes
Oct 31 | Susan Morse
Bill would give physicians a pay increase, block Medicare cuts
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
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