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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Claims Processing

HHS Building with sign in front
Jul 07 | Susan Morse
Hospitals to get $9 billion in proposed remedy to 340B ruling
Aspects of this proposed policy will affect nearly all hospitals paid under the Outpatient Prospective Payment System, CMS says.
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Doctor examines brain scans
Jul 07 | Susan Morse
Medicare broadens coverage of FDA-approved Alzheimer's treatment
Leqembi is the first amyloid beta-directed antibody to be converted from an accelerated approval to a traditional approval.
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Statuette of Justice with scales
Jul 06 | Jeff Lagasse
Aetna sued by Kraft Heinz for allegedly mishandling data
The lawsuit alleges that Aetna took more than $1.3 billion from Kraft Heinz to pay providers.
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AI's automation can transform the revenue cycle 
Jul 05 | Susan Morse
AI's automation can transform the revenue cycle 
It's important to have IT and operations work together and to get employees onboard, say experts speaking at HFMA.
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Humana is second major Medicare Advantage insurer to report high utilization
Jun 20 | Susan Morse
Humana is second major Medicare Advantage insurer to report high utilization
This is driven by stronger inpatient trends and utilization in the ER, in outpatient surgeries and dental…
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UnitedHealthcare complex
Jun 16 | Susan Morse
UnitedHealth CFO says high demand for elective care is expected to affect medical cost ratios
Premiums spent on healthcare costs are expected to reach the upper bound of the MA…
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Open office with workers in masks on a couch
Jun 13 | Susan Morse
Sola launches in growing employer self-funded health plan market
The company's primary focus is on employers with 25-200 employees.
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Panelists at HIMSS23
Apr 20 | Susan Morse
Providers need to be aware of CPT coding changes to get paid
Changes in reimbursement and payment policies are impacting remote patient monitoring.
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Photo: RUNSTUDIO/Getty Images
Mar 31 | Susan Morse
Texas court blocks preventative care coverage for HIV, reproductive health
AHIP President and CEO Matt Eyles says he fully expects an appeal.
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Person handing their ID to another person behind a counter
Mar 29 |
The future of healthcare claims: AI technology takes center stage
Expedite and automate claims processes with AI.
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