Topics
Reimbursement
Healthcare groups prod Congress to stop CMS' payment cuts
Healthcare groups prod Congress to stop CMS' payment cuts
Revenue Cycle Management
The transactional revenue cycle no longer works: Here's what does
The transactional revenue cycle no longer works: Here's what does
Strategic Planning
Q&A with Geisinger CEO and president Dr. Jaewon Ryu, who will be CEO of the new Risant Health
Q&A with Geisinger CEO and president Dr. Jaewon Ryu
Capital Finance
Cash shortages plague hospitals but there are signs of improvement ahead
Cash shortages plague hospitals
Supply Chain
HIMSSCast: Embrace technology to replace the mundane tasks
HIMSSCast: Embrace technology to replace the mundane tasks
Accounting & Financial Management
Optum growth fuels strong quarter for UnitedHealth Group
Optum growth fuels strong quarter for UnitedHealth Group
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
Insurers likely to pay $1.1 billion in rebates this fall
Quality and Safety
U.S. News revises 'Best Hospitals' methodology in wake of backlash
U.S. News revises 'Best Hospitals' methodology in wake of backlash
Billing and Collections
Paying for healthcare creates mental and financial health concerns
Paying for care creates mental, financial concerns
Claims Processing
94% of physicians report care delays due to prior authorization, AMA says
94% of physicians report care delays due to prior authorization, AMA says
Workforce
AMA pushes to end noncompete clauses in physician contracts
AMA pushes to end noncompete clauses
Operations
Sola launches in growing employer self-funded health plan market
Sola launches in growing self-funded health plan market
Medical Devices
Humana teams with durable medical equipment organizations on home care
Humana teams with DME orgs on home care
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
Physicians would rather leave than work for Envision, doctor says
Construction & Facilities Management
Providence announces $712 million expansion in southern California 
Providence announces $712M expansion in southern California 
Compliance & Legal
Florida men plead guilty to $67 million Medicare fraud scheme
Florida men plead guilty to $67 million Medicare fraud scheme
Policy and Legislation
CMS expanding Medicare Diabetes Prevention Program
CMS expanding Medicare Diabetes Prevention Program
Community Benefit
AMA and others launch collective call for health equity in Rise to Health
AMA and others launch collective call for health equity
Accountable Care
CMS is testing new primary care model
CMS is testing new primary care model
Acute Care
A cyberattack is partly to blame for St. Margaret's Health closing all operations
A cyberattack is partly to blame for St. Margaret's Health closing all operations
Ambulatory Care
Hospitals face direct competition from the 'retailization' of healthcare
Hospitals face direct competition from the 'retailization' of healthcare
Analytics
Top Stories: Patient information exposed in PharMerica breach
Top Stories: Patient information exposed in PharMerica breach
Business Intelligence
Healthcare job cuts increase 97% from 2022
Healthcare job cuts increase 97% from 2022
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Significant differences uncovered between MA, FFS enrollees
Significant differences uncovered between MA, FFS enrollees
Patient Engagement
Commercial health plan member satisfaction declining in key areas
Commercial health plan member satisfaction declining
Pharmacy
Pharmacy leaders meet with White House on Medicare prescription drug benefits
Pharmacy leaders meet with White House on Rx drug benefits
Population Health
One in four skip wellness appointments, regular checkups
One in four adults skip wellness appointments, regular checkups
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth linked to fewer in-person follow-up visits
Telehealth linked to fewer in-person follow-up visits
Mergers & Acquisitions
M&A activity returning to pre-pandemic levels
M&A activity returning to pre-pandemic levels
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Billing and Collections

Statuette of Justice holding scales
Jul 11 | Jeff Lagasse
Health Connect America fined more than $4.6M for alleged Medicaid fraud
The allegations involved HCA billing Medicaid improperly for three separate behavioral health services available to…
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Nick Fricano, CEO and founder of Healthfuse at HMFA 2023
Jun 26 | Susan Morse
Two hospital systems saved a collective $10 million through revenue cycle vendor management
Health systems need vendor goals, communication and improvement plans, say revenue cycle experts.
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Healthcare professionals wirh a patient
Jun 12 | Susan Morse
AI can help hospitals bill complete medical record
Physician-trained AI can recover millions in lost revenue by reducing denials, says Dr. Michael Gao, CEO and cofounder of SmarterDx.
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A stethoscope rests on a medical bill
Jun 08 | Jeff Lagasse
Paying for healthcare creates mental and financial health concerns
Fifty-two percent of insured Americans say paying for medical bills creates stress that is affecting their health.
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Anne Jordan, chief customer officer and cofounder of Pyx Health
Jun 06 | Jeff Lagasse
ICD-10 codes needed for loneliness to curb epidemic
During AHIP 2023, Prx Health tackles the issue of billing codes being needed for reimbursement and to prevent inappropriate use of the ER.
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Hospital workers walk a corridor
May 26 | Susan Morse
Physician pay is rising but not keeping pace with inflation, MGMA says
Physician-owned practices reported higher levels of compensation than hospital-owned practices.
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Photo: diego cervo.Getty Images
Apr 13 | Jeff Lagasse
Most providers seeking to outsource patient financing
Workforce shortages and staffing churn spurred many to look into outsourcing revenue cycle management and patient collections.
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A stethoscope rests on desk papers
Mar 22 | Jeff Lagasse
Coalition decries legal challenges to No Surprises Act
A number of healthcare organizations have defended the NSA and accused various legal challenges of trying to dismantle the law.
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Photo: Tetra/Getty Images
Mar 10 | Susan Morse
HIMSSCast: About 40-50% of hospital patient balances go unpaid, says Cedar President Seth Cohen
Fast-growing high deductible plans have changed the billing and patient experience, Cohen says.
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Stethoscope resting on papers
Mar 08 | Jeff Lagasse
Patient groups press government to do more on medical debt
They want the federal government to bolster financial assistance policies and protect people from certain billing and collection…
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